Oral Health Outcome Measures: A Feasibility Evaluation
Objectives: Outcomes of oral health care must be measured and analysed to improve oral health care delivery, outcomes, and quality. This study aims to develop and test outcome measures for the needs of oral health organisers and explore their feasibility using clinical data. Methods: Based on the li...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-10-01
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| Series: | International Dental Journal |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0020653922002854 |
| _version_ | 1827819180485771264 |
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| author | Yrjänä Hynninen Samuli Voltti Markus Sormunen Annamari Nihtilä Päivi Siukosaari Lari Koukkula Riikka-Leena Leskelä |
| author_facet | Yrjänä Hynninen Samuli Voltti Markus Sormunen Annamari Nihtilä Päivi Siukosaari Lari Koukkula Riikka-Leena Leskelä |
| author_sort | Yrjänä Hynninen |
| collection | DOAJ |
| description | Objectives: Outcomes of oral health care must be measured and analysed to improve oral health care delivery, outcomes, and quality. This study aims to develop and test outcome measures for the needs of oral health organisers and explore their feasibility using clinical data. Methods: Based on the literature review and oral health advisory board, outcome measures for oral health care were identified, developed, and tested. Data from 425,000 clinical examinations were obtained from the clinical records of 8 public oral care providers in Finland. Results: The advisory board selected 7 outcome measures: 1 on oral self-care, 2 on periodontitis, 3 on caries, and 1 on missing teeth. A large variation was found in the diagnostic and data entry practices of these outcome measures. The coverage of caries and missing teeth entries was good, but the quality of initial and remineralised caries entries was questionable. The caries and missing teeth measures show statistically significant differences amongst some providers. Conclusions: The measures “new cavitated caries surfaces,” “cavity-free clinical examinations,” and “the change in the missing value” were evaluated as feasible. The results of these measures provided insight about the effectiveness of oral care and enabled the comparison between the providers and age groups. Statistically significant differences between the providers in the measures imply potential possibilities for providers to learn from each other. |
| first_indexed | 2024-03-12T01:11:28Z |
| format | Article |
| id | doaj.art-167fea43ac6d4916a40f6b1d8ce5196b |
| institution | Directory Open Access Journal |
| issn | 0020-6539 |
| language | English |
| last_indexed | 2024-03-12T01:11:28Z |
| publishDate | 2023-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Dental Journal |
| spelling | doaj.art-167fea43ac6d4916a40f6b1d8ce5196b2023-09-14T04:52:20ZengElsevierInternational Dental Journal0020-65392023-10-01735685691Oral Health Outcome Measures: A Feasibility EvaluationYrjänä Hynninen0Samuli Voltti1Markus Sormunen2Annamari Nihtilä3Päivi Siukosaari4Lari Koukkula5Riikka-Leena Leskelä6Nordic Healthcare Group, Helsinki, FinlandNordic Healthcare Group, Helsinki, FinlandNordic Healthcare Group, Helsinki, FinlandInsitute of Dentistry, University of Eastern Finland, Kuopio, Finland; Social and Health Services, City of Espoo, FinlandUniversity of Helsinki, Faculty of Medicine, Department of Oral and Maxillofacial Diseases, Helsinki, Finland; Helsinki University Hospital, Helsinki, FinlandNordic Healthcare Group, Helsinki, FinlandNordic Healthcare Group, Helsinki, Finland; Corresponding author. Nordic Healthcare Group, Vattuniemenranta 2, 00210 Helsinki, Finland.Objectives: Outcomes of oral health care must be measured and analysed to improve oral health care delivery, outcomes, and quality. This study aims to develop and test outcome measures for the needs of oral health organisers and explore their feasibility using clinical data. Methods: Based on the literature review and oral health advisory board, outcome measures for oral health care were identified, developed, and tested. Data from 425,000 clinical examinations were obtained from the clinical records of 8 public oral care providers in Finland. Results: The advisory board selected 7 outcome measures: 1 on oral self-care, 2 on periodontitis, 3 on caries, and 1 on missing teeth. A large variation was found in the diagnostic and data entry practices of these outcome measures. The coverage of caries and missing teeth entries was good, but the quality of initial and remineralised caries entries was questionable. The caries and missing teeth measures show statistically significant differences amongst some providers. Conclusions: The measures “new cavitated caries surfaces,” “cavity-free clinical examinations,” and “the change in the missing value” were evaluated as feasible. The results of these measures provided insight about the effectiveness of oral care and enabled the comparison between the providers and age groups. Statistically significant differences between the providers in the measures imply potential possibilities for providers to learn from each other.http://www.sciencedirect.com/science/article/pii/S0020653922002854Outcome measuresOral healthPeriodontitisDental cariesSelf-care |
| spellingShingle | Yrjänä Hynninen Samuli Voltti Markus Sormunen Annamari Nihtilä Päivi Siukosaari Lari Koukkula Riikka-Leena Leskelä Oral Health Outcome Measures: A Feasibility Evaluation International Dental Journal Outcome measures Oral health Periodontitis Dental caries Self-care |
| title | Oral Health Outcome Measures: A Feasibility Evaluation |
| title_full | Oral Health Outcome Measures: A Feasibility Evaluation |
| title_fullStr | Oral Health Outcome Measures: A Feasibility Evaluation |
| title_full_unstemmed | Oral Health Outcome Measures: A Feasibility Evaluation |
| title_short | Oral Health Outcome Measures: A Feasibility Evaluation |
| title_sort | oral health outcome measures a feasibility evaluation |
| topic | Outcome measures Oral health Periodontitis Dental caries Self-care |
| url | http://www.sciencedirect.com/science/article/pii/S0020653922002854 |
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