A RAND/UCLA appropriateness method study to identify the dimensions of quality in primary dental care and quality measurement indicators.,British Dental Journal

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A RAND/UCLA appropriateness method study to identify the dimensions of quality in primary dental care and quality measurement indicators.
British Dental Journal ( IF 2.0 ) Pub Date : 2020-01-01 , DOI: 10.1038/s41415-020-1200-z
Matthew Byrne ₁ , Lucy O'Malley ₁ , Anne-Marie Glenny ₁ , Stephen Campbell ₂ , Martin Tickle ₃

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Objectives Quality measures are increasingly used for quality measurement and improvement in primary dental care. Currently there is no consensus on a core set of quality measures that may be used in primary dental care or of the dimensions of quality important in dentistry. The objective of this study was to use a RAND/UCLA Appropriateness Method to help establish such a consensus.Methods A RAND/UCLA Appropriateness Method was used to rate dimensions of quality and quality indicators derived from the literature. Nineteen dimensions of quality and 260 quality indicators were rated by a panel of nine dentists using an online questionnaire and face-to-face meeting.Results Seventy-nine quality statements were rated as clear, necessary and feasible for use as a quality measure by the panel, from which 45 composite measures emerged. With regard to the dimensions of quality, the dimensions of the Institute of Medicine definition of quality were rated highly, alongside further dimensions of technical quality, appropriateness, comprehensiveness and coordination, and continuity of care.Conclusions This consensus study has identified a core set of quality indicators. This is a key first step toward the development of a comprehensive set of quality indicators.

中文翻译：

一项RAND / UCLA适当性方法研究，以确定初级牙科护理和质量测量指标的质量范围。

目的越来越多地将质量衡量标准用于初级牙科护理的质量衡量和改进。当前，在初级牙科保健中可能使用的核心质量衡量标准或对牙科重要的质量尺度方面尚无共识。这项研究的目的是使用RAND / UCLA适当性方法来帮助建立这样的共识。方法RAND / UCLA适当性方法用于对来自文献的质量指标和质量指标进行评分。由9位牙医组成的小组使用在线问卷调查和面对面的会议对19个质量维度和260个质量指标进行了评估。结果69个质量声明被评估为清晰，必要和可行，可以用作质量度量。小组，由此产生了45项综合措施。关于质量的维度，医学研究所对质量定义的维度以及技术质量，适当性，全面性和协调性以及护理连续性的其他维度得到了高度评价。结论这项共识研究确定了一组核心质量指标。这是制定全面质量指标的关键的第一步。

更新日期：2020-01-24

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