以患者为中心的牙科家庭:质量测量,改进和整合的框架
J B Herndon1, J C Reynolds2,3, P C Damiano2,3
1Key Analytics and Consulting, LLC, Sarasota, Florida, USA.
JDR clinical and translational research
|August 18, 2023
概括
制定了一个标准化的以患者为中心的牙科家庭 (PCDH) 框架,以整合牙科和医疗护理. 该框架包括61个措施概念和47个措施/标准,用于评估PCDH实施和质量改进.
科学领域:
- 口腔卫生服务研究研究
- 医疗服务研究 医疗服务研究
- 健康质量测量健康质量的测量
背景情况:
- 以患者为中心的医疗家庭 (PCMH) 模式改善了初级保健.
- 将牙科护理整合到以患者为中心的牙科家庭 (PCDH) 模式中需要标准化的评估工具.
- 之前的工作确定了PCDH的定义,特征和组件.
研究的目的:
- 为以患者为中心的牙科家庭 (PCDH) 开发一个标准化的4级测量框架.
- 将PCDH框架与以患者为中心的医疗家庭 (PCMH) 协调一致,以提供综合护理.
- 确定和验证PCDH实施和评估的措施概念,措施和标准.
主要方法:
- 对500多个现有的口腔卫生保健措施和标准进行了环境扫描.
- 使用修改后的Delphi流程与国家咨询委员会 (NAC) 进行结构化的反.
- 使用9分评级表来评估措施概念 (重要性) 和具体措施/标准 (可行性,有效性,可行性).
主要成果:
- 确定并评价了PCDH框架的61个措施概念和47个措施和标准.
- 在四轮的德尔菲过程中,根据NAC的评级和定性评论,精炼了选择.
- 最终的框架包括4个层次,允许开发核心措施集.
结论:
- 现在,4级PCDH测量框架已经完成,这有助于PCDH的实施和评估.
- 该框架支持质量改善举措以及牙科和医疗保健的整合.
- 利益相关者可以使用该框架来指导和评估PCDH采用和牙医医疗整合.
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