Abstract:
OBJECTIVES:Dentistry is increasingly challenged by payers and the public to demonstrate quality measurement (QM) activities that substantiate value. Unknown is how various components of the US oral health-care financing and delivery systems have adopted QM. The objective of this study is to explore QM activities by US dental delivery, management, financing, and related organizations. METHODS:Using a structured interview guide based on a novel conceptual framework that incorporates factors influencing QM intention, adoption, and implementation, 19 key informant interviews were conducted. Informants represented safety net delivery programs (health center, nonprofit mobile, hospital-based, Veterans Administration, and tribal dental programs), private delivery organizations (private practice, closed panel HMO, and for-profit mobile dental programs), training programs that deliver care (dental and dental therapy programs), management organizations (private and Medicaid group practice management companies), care financing organizations (Medicaid managed care plan, state Medicaid program, dental benefits companies), and dental quality organizations (institute and dental professional organization). Interviews were transcribed and analyzed qualitatively. RESULTS:Informants report wide variation in the intensity of QM efforts with organizational leadership cited as most influential. Motivation to adopt QM efforts is more often internal than imposed. Data management and information technology both facilitate and limit QM activities. QM activities are associated with operational improvements including use of guidelines and refinements of mission. Organizational type and size appear to influence QM programs. CONCLUSION:The current status of QM is highly variable across dental organizations because organizational leadership, needs, and requirements vary according to mission and structure.
journal_name
J Public Health Dentjournal_title
Journal of public health dentistryauthors
Alrqiq HM,Edelstein BLdoi
10.1111/jphd.12117subject
Has Abstractpub_date
2016-03-01 00:00:00pages
98-104issue
2eissn
0022-4006issn
1752-7325journal_volume
76pub_type
杂志文章abstract::Ten- to 13-year-old children were examined annually for three years to determine the caries activity in the proximal and occlusal surfaces of first permanent molars. Almost every tooth with an unsound (carious or filled) proximal surface also had an unsound occlusal surface. Caries scores in proximal surfaces remained...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1988.tb03154.x
更新日期:1988-01-01 00:00:00
abstract::The American Dental Association's Strategic Plan for the Future of Dentistry is primarily a self-serving document in that it attempts to protect the dentist regardless of the changing oral health needs of the population. Marketing, even if initially successful, will not increase the absolute demand for dental services...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1985.tb01125.x
更新日期:1985-07-01 00:00:00
abstract::The question considered in this review is the extent to which changes in the prevalence or severity of enamel fluorosis have occurred over the last half-century. Emphasis is given to a review of those studies in which subjects are drinking water that is fluoride deficient and those in which subjects are drinking optim...
journal_title:Journal of public health dentistry
pub_type: 杂志文章,评审
doi:10.1111/j.1752-7325.1999.tb03276.x
更新日期:1999-10-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to consider the association between developmental enamel defects and dental caries in children from areas with different levels of fluoride in their drinking water. METHODS:children (mean age = 14.1 +/- 0.3 years) were examined from areas with less than 0.1 ppm (n = 267) and 0....
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1996.tb02400.x
更新日期:1996-04-01 00:00:00
abstract:OBJECTIVE:We describe service patterns and compare changes in program expenditures with the Consumer Price Index over eight years in a dental program with a controlled-fee schedule offered to Canadian First Nations and Inuit people. METHODS:We obtained the computerized records of dental services for the period from 19...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2005.tb02805.x
更新日期:2005-07-01 00:00:00
abstract:OBJECTIVE:Preventive dental visits for preschool-aged children can result in better oral health outcomes, especially for children from lower income families. Many children, however, still do not see a dentist for preventive visits. This qualitative study examined the potential for the Extended Parallel Process Model (E...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2012.00369.x
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVES:The purpose of our study was to examine the association between rurality and select oral health care metrics: teeth condition, decay, and access measures such as preventive dental care among children in the United States. METHODS:We conducted a cross-sectional study with a sample of 20,842 respondents from ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12444
更新日期:2021-01-27 00:00:00
abstract:OBJECTIVE:To assess the extent factors other than race/ethnicity explain apparent racial/ethnic disparities in children's oral health and oral health care. METHODS:Data were from the 2007 National Survey of Children's Health, for children 2-17 years (n=82,020). Outcomes included parental reports of child's oral health...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2012.00367.x
更新日期:2013-04-01 00:00:00
abstract::Benefit-cost analysis and cost-effectiveness analysis can be used to evaluate preventive regimens and aid policy-makers in making resource-allocation decisions. This paper demonstrates the application of benefit-cost and cost-effectiveness analyses to preventive dental programs. The two analyses are defined and descri...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1984.tb03077.x
更新日期:1984-10-01 00:00:00
abstract:OBJECTIVE:This paper reports on factors that predict the market penetration and growth into the market of both medical and dental managed care, and the relationship between the two. METHODS:Using data from the National Association of Dental Plans, the Interstudy Competitive Edge HMO Census, and the Area Resource File ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1999.tb03231.x
更新日期:1999-01-01 00:00:00
abstract:OBJECTIVES:The objectives of this study are to identify and describe the characteristics of dental underserved geographic areas. Understanding these characteristics is an important step in addressing access to dental care barriers. METHODS:Dental underserved areas were identified from the Health Resources and Services...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12157
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVE:It has been speculated that amoxicillin use could be associated with enamel defects, but there have been few studies of this possible relationship. This study assessed the association between amoxicillin use during the first year of life and primary tooth fluorosis. METHODS:Subjects (n = 490) were recruited ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2004.tb02724.x
更新日期:2004-01-01 00:00:00
abstract::Improving children's oral health is a long-standing area of priority and sustained efforts by many stakeholders. Despite these efforts, dental caries, particularly early childhood caries (ECC), persists as a clinical and dental public health problem with multilevel consequences. Despite recent successes in the non-res...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12303
更新日期:2020-03-01 00:00:00
abstract::The Linn County Dental Health Center is an example of what appears to be a highly successful dental society access program. A target population, the children of the poor and working poor in Linn County, have an opportunity to enter a system of continuous dental care for the prevention and control of dental disease. Th...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1983.tb01891.x
更新日期:1983-04-01 00:00:00
abstract:OBJECTIVE:This study compared the preventive oral health behaviors of African-Americans and whites. METHODS:Face-to-face interviews were conducted with a probability sample of 384 African-American and 358 white adults living in the greater Detroit area. Questions focused on brushing, flossing, and dental visits. RESU...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1998.tb02999.x
更新日期:1998-07-01 00:00:00
abstract:OBJECTIVE:This study aims to examine if older adults living in poverty and from minority racial/ethnic groups experienced disproportionately high rates of poor oral health outcomes measured by oral health quality of life (OHQOL) and number of permanent teeth. METHODS:Cross-sectional analysis of 2,745 community-dwellin...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12072
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to investigate the factors that may influence orthodontic treatment uptake such as socioeconomic class (SEC), type of funding, and gender. METHODS:The sample comprised 550 adolescents (232 men, 318 women) aged 13-17 years. Demographic data and questions concerning treatment experie...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12034
更新日期:2013-10-01 00:00:00
abstract::Central to all value-based purchasing (VBP) approaches are value metrics, the measurements used to drive improvement, facilitate payment, and evaluate results of VBP programs. This article outlines approaches for adopting meaningful measurement systems that can be used to support VBP in the near term and identifies sy...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12395
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVE:This study aimed to provide a description of the psychosocial process involved in regular dental attendance. METHODS:The study design was a qualitative cross-sectional study using unstructured and semistructured interviews and observations of regular dental visits. The study participants included 12 men and ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2000.tb03285.x
更新日期:2000-01-01 00:00:00
abstract:OBJECTIVES:An epidemiology analysis was performed to identify patient and dentist factors influencing over- and undertreatment of restorative services in a sample of insured adults. METHODS:At baseline, 681 Washington State employees and their spouses, aged 20 to 34 years and residing in the Olympia or Pullman areas, ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1997.tb02469.x
更新日期:1997-01-01 00:00:00
abstract::Hearing, vision, orthopedic, and speech disorders are the most common impairments in the elderly. Older adults experience other sensory impairments such as olfactory and gustatory dysfunction, as well as oral motor problems including difficulty with mastication, speech, and swallowing. These disorders can directly aff...
journal_title:Journal of public health dentistry
pub_type: 杂志文章,评审
doi:10.1111/j.1752-7325.2000.tb03338.x
更新日期:2000-10-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to examine: a) the sociodemographic and health factors associated with poor school performance among North Carolina children; and b) the impact of poor oral health status on school performance while controlling for other health and sociodemographic factors. METHODS:We used data...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2007.00062.x
更新日期:2008-04-01 00:00:00
abstract:OBJECTIVES:This analysis describes the dental self-care behaviors used by a multiethnic sample of older adults and delineates the associations of self-care behaviors with personal characteristics and oral health problems. METHODS:A cross-sectional comprehensive oral health survey conducted with a random, multiethnic (...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2009.00121.x
更新日期:2009-07-01 00:00:00
abstract:OBJECTIVES:The purposes of this study were to develop a work stress inventory for dental assistants (WSI-DA) in Jordan and examine its psychometric properties and to describe potentially stressful work-related conditions related to the profession of dental assistance in Jordan. METHODS:A total of 542 dental assistants...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2008.00094.x
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVES:To identify factors associated with dental utilization and expenditures for children enrolled in Washington State (WA) foster care (FC). METHODS:This cross-sectional study used 2008 Medicaid enrollment and claims files for children ages <18 years enrolled in the WA FC program for ≥11 months (N = 10,177). Re...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12027
更新日期:2014-04-01 00:00:00
abstract:OBJECTIVES:The aims of this study were to compare prevalence of early childhood caries (ECC) in 1- to 3-year-old children seeing primary-care pediatricians at two urban medical centers in Boston to the prevalence of ECC in similarly aged US children surveyed as part of the Third National Health and Nutrition Examinatio...
journal_title:Journal of public health dentistry
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1752-7325.2008.00116.x
更新日期:2009-07-01 00:00:00
abstract:OBJECTIVE:To assess the impact of comorbidity and other health measures on the use of dental and medical care services among the community-based Medicare population with data from the 2002 Medicare Current Beneficiary Survey. METHODS:A comorbidity index is the main independent variable of our study. It includes oral c...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:
更新日期:2011-07-01 00:00:00
abstract:OBJECTIVE:The objective was to verify the relation between periodontal status and prematurity/low birth weight. METHODS:a case control study of 211 women, 44 being mothers of children born with weight below 2.500g or gestational age of less than 37 weeks (case group) and 177 mothers of children born with weight of ove...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2006.tb04088.x
更新日期:2006-10-01 00:00:00
abstract:OBJECTIVES:To compare the outcomes of restorations placed by restorative function auxiliaries (RFAs) with those placed by dentists. METHODS:Between July 1, 2007, and June 30, 2008, we matched 455 restorations placed by RFAs working at HealthPartners Dental Group with the same number placed by dentists. Restorations we...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2011.00291.x
更新日期:2012-04-01 00:00:00
abstract::The U.S. healthcare sector is a paradox - achieving comparatively poor population health outcomes despite outspending the world - and the current paradigm is a dichotomy - pursuing value definition consisting of quality, outcome, and cost, but failing to act in aligned and informed manner. In 2018, U.S. dental spendin...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12412
更新日期:2020-09-01 00:00:00