scholarly journals Secondary dental care quality in Brazil: What we are talking about?

2021 ◽  
Vol 50 (1) ◽  
pp. 1-3
Author(s):  
Paulo Sávio Angeiras de Goes ◽  
Maria Gabriela Biazevic ◽  
Roger Keller Celeste ◽  
Samuel Moyses
Keyword(s):  
Dental Care ◽  
Care Quality

scholarly journals THE QUALITY OF DENTAL CARE IN NURSING HOMES: VARIATION BY FACILITY AND MARKET CHARACTERISTICS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S606-S607
Author(s):  
Zhiqiu Ye ◽  
Bei Wu
Keyword(s):  
Oral Health ◽  
Nursing Homes ◽  
Dental Care ◽  
Estimating Equation ◽  
Care Quality ◽  
Policy And Practice ◽  
For Profit ◽  
Low Performance ◽  
Competing Priorities

Abstract Nursing home (NH) residents are disproportionately affected by poor oral health. But little we known about the root causes. We analyzed the 2000-2016 national inspection survey data for all certified-NHs (n=248,975 facility-years). Dental care performance was measured by two designated deficiency citations. Generalized estimating equation models were used to predict if the NH facility and market characteristics were associated with low performance. The rates of deficiency citation tripled from 1.2% in 2000 to 3.4% in 2016 (p<0.001) with substantial variation across states. NHs with more minority residents and poorer resources (higher share of Medicaid and lack of registered nurse), and NHs with high competing priorities (larger, for profit, chain-affiliated and urban locations) were more likely to receive deficiency citations. Residents in these facilities are at greater risks of poor oral health. This presentation will provide discussion on relevant policy and practice to improve dental care quality in nursing homes.

scholarly journals Analysis of the treatment and preventive care quality for adults with periodontal diseases under the compulsory health insurance program in Saint Petersburg

2018 ◽  
Vol 10 (1) ◽  
pp. 72-80 ◽  
Author(s):  
A. V. Silin ◽  
V. N. Filatov ◽  
E. V. Leonova ◽  
O. A. Rizahanova
Keyword(s):  
Health Insurance ◽  
Dental Care ◽  
Periodontal Diseases ◽  
Full Range ◽  
Care Quality ◽  
Dental Services ◽  
Clinical Recommendations ◽  
Saint Petersburg ◽  
Clinical Recommendation ◽  
Compulsory Health Insurance

The present article revealed the results on evaluation of medical care quality in 430 patients with parodontologic diseases provided in 14 municipal and city dental policlinics in 2014-2016 under the compulsory health insurance (CHI) in Saint Petersburg. The performed analysis allows to compare the possibilities of therapeutic and diagnostic assistance to treat periodontitis, provided under CHI and regulated by the clinical recommendations developed by Russia Dental Association. Due to the developed clinical recommendations the quality dental care under CHI could be provided only on the initial and supportive treatment stages and considered to be therapeutic, thus the surgical treatment could not be fully provided. The types of medical services provided under CHI restrict the use of clinical recommendation (Russia Dental Association) to treat patients with periodontal diseases in dental policlinics and do not ensure the provision of entirely quality dental care under CHI. Therefore, the development of new criteria to include the full range of treatment and diagnostic dental services into the basic CHI is of high importance.

scholarly journals Assessing Patient Experience and Healthcare Quality of Dental Care Using Patient Online Reviews in the United States: Mixed Methods Study

10.2196/18652 ◽  
2020 ◽  
Vol 22 (7) ◽  
pp. e18652
Author(s):  
Ye Lin ◽  
Y Alicia Hong ◽  
Bradley S Henson ◽  
Robert D Stevenson ◽  
Simon Hong ◽  
...  
Keyword(s):  
United States ◽  
Patient Experience ◽  
Dental Care ◽  
Healthcare Providers ◽  
Healthcare Quality ◽  
Online Reviews ◽  
The United States ◽  
Care Quality ◽  
Medical Specialties ◽  
Data Source

Background Over the last two decades, patient review websites have emerged as an essential online platform for doctor ratings and reviews. Recent studies suggested the significance of such websites as a data source for patients to choose doctors for healthcare providers to learn and improve from patient feedback and to foster a culture of trust and transparency between patients and healthcare providers. However, as compared to other medical specialties, studies of online patient reviews that focus on dentists in the United States remain absent. Objective This study sought to understand to what extent online patient reviews can provide performance feedbacks that reflect dental care quality and patient experience. Methods Using mixed informatics methods incorporating statistics, natural language processing, and domain expert evaluation, we analyzed the online patient reviews of 204,751 dentists extracted from HealthGrades with two specific aims. First, we examined the associations between patient ratings and a variety of dentist characteristics. Second, we identified topics from patient reviews that can be mapped to the national assessment of dental patient experience measured by the Patient Experience Measures from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Dental Plan Survey. Results Higher ratings were associated with female dentists (t71881=2.45, P<.01, g=0.01), dentists at a younger age (F7, 107128=246.97, P<.001, g=0.11), and those whose patients experienced a short wait time (F4, 150055=10417.77, P<0.001, g=0.18). We also identified several topics that corresponded to CAHPS measures, including discomfort (eg, painful/painless root canal or deep cleaning), and ethics (eg, high-pressure sales, and unnecessary dental work). Conclusions These findings suggest that online patient reviews could be used as a data source for understanding the patient experience and healthcare quality in dentistry.

Strengthening independent opinion in dentistry

2011 ◽  
Vol 93 (6) ◽  
pp. 210-210
Author(s):  
Charlotte Worker
Keyword(s):  
Dental Care ◽  
Care Quality ◽  
Delivery Of Healthcare ◽  
Quality Outcomes ◽  
Structure Quality ◽  
Major Significance ◽  
Care Quality Commission ◽  
Dental Practices ◽  
The Uk

Not for many years has the structure, quality and delivery of healthcare in the UK been subject to the degree of scrutiny we have seen in recent months. Plans have been set out that would see the NHS focus on quality outcomes, with a number of implications for the commissioning and delivery of, and access to, NHS dental care. Also of major significance are proposals by the General Dental Council (GDC) to introduce a system of revalidation for dentists, and the requirement for all dental practices to be registered with the Care Quality Commission by April 2011.

scholarly journals The Impact of the Affordable Care Act on Dental Care: An Integrative Literature Review

2021 ◽  
Vol 18 (15) ◽  
pp. 7865
Author(s):  
Jihee Song ◽  
Jeong Nam Kim ◽  
Scott Tomar ◽  
Lauren N. Wong
Keyword(s):  
Health Care ◽  
Affordable Care Act ◽  
Low Income ◽  
Dental Care ◽  
Health Care Quality ◽  
National Level ◽  
Spillover Effects ◽  
Care Quality ◽  
The Impact ◽  
Dental Coverage

The goal of the Patient Protection and Affordable Care Act (ACA) is to increase access to health insurance and decrease health care cost while improving health care quality. With more articles examining the relationship between one of the ACA provisions and dental health outcomes, we systematically reviewed the effect of the ACA on dental care coverage and access to dental services. We searched literature using the National Library of Medicine’s Medline (PubMed) and Thomson Reuters’ Web of Science between January 2010 and November 2020. We identified 33 articles related to dental coverage, and access/utilization of dental care services. This systematic review of studies showed that the ACA resulted in gains in dental coverage for adults and children, whereas results were mixed with dental care access. Overall, we found that the policy led to a decrease in cost barriers, an increase in private dental coverage for young adults, and increased dental care use among low-income childless adults. The implementation of the ACA was not directly associated with dental insurance coverage among people in the U.S. However, results suggest positive spillover effects of the ACA on dental care coverage and utilization by people in the national level dataset.

scholarly journals Assessing Patient Experience and Healthcare Quality of Dental Care Using Patient Online Reviews in the United States: Mixed Methods Study (Preprint)

2020 ◽  
Author(s):  
Ye Lin ◽  
Y Alicia Hong ◽  
Bradley S Henson ◽  
Robert D Stevenson ◽  
Simon Hong ◽  
...  
Keyword(s):  
United States ◽  
Patient Experience ◽  
Dental Care ◽  
Healthcare Providers ◽  
Healthcare Quality ◽  
Online Reviews ◽  
The United States ◽  
Care Quality ◽  
Medical Specialties ◽  
Data Source

BACKGROUND Over the last two decades, patient review websites have emerged as an essential online platform for doctor ratings and reviews. Recent studies suggested the significance of such websites as a data source for patients to choose doctors for healthcare providers to learn and improve from patient feedback and to foster a culture of trust and transparency between patients and healthcare providers. However, as compared to other medical specialties, studies of online patient reviews that focus on dentists in the United States remain absent. OBJECTIVE This study sought to understand to what extent online patient reviews can provide performance feedbacks that reflect dental care quality and patient experience. METHODS Using mixed informatics methods incorporating statistics, natural language processing, and domain expert evaluation, we analyzed the online patient reviews of 204,751 dentists extracted from HealthGrades with two specific aims. First, we examined the associations between patient ratings and a variety of dentist characteristics. Second, we identified topics from patient reviews that can be mapped to the national assessment of dental patient experience measured by the Patient Experience Measures from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Dental Plan Survey. RESULTS Higher ratings were associated with female dentists (<i>t</i><sub>71881</sub>=2.45, <i>P</i>&lt;.01, <i>g</i>=0.01), dentists at a younger age (<i>F</i><sub>7, 107128</sub>=246.97, <i>P</i>&lt;.001, <i>g</i>=0.11), and those whose patients experienced a short wait time (<i>F</i><sub>4, 150055</sub>=10417.77, <i>P</i>&lt;0.001, <i>g</i>=0.18). We also identified several topics that corresponded to CAHPS measures, including discomfort (eg, painful/painless root canal or deep cleaning), and ethics (eg, high-pressure sales, and unnecessary dental work). CONCLUSIONS These findings suggest that online patient reviews could be used as a data source for understanding the patient experience and healthcare quality in dentistry.

scholarly journals Association between local spatial accessibility of dental care services and dental care quality

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ping-Chen Chung ◽  
Ta-Chien Chan
Keyword(s):  
Dental Care ◽  
Spatial Clustering ◽  
Care Quality ◽  
Spatial Accessibility ◽  
Spatial Error ◽  
Preventive Dental Care ◽  
Care Services ◽  
Access To Dental Care ◽  
The Relationship

Abstract Background The aim of our study was to evaluate the allocation of dental resources and explore access to dental care in Taiwan. In addition, we tried to understand the spatiotemporal characteristics of dental care quality and analyze the relationship between dental care quality and areas with deficiencies in dental resources. Methods The study used a two-step floating catchment area to calculate the dental resources accessibility and explore the spatiotemporal distributions of dental care quality. The association between dental care quality and spatial accessibility was analyzed using a spatial error model. Results Most areas with deficient dental resources and lower dental care quality were remote townships, agricultural towns, or aging towns with spatial clustering. The quality of children's preventive dental care had increased over time. Most highly urbanized areas had higher dental care quality. The quality of some dental care types such as children's preventive care and full-mouth calculous removal was associated with higher accessibility. Conclusions Understanding the spatiotemporal distribution of both dental care accessibility and quality can assist in allocation of dental care resources. Adequate dental resources may elevate dental care quality. Suggestions include policies to balance dental resources and routinely monitor improvement in areas with deficient dental care.

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