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Quality measures for dental care: A systematic review
Amy Joyce Righolt1, Grigory Sidorenkov1,2, Clovis Mariano Faggion3
1Department of Dentistry - Quality and Safety of Oral Healthcare, Radboud University Medical Center, Radboud University, Nijmegen, The Netherlands.
Community Dentistry and Oral Epidemiology
|October 31, 2018
Summary
This review assessed oral health care quality measures, finding many focus on treatment, with few on patient safety. Opportunities exist to pilot measures and improve feedback systems for better dental care quality.
Area of Science:
- Oral Health Care Research
- Dental Quality Improvement
- Health Services Research
Background:
- Quality measures are crucial for assessing and improving oral health care delivery.
- Existing quality measures in dentistry vary in their development and validation.
- Standardized quality assessment is needed for outpatient dental services.
Purpose of the Study:
- To systematically review and overview existing quality measures in oral health care.
- To evaluate the scientific soundness and practical applicability of these oral health quality measures.
Main Methods:
- Systematic literature search in MEDLINE, EMBASE, and LILACS (2002-2018).
- Inclusion of publications on the development or clinimetric properties of oral health care quality measures.
- Critical appraisal using the Appraisal of Indicators through Research and Evaluation 2.0 (AIRE 2.0) instrument.
Main Results:
- 24 publications identified 215 quality measures; significant variation in publication quality (AIRE scores 38-78/80).
- Most measures (71) focused on treatment/prevention; few (3) on patient safety.
- Limited reporting on measure validity (2) and reliability (3); minimal patient/professional involvement in development.
Conclusions:
- The review highlights the current landscape of oral health care quality measures.
- There is a need for piloting, testing, and implementing validated quality measures in dental practices.
- Developing information systems for transparent quality feedback is essential for advancing oral health care.
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