Developing a Standard Set of Patient-centred Outcomes for Adult Oral Health – An International, Cross-disciplinary Consensus

Ríordáin, Rícheal Ní; Glick, Michael; Mashhadani, Shiamaa Shihab Ahmed Al; Aravamudhan, Krishna; Barrow, Jane; Cole, Deborah; Crall, James J.; Gallagher, Jennifer E.; Gibson, Jacqui; Hegde, Shalika; Kaberry, Rebekah; Kalenderian, Elsbeth; Karki, Anup; Celeste, Roger Keller; Listl, Stefan; Myers, Stacie N.; Niederman, Richard; Séverin, T.; Smith, Mark W.; Thomson, W. Murray; Tsakos, Georgios; Vujicic, Marko; Watt, Richard G.; Whittaker, Sarah; Williams, David M.

doi:10.1111/idj.12604

Cited by 54 publications

(58 citation statements)

References 26 publications

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“…For this reason, the Infectious Diseases Society of America (IDSM) has recommended using outcome measures that focus concurrently on the quality (appropriate indication and regimen, such as antibiotic type, dose, duration, route) as well as quantity of antibiotic prescribing to ensure that individual patients have been treated appropriately [ 51 ]. Similar to other areas of clinical dentistry where patient-centred outcomes to measure various aspects of oral health are recommended [ 52 ], metrics that incorporate both antibiotic use as well as clinical outcomes are preferable.…”

Section: Discussionmentioning

confidence: 99%

Measuring Antibiotic Stewardship Programmes and Initiatives: An Umbrella Review in Primary Care Medicine and a Systematic Review of Dentistry

et al. 2020

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Antibiotic stewardship aims to tackle the global problem of drug-resistant infections by promoting the responsible use of antibiotics. Most antibiotics are prescribed in primary care and widespread overprescribing has been reported, including 80% in dentistry. This review aimed to identify outcomes measured in studies evaluating antibiotic stewardship across primary healthcare. An umbrella review was undertaken across medicine and a systematic review in dentistry. Systematic searches of Ovid Medline, Ovid Embase and Web of Science were undertaken. Two authors independently selected and quality assessed the included studies (using Critical Appraisal Skills Programme for the umbrella review and Quality Assessment Tool for Studies with Diverse Designs for the systematic review). Metrics used to evaluate antibiotic stewardship programmes and interventions were extracted and categorized. Comparisons between medical and dental settings were made. Searches identified 2355 medical and 2704 dental studies. After screening and quality assessment, ten and five studies, respectively, were included. Three outcomes were identified across both medical and dental studies: All focused on antibiotic usage. Four more outcomes were found only in medical studies: these measured patient outcomes, such as adverse effects. To evaluate antibiotic stewardship programmes and interventions across primary healthcare settings, measures of antibiotic use and patient outcomes are recommended.

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Section: Discussionmentioning

confidence: 99%

Measuring Antibiotic Stewardship Programmes and Initiatives: An Umbrella Review in Primary Care Medicine and a Systematic Review of Dentistry

et al. 2020

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“…Recently, a collaborative study between the International Consortium for Health Outcome Measures (ICHOM) and the World Dental Federation (FDI) developed a standardized minimum set of oral health outcome measures for adult oral health. 24 Once the instrument is validated, it can be implemented globally. This can further tie into value measurements for patients on the oral health side, further integrating both dental and medical outcomes.…”

Section: Discussionmentioning

confidence: 99%

Interprofessional value‐based health care: Nurse practitioner‐dentist model

Dolce

Barrow

Jivraj

et al. 2020

J Public Health Dent

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Objectives The United States health system is challenged to improve patient and population health, enhance patients' experience of care, and reduce health care costs. Value‐based health care (VBHC) models are proposed to address these issues. Medical health systems are making strides toward VBHC, whereas dental care systems lag behind. The aims of this paper are to a) present study findings of an interprofessional practice model integrating oral health and primary care in a dental practice setting, and b) discuss practice and research implications for advancing VBHC approaches in oral health. Methods A nonexperimental research method was employed to evaluate the Nurse Practitioner‐Dentist Model for Primary Care (NPD Model) at the Harvard Dental Center. Pretest/post‐test design was used to assess clinical patient outcomes for a convenience cohort of Medicare beneficiaries (n = 31) with a reported diagnosis of hypertension and/or type 2 diabetes. Clinical outcome measures included: blood pressure, weight, body mass index (BMI), and Hemoglobin A1c. Results Positive and significant improvements in biometrics (blood pressure, body weight, BMI, HbA1c) were found. Conclusions The NPD Model is an early prototype for interprofessional VBHC in oral health and holds promise for improving patient and population health outcomes. Integration of interprofessional VBHC in oral health is an imperative for achieving the Triple Aim to improve the overall health of our nation.

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“…There are efforts underway to establish reliable and valid use of dental PRO performance measures in quality improvement applications. 12,13 Account for patient characteristics A range of clinical and nonclinical patient characteristics may influence outcome measures. 14 They may yield unintended consequences if VBP penalizes providers serving more vulnerable populations with greater risk for disease and higher barriers to securing recommended care.…”

Section: Emphasize Outcome Measures That Are Meaningful To Patients Amentioning

confidence: 99%

“…With the exception of measures of patient experience or satisfaction, PROs are not widely used for routine quality assessment or as part of VBP. There are efforts underway to establish reliable and valid use of dental PRO performance measures in quality improvement applications 12,13 …”

Section: Meaningful Measurementmentioning

confidence: 99%

Advancing value in oral health through meaningful measurement

Herndon

Amundson

Ojha

et al. 2020

J Public Health Dent

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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 systemic changes critical to developing more robust measurement systems to advance VBP in the future.

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Developing a Standard Set of Patient-centred Outcomes for Adult Oral Health – An International, Cross-disciplinary Consensus

Cited by 54 publications

References 26 publications

Measuring Antibiotic Stewardship Programmes and Initiatives: An Umbrella Review in Primary Care Medicine and a Systematic Review of Dentistry

Measuring Antibiotic Stewardship Programmes and Initiatives: An Umbrella Review in Primary Care Medicine and a Systematic Review of Dentistry

Interprofessional value‐based health care: Nurse practitioner‐dentist model

Advancing value in oral health through meaningful measurement

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