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Patient Reported Outcome Measures and Patient Reported Experience Measures for Dental Practice Quality Improvement
Chiu-Yi Lin1, Wendy Thompson1, Lucy O'Malley1
1Division of Dentistry, School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom.
Introduction And Aims:
Patient feedback have potential to drive quality improvement in dental care. However, there is a lack of clarity regarding which elements of patient feedback should be used. This study aimed to select appropriate patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) for use in audit and feedback-based quality improvement in dental practices in the UK.
Methods:
A 2-phase, evidence-informed deliberative process-comprising evidence synthesis and Deliberative Stakeholder Consultations (DSCs)-was conducted. Phase 1: PROMs and PREMs candidate items were identified through systematic literature search and thematically analyzed. Phase 2: Dental patients and professionals were recruited for DSCs through purposive and snowball sampling. Inductive thematic analysis of DSC transcripts was conducted, and the final measures were agreed (5 for each dental encounter: check-up, planned treatment, and urgent care).
Results:
In phase 1, 672 measures (across 8 themes such as psychological/social impacts) were identified. In phase 2, 8 dentists and 5 patients participated (March-May 2024). Stakeholder priorities were as follows. Check-up appointments: dentist's communication skills regarding treatment options and cost, and the cleanliness of facilities. Planned treatment: effective pain management during procedures and overall satisfaction with treatment. Urgent care: management of patient fear/anxiety and pain relief following a procedure. Communication of treatment progress and provision of post-operative advice were considered important in both planned and routine treatment. Waiting times for appointments were a priority across all encounters.
Conclusion:
Eleven measures (after removing duplicates) were selected for the encounters to offer meaningful potential for operationalizing quality improvement in dental practices. DSCs were also perceived as a useful method for prioritizing measures for quality improvement.
Clinical Relevance:
This study is the first to identify actionable PROMs and PREMs which can be used for audit and feedback loops in dental practices. These measures will be tested in DELIVER case studies.
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