Research | Published:

Associates and their working environment: a comparison of corporate and non-corporate associates

BDJ volume 225, pages 425430 (14 September 2018) | Download Citation

Subjects

Key points

  • Provides results of a study exploring the working environment of associates.

  • Demonstrates differences between associates working in corporate and non-corporate environments.

  • Discusses possible implications of these differences for the profession.

Abstract

Introduction

The share of the dental market held by corporate bodies continues to increase. With the profession currently facing many challenges it is important to understand their place in the profession and their effect.

Aim

This exploratory study aims to provide an insight into dental associates in relation to their working environment. Specifically, the differences between working in corporate and non-corporate environments in England.

Materials and methods

Secondary analysis of a self-report questionnaire examining demographics, pay, working conditions, job satisfaction and morale using a combination of closed and open-ended responses sent to randomly selected associate dentists who are BDA members. Responses from associates working in England solely in either the corporate or non-corporate sector were analysed.

Results

Significant differences were seen between associates working in corporate practice when compared to those in non-corporates practice, for example, significantly less corporate associates were female and corporate associates reported relatively lower levels of autonomy and control.

Discussion

The differences seen between sectors could be related to rationalisation and should this be the reality it could have far reaching effects on the profession and its ability to manage itself.

Conclusion

This study highlights some differences between the corporate and non-corporate dental sectors. Further work is needed to build a deeper understanding of the sector.

Listen to the author talk about the key findings in this paper in the associated video abstract. Available in the supplementary information online.

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References

  1. 1.

    . Corporatised dentistry 10 years on. 2012. Available at (accessed June 2015).

  2. 2.

    Growth Company Investor. Oasis Healthcare: speculative buy. 2005. Available at (accessed February 2016).

  3. 3.

    , , , , . Workplace stress in community pharmacies in England: associations with individual, organizational and job characteristics. J Health Serv Res Policy 2014; 19: 27–33.

  4. 4.

    . Pharmacy ownership in Canada: implications for the authority and autonomy of community pharmacy managers. Res Social Adm Pharm 2011; 7: 347–358.

  5. 5.

    , , . The corporatization of community pharmacy: implications for service provision, the public health function, and pharmacy's claims to professional status in the United Kingdom. Res Social Adm Pharm 2009; 5: 305–318.

  6. 6.

    Unknown. The dynamics of bureaucracy. A review of (interalia) the Aston Studies; Pugh, D, Hickson D. (1976). Organization Structure in its Context. Available at (accessed November 2016).

  7. 7.

    . The Incisal Edge. Oasis. BUPA. Round and round until the music stops.... 2016. Available at (accessed February 2017).

  8. 8.

    , . Private Equity Investment And Nursing Home Care: Is It A Big Deal? Health Affairs 2008; 27: 1399–1408.

  9. 9.

    The Centre for Health and the Public Interest. The future of the NHS? Lessons from the market in social care in England. 2013. Available at (accessed July 2015).

  10. 10.

    . Bureaucracy: is it efficient? Is it not? Is that the question? Uncertainty Reduction: An Ignored Element of Bureaucratic Rationality. Admin Soc 2003; 34: 700–723.

  11. 11.

    . The Demise of Bureaucracy and Emergent Models of Organizational Structure. Schooling 2010; 1: 270: 1–12.

  12. 12.

    , . A Study of the Effect of Employment in Chain Organizations on Pharmacists' Job Satisfaction. J Pharmaceut Market Manag 1986; 1: 27–39.

  13. 13.

    Rodericks Dental. Are you considering selling your dental practice? 2014. Available at (accessed November 2015).

  14. 14.

    Rodericks Dental. Selling brochure. 2015.

  15. 15.

    Portman Dental. Join the fresh approach to dentistry. 2015. Available at (accessed August 2018).

  16. 16.

    Bupa Dental Care. Selling your practice. Available at (accessed November 2017).

  17. 17.

    IDH Group Limited. FY 2015 Annual Results – Investor presentation. 2015. Online information available at (accessed September 2015).

  18. 18.

    . Local pharmacies will always be more accessible. Pharm J 2003; 270: 437.

  19. 19.

    British Dental Association. Orthodontic procurement legal challenge: What you need to know. 2017. Available at (accessed November 2017).

  20. 20.

    Department of Health. Piloting reform of the NHS Dental Contract in England. 2010. Available at (accessed November 2017).

  21. 21.

    Health Education England. Advancing Dental Care: Education and Training Review. 2017. Available at (accessed August 2018).

  22. 22.

    , , . Referral patterns to secondary care in the absence of a community based oral surgery service. Int J Surg 2013; 11: 645.

  23. 23.

    . Current controversies in training and/ or education of dentists in the UK. Br Dent J 2014; 217: 497–498.

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Acknowledgements

I would like to thank the BDA Trust Fund and the Shirley Glasstone Hughes Trust Fund for funding this project.

Author information

Affiliations

  1. British Dental Association, Policy and Research, 64 Wimpole Street, London, W1G 8YS

    • E. O'Selmo
    • , V. Collin
    •  & P. Whitehead

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Corresponding author

Correspondence to E. O'Selmo.

Supplementary information

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About this article

Publication history

Accepted

Published

DOI

https://doi.org/10.1038/sj.bdj.2018.741