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Conceptualising a framework for improving quality in primary dental care
Matthew Byrne1, Martin Tickle2
1NIHR Academic Clinical Fellow in Primary Care Dentistry, Division of Dentistry, School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK. matthew.byrne-6@postgrad.manchester.ac.uk.
British Dental Journal
|November 24, 2019
Summary
This study proposes a framework for improving quality in primary dental care, emphasizing an approach-based paradigm over a single definition. It highlights the use of evidence-based indicators and bioinformatics for better quality assessment and implementation.
Area of Science:
- Dental Public Health
- Healthcare Quality Improvement
- Health Services Research
Background:
- Defining quality in dentistry is less critical than improving it.
- Existing quality improvement models require adaptation for primary dental care.
Purpose of the Study:
- To present a conceptual framework for quality improvement in primary dental care.
- To advocate for an approach-based paradigm over a unified definition of dental quality.
Main Methods:
- Integrating Donabedian's structure, process, and outcome domains with quality dimensions.
- Identifying and implementing valid, evidence-driven quality indicators.
- Exploring the role of bioinformatics in quality measurement and reporting.
Main Results:
- A rational approach to assessing and improving dental care quality is proposed.
- The Institute of Medicine's dimensions (safety, effectiveness, patient-centeredness, timeliness, equity, efficiency) offer a starting point.
- Bioinformatics presents opportunities for implementing and reporting quality measures.
Conclusions:
- An approach-based paradigm is more effective for quality improvement than seeking a singular definition.
- Further research is needed to identify key dental quality dimensions.
- Future efforts should focus on implementing data-driven quality indicators at the practitioner level.
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