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Quality measures for dental care: A systematic review
1Associate Editor, BDJ Open, London, UK.
Evidence-Based Dentistry
|September 29, 2019
Summary
This study reviewed 215 oral healthcare quality measures, finding most focused on treatment and prevention. Development often lacked patient and professional input, with limited reporting on validity and reliability for these crucial dental quality measures.
Area of Science:
- Oral Health Research
- Healthcare Quality Improvement
- Dental Public Health
Background:
- Existing literature on oral healthcare quality measures is fragmented.
- A comprehensive overview is needed to understand the current landscape of dental quality metrics.
- Identifying gaps in measure development and reporting is crucial for advancing oral healthcare standards.
Purpose of the Study:
- To systematically review and synthesize existing quality measures for general dental care.
- To assess the development process, clinimetric properties, and applicability of these oral healthcare quality measures.
- To provide an overview of the current state of quality measurement in oral healthcare.
Main Methods:
- Systematic search of MEDLINE, EMBASE, and LILACS databases (2002-2017).
- Inclusion of publications describing development or clinimetric properties of oral healthcare quality measures.
- Appraisal of scientific soundness and applicability using the Appraisal of Indicators through Research and Evaluation (AIRE) instrument 2.0.
Main Results:
- Twenty-four publications yielded 215 quality measures, primarily focusing on treatment and preventive services (71 measures).
- Significant gaps were identified in reporting on measure validity (2 projects) and reliability (3 projects).
- The development process frequently lacked involvement from patients and dental professionals, and few measures were piloted for practice implementation.
Conclusions:
- The study provides a comprehensive overview of current oral healthcare quality measures.
- Opportunities exist for piloting, testing, and transparent reporting of dental quality measures.
- Further research should focus on enhancing the validity, reliability, and stakeholder involvement in the development of oral healthcare quality measures.
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