Comprehensive dental care. Quality assurance: definitions and directions for the 1980s

1984 ◽  
Vol 48 (6) ◽  
pp. 27-33 ◽  
Author(s):  
AJ DiAngelis
Keyword(s):  
Quality Assurance ◽  
Dental Care ◽  
Care Quality

The Mandate Project: Institutionalizing a System of Patient Care Quality Assurance

PEDIATRICS ◽  
1976 ◽  
Vol 57 (5) ◽  
pp. 775-782
Author(s):  
Daniel S. Fleisher ◽  
Clement R. Brown ◽  
Carter Zeleznik ◽  
Gerald H. Escovitz ◽  
Charles Omdal
Keyword(s):  
Medical Education ◽  
Quality Assurance ◽  
Patient Care ◽  
Psychosocial Factors ◽  
Continuing Medical Education ◽  
Care Quality ◽  
Quality Assurance Program ◽  
Patient Care Quality

In 1970, prior to present-day requirements for quality assurance programs, a project was undertaken to institute such a program voluntarily in ten hospitals. Five hospitals succeeded in fully implementing the program which was based on the "Bi-Cycle Process" and each documented improvements in desired patient care behaviors. Two hospitals partially implemented the process and demonstrated no significant changes in desired patient care behaviors. Two hospitals failed to provide the data upon which assessments could be made and one hospital never got beyond preliminary efforts at instituting the process. The project demonstrates that a voluntary quality assurance program is feasible and has important implications for PSROs and continuing medical education. It also provides evidence that attention to psychosocial factors is essential in the institutionalization of programs designed to produce desired changes in patient care behaviors.

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.

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