Health-oriented electronic oral health record: Development and evaluation

Abstract

This study aims to develop and evaluate a new Health-oriented Electronic Oral Health Record that implements the health-oriented status and intervention index. The index takes the principles of holistic oral healthcare and applies them to the design and implementation of the Health-oriented Electronic Oral Health Record. We designed an experiment using focus groups and a consensus (Delphi process) method to develop a new health-oriented status and intervention index and graphical user interface. A comparative intervention study with qualitative and quantitative methods was used to compare an existing Electronic Oral Health Record to the Health-oriented Electronic Oral Health Record, focusing on dentist satisfaction, accuracy, and completeness of oral health status recording. The study was conducted by the dental staff of the Inter-country Center for Oral Health collaborative hospitals in Thailand. Overall, the user satisfaction questionnaire had a positive response to the Health-oriented Electronic Oral Health Record. The dentists found it easy to use and were generally satisfied with the impact on their work, oral health services, and surveillance. The dentists were significantly satisfied with the Health-oriented Electronic Oral Health Record compared to the existing Electronic Oral Health Record (p < 0.001). The accuracy and completeness values of the oral health information recorded using the Health-oriented Electronic Oral Health Record were 97.15 and 93.74 percent, respectively. This research concludes that the Health-oriented Electronic Oral Health Record satisfied many dentists, provided benefits to holistic oral healthcare, and facilitated the planning, managing, and evaluation of the healthcare delivery system.

Utilisation of Electronic Health Records for Public Health in Asia: A Review of Success Factors and Potential Challenges

“…However, a number of studies were able to leverage mobile networks and web-based platforms to wider benefit [24, 35–38]. Studies reported different levels of maturity vis-à-vis EMR systems reach within a given context [27, 29, 39–46]. However, studies conducted during earlier stages of EMR introduction documented progression from paper to electronic documentation as particularly time-consuming and requiring significant human resource allocation [21, 22, 47].…”

“…Internal contextual factors were often couched within the larger, external context, but specifically related to an organisation's local access to ICT support [27, 47]; human resource needs in transitioning from paper to electronic records [23, 28, 31, 38]; local access to existing systems at higher levels, i.e., national/provincial/state infrastructure, web-based platforms [35, 39, 43, 45]; and locally existing (or lack of) EMR systems [29, 41, 45, 46, 48–50].…”

“…Several of the studies highlighted the importance of internal organisational cultures and the impact this had upon the EHR input process. Key areas of intervention or identifying potential EMR inputs was related to conceptual approaches [37, 46] or cultural considerations [27, 30, 51]. Infrastructural considerations related to hardware or workforce training were noted in studies by Herbst et al and Sutiono et al [32, 37].…”

“…Infrastructural considerations related to hardware or workforce training were noted in studies by Herbst et al and Sutiono et al [32, 37]. Specifically with regard to the workforce, many studies assessed end-user (or potential users) evaluation of previously implemented or planned ICT interventions [23, 31, 38, 42, 43, 45, 46, 48, 50]. Multiple studies highlighted interventions based around software, web-based platforms, or mobile technologies [21, 24, 25, 36, 37, 46].…”

Development an Electronic Oral Health Record application for educational dental setting

“…The overall satisfaction for oral health index, treatment planning, and the ability to use oral health information system was measured. [ 12 ] The qualitative themes of this study could be considered for following evaluation phase of our project.…”