title: Referral for secondary restorative dental care in rural and urban areas of Scotland: findings from the Highlands Et Islands Teledentistry Project.
abstract: OBJECTIVE
  To compare the reported level of use of secondary care services for restorative dental care in rural and urban areas of Scotland.
  
  
  METHODS
  Postal questionnaire survey
  
  
  METHODS
  Postal questionnaire sent to all dentists in the Highland region, the island regions in Scotland and Dumfries Et Galloway (n = 150) and an equal number were sampled from the remainder of Scotland stratified by health board area. Non-respondents were sent 2 reminders after which 62% of the sample had responded.
  
  
  RESULTS
  Most dentists (85%) who practised in what they considered were urban areas of Scotland said they felt that they had good access to a secondary referral service. Whereas most of those who practised in what they considered were rural areas either said they had no access to such a service (26%) or that access was difficult (53%), only 3% of those in urban areas said they had no access to a secondary restorative consultative service compared with 14% of dentists practising in rural areas of mainland Scotland and 54% of those practising on Scottish islands.
  
  
  CONCLUSIONS
  The survey suggests the people of the Scottish islands and some of the remoter parts of the Scottish mainland would be among those who might benefit from improvement in access to a restorative dentistry consultant service.
authors.affiliation: Dental Health Services Research Unit, University of Dundee. N.M.NUTTALL@DUNDEE.AC.UK
authors.forename: N M
authors.initials: NM
authors.lastname: Nuttall
authors.forename: M S
authors.initials: MS
authors.lastname: Steed
authors.forename: M A
authors.initials: MA
authors.lastname: Donachie
mesh_terms: D000328:Adult; D002391:Catchment Area, Health; D003729:Dental Care; D003793:Dental Restoration, Permanent; D006297:Health Services Accessibility; D006801:Humans; D010347:Patient Care Planning; D012017:Referral and Consultation; D019035:Rural Health Services; D012606:Scotland; D013223:Statistics as Topic; D017216:Telemedicine; D019037:Urban Health Services