RAND/UCLA appropriateness method study to identify quality measurement indicators

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Abstract

Objectives: Quality measurement indicators are essential for quality improvement in primary dental care (PDC). Currently there are no consensus-based core quality indicators that may be used in PDC. Furthermore, understanding of the dimensions of quality that are applicable to an overarching definition of quality in dentistry is poor. The objective of this study was to use a RAND/UCLA Appropriateness method to establish consensus on the indicators that may be used to measure quality in PDC and the dimensions of quality that may inform an overarching definition of quality in dentistry.

Methods: A RAND/UCLA Appropriateness method was used to rate 260 quality indicators identified by a systematic review of quality measures and 19 dimensions of quality identified in a literature review. These dimensions and indicators of quality were rated on their clarity, necessity and feasibility using an online questionnaire and face-to-face meeting of 9 dental professionals, following the RAND/UCLA protocol. Following rating of indicators, composite indicators were produced to develop an initial list of quality indicators.

Results: Seventy-nine quality indicators were rated at clear, necessary and feasible for use as a quality measure. From these 47 composite measures emerged. A further 63 indicators were rated as necessary but require further development in terms of their feasibility or clarity. From these, 31 composite quality indicators for further development have been produced. Consensus on the appropriateness of the dimensions of quality described by the Institute of Medicine definition was reached. Further highly rated dimensions of quality were Technical Quality, Appropriateness, Comprehensiveness and Coordination and Continuity of care.

Conclusions: This study has identified consensus on a core set of quality indicators derived from the literature. This is a key first step toward the development of a comprehensive set of quality indicators. It has also identified consensus that the Institute of Medicine definition of quality is applicable to PDC.
Original languageEnglish
Pages1-12
Number of pages12
Publication statusPublished - 20 Jun 2019
Event2019 IADR/AADR/CADR General Session & Exhibition - Vancouver Convention Centre, Vancouver, Canada
Duration: 19 Jun 201922 Jun 2019

Conference

Conference2019 IADR/AADR/CADR General Session & Exhibition
Abbreviated titleIADR 2019
Country/TerritoryCanada
CityVancouver
Period19/06/1922/06/19

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