우리나라 구강건강 의료의 질 지표 개발을 위한 기초연구
Basic research for the development of quality measures of oral care in Korea
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초록
The aims of this study were to evaluate quality indicators that can be applied to the dental care delivery sys- tem in Korea. This study was performed with a three-step process. Firstly, authors searched for quality indica- tors developed in dentistry field. Among them, 80 quality indicators were selected as the indicators that used in dental institutions, and then 33-item preliminary list was extracted through evaluation by 9 experts consisted of dental clinicians and professors (college of dentistry and department of dental hygiene). Based on this 33-item preliminary list, a Delphi process was conducted twice by a stakeholder group consisting of 17 panels (dentists, dental hygienists, dental technicians, professors of dental colleges, and dental hygiene professors). Each item of the preliminary list was classified into 5 domains of importance, relevance, feasibility, reliability, and sensitiv- ity. The panels were asked to rate from 0 to 3-point (very unnecessary - very appropriate) to the 5 domains of all items. As a result, the sealant treatment item received the most consent, and the item of whether unnecessary antibiotics is prescribed received the lowest preference. Among the 33 items, the items that received a score of 2.5 or higher were sealant, brushing, fluoride application, caries prevention, periodontal management, regular check-up, continuity of treatment, and evaluation of current symptoms. This study was performed as basic re- search. Based on international consensus on the definition of the quality of oral health care, development of new measures is necessary to produce quality indicators that suitable for the dental setting in Korea.
Abstract
The aims of this study were to evaluate quality indicators that can be applied to the dental care delivery sys- tem in Korea. This study was performed with a three-step process. Firstly, authors searched for quality indica- tors developed in dentistry field. Among them, 80 quality indicators were selected as the indicators that used in dental institutions, and then 33-item preliminary list was extracted through evaluation by 9 experts consisted of dental clinicians and professors (college of dentistry and department of dental hygiene). Based on this 33-item preliminary list, a Delphi process was conducted twice by a stakeholder group consisting of 17 panels (dentists, dental hygienists, dental technicians, professors of dental colleges, and dental hygiene professors). Each item of the preliminary list was classified into 5 domains of importance, relevance, feasibility, reliability, and sensitiv- ity. The panels were asked to rate from 0 to 3-point (very unnecessary - very appropriate) to the 5 domains of all items. As a result, the sealant treatment item received the most consent, and the item of whether unnecessary antibiotics is prescribed received the lowest preference. Among the 33 items, the items that received a score of 2.5 or higher were sealant, brushing, fluoride application, caries prevention, periodontal management, regular check-up, continuity of treatment, and evaluation of current symptoms. This study was performed as basic re- search. Based on international consensus on the definition of the quality of oral health care, development of new measures is necessary to produce quality indicators that suitable for the dental setting in Korea.
참고문헌 (19)
- Myers BA, "A guide to medical care administration: concepts and principles" (1965), American Public Health Association
- Vuori HV, "Quality assurance of health services: concepts and methodology" (1982), World Health Organization, Regional Office for Europe
- Donabedian A, "The definition of quality and approaches to its assessment" (1980), Health Administration Press
- A. Donabedian, "The quality of care. How can it be assessed?", JAMA: The Journal of the American Medical Association, 260(12), pp.1743~1748 (1988), American Medical Association (AMA)[DOI]
- Jill Boylston Herndon, "Developing and testing pediatric oral healthcare quality measures", Journal of Public Health Dentistry, 75(3), pp.191~201 (2015), Wiley[DOI]
- Finance Commercial and NHS Directorate, "Dental quality and outcomes framework for 2016-17", ~ (2016)
- "Revision to the National Oral Health Surveillance System (NOHSS) Indicators" (2015)[URL]
- Gail T, "Health surveillance in Europe – European global oral health indicators development project", Health surveillance in Europe – European global oral health indicators development project; (2005)
- A.J. Righolt, "An International Working Definition for Quality of Oral Healthcare", JDR Clinical & Translational Research, 5(2), pp.102~106 (2019), SAGE Publications[DOI]
- F. Baâdoudi, "A Consensus-Based Set of Measures for Oral Health Care", Journal of Dental Research, 96(8), pp.881~887 (2017), SAGE Publications[DOI]
- "Training pack for practices: Dental quality and outcome framework" (2018)[URL]
- Hummel R, "Outcome measures for oral health based on clinical assessements and claims data : feasibility evaluation in practice", BMC Oral Health, 17(1), pp.125~ (2017)
- EGOHID, "Health Surveillance in Europe. A selection of essential oral heath indicators", Recommended by European Global Oral Health Indicators Development Project (Catalogue), ~ (2005)
- "A Nordic project of qual- ity indicators for oral health care" (2010)[URL]
- Mattila M-L, "Children's dental healthcare quality using several outcome measures", Acta Odontol Scand, 60(2), pp.113~116 (2002)
- Hussein RJ, "Quality indicators for the use of systemic antibiotics in dentistry", Z Evidenz Fortbuld Gesundhwes, 122, pp.1~8 (2017)
- Manginose-Smith R, "Identifying children's health care quality measures for medicaid and CHIP : an evidenceinformed, publicly transparent expert process", Acad Pediatt, 11, pp.11~21 (2011)[DOI]
- Bhardwaj A, "Measuring up: Implementing a dental quality measure in the electronic health record context", JADA, 147(1), pp.35~40 (2016)
- Neumann A, "Evaluating quality of dental care among patients with diabetes : adaptation and testing of a dental quality measure in electronic health records", JADA, 148(9), pp.634~643 (2017)[DOI]