Effectiveness of a Quality Management Program in Dental Care Practices

Overview

Journal BMC Oral Health

Publisher Biomed Central

Specialty Dentistry

Date 2014 Apr 30

PMID 24773764

Citations 6

Authors

Katja Goetz

Stephen M Campbell

Bjorn Broge

Marc Brodowski

Michel Wensing

Joachim Szecsenyi

Affiliations

Soon will be listed here.

Abstract

Background: Structured quality management is an important aspect for improving patient dental care outcomes, but reliable evidence to validate effects is lacking. We aimed to examine the effectiveness of a quality management program in primary dental care settings in Germany.

Methods: This was an exploratory study with a before-after-design. 45 dental care practices that had completed the European Practice Assessment (EPA) accreditation scheme twice (intervention group) were selected for the study. The mean interval between the before and after assessment was 36 months. The comparison group comprised of 56 dental practices that had undergone their first assessment simultaneously with follow-up assessment in the intervention group. Aggregated scores for five EPA domains: 'infrastructure', 'information', 'finance', 'quality and safety' and 'people' were calculated.

Results: In the intervention group, small non-significant improvements were found in the EPA domains. At follow-up, the intervention group had higher scores on EPA domains as compared with the comparison group (range of differences was 4.2 to 10.8 across domains). These differences were all significant in regression analyses, which controlled for relevant dental practice characteristics.

Conclusions: Dental care practices that implemented a quality management program had better organizational quality in contrast to a comparison group. This may reflect both improvements in the intervention group and a selection effect of dental practices volunteering for the first round of EPA practice assessment.

Citing Articles

A Systematic Literature Review of Quality Management Initiatives in Dental Clinics.

Crisan E, Covaliu B, Chis D Int J Environ Res Public Health. 2021; 18(21).

PMID: 34769604 PMC: 8582852. DOI: 10.3390/ijerph182111084.

How to prioritise in quality improvement? Targeted implementation as a key for quality improvement in Kenyan health facilities.

Nitschke C, Nafula M, Brodowski M, Marx I, Kandie C, Omogi I BMJ Open Qual. 2020; 9(4).

PMID: 33214145 PMC: 7678341. DOI: 10.1136/bmjoq-2020-001139.

Dutch oral health care quality measures: a modified Delphi study.

Righolt A, Duijster D, van der Wees P, Listl S, Smits K Int Dent J. 2020; 70(4):277-286.

PMID: 32285939 PMC: 7497121. DOI: 10.1111/idj.12566.

Questionnaire for measuring organisational attributes in dental-care practices: psychometric properties and test-retest reliability.

Goetz K, Hasse P, Szecsenyi J, Campbell S Int Dent J. 2015; 66(2):93-8.

PMID: 26695123 PMC: 9376652. DOI: 10.1111/idj.12209.

What do patients take into account when they choose their dentist? Implications for quality improvement.

Ungureanu M, Mocean F Patient Prefer Adherence. 2015; 9:1715-20.

PMID: 26664071 PMC: 4669916. DOI: 10.2147/PPA.S94310.

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