Evidence map›Paper›PMID 25608950›Full record

ArticleBMC oral health2015

Clinical directors' views of centralisation and commissioning of cleft services in the U.K.

Aidan Searle, Julia K Scott, Jonathan Sandy, Andrew Ness, Andrea Waylen

Abstract read
In one paragraph

Article in BMC oral health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Aidan SearleSchool of Oral and Dental Science, Lifecourse Epidemiology and Population Oral Health, University of Bristol, Lower Maudlin Street, Bristol BS1 2LY, UK. A.J.Searle@bristol.ac.uk.
Julia K Scott
Jonathan Sandy
Andrew Ness
Andrea Waylen

Funding

Department of Health RP-PG-0707-10034
6 · The paper itself

Abstract

backgroundTo determine the views of Clinical Directors working in the United Kingdom (U.K.) Cleft Service with regard to centralisation, commissioning and impact on cleft service provision.

methodsIn-depth qualitative interviews were conducted with 11 Clinical Directors representing regional cleft services. Interviews were transcribed verbatim, a coding frame was developed by two researchers and transcripts were coded using a thematic, 'interpretive' approach.

resultsClinical Directors perceived the commissioning of cleft services in the U.K. to be dependent upon historical agreements and individual negotiation despite service centralisation. Furthermore, Clinical Directors perceived unfairness in the commissioning and funding of cleft services and reported inconsistencies in funding models and service costs that have implications for delivering an equitable cleft service with an effective Multidisciplinary Team.

conclusionsNational Health Service (NHS) commissioning bodies can learn lessons from the centralisation of cleft care. Clinical Directors' accounts of their relationships with specialist commissioning bodies and their perspectives of funding cleft services may serve to increase parity and improve the commissioning of cleft services in the U.K.

Indexed as

Attitude of Health PersonnelBudgetsCleft LipCleft PalateContractsCosts and Cost AnalysisCritical PathwaysFinancial ManagementHumansNegotiatingPatient Care TeamPatient-Centered CarePersonnel Staffing and SchedulingPhysician ExecutivesPrimary Health CareQualitative Research

Identifiers

PMID25608950
PMCPMC4320534

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.