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[口腔保健质量的客观评估与质量指标的制定]

[The objective assessment of the quality of oral health care and development of quality indicators].

作者信息

Pinke Ildikó, Paulik Edit, Kivovics Péter, Segatto Emil, Nagy Katalin

机构信息

Szegedi Tudományegyetem, Fogorvostudományi Kar Gyermekfogászati és Fogszabályozási Tanszék, Szeged.

出版信息

Fogorv Sz. 2011 Dec;104(4):111-5.

Abstract

Public health care administration and decision-makers need appropriate tools and information to assess and monitor oral health needs and improve the performance of the oral health system. The aim of the article is to introduce the available methods of measurement of the quality of service, to give a brief summary considering the role of quality indicators in domestic and international sources and the European indicator project (EGOHID) and to introduce ICDAS (International Caries Detection and Assessment System), the method used for clinical examinations. The clinical indicators - that are produced from data gained from the questionnaires and screenings--provide an opportunity to improve and develop quality. Quality indicators are objective measure of the process or outcome of patient care. The 40 indicators were created by the experts of EGOHID program which are described in four categories. Part A is indicators for monitoring the oral health of children and adolescents, Part B is in general population, Part C is indicators for monitoring the oral health systems, Part D concerns indicators for monitoring the oral health quality of life. The purpose of developing public health care and--within it--dental care is the effective use of resources and besides it, reaching the popular level of health gain for which it is a necessary tool when forming and continuously developing the quality approach of providers.

摘要

公共卫生保健管理部门和决策者需要合适的工具和信息来评估和监测口腔健康需求,并改善口腔卫生系统的绩效。本文的目的是介绍现有的服务质量测量方法,简要总结质量指标在国内外资料及欧洲指标项目(EGOHID)中的作用,并介绍用于临床检查的国际龋病检测与评估系统(ICDAS)。由问卷调查和筛查获得的数据所产生的临床指标为改善和提升质量提供了契机。质量指标是对患者护理过程或结果的客观衡量。这40项指标由EGOHID项目的专家制定,分为四类。A部分是监测儿童和青少年口腔健康的指标,B部分是针对普通人群的指标,C部分是监测口腔卫生系统的指标,D部分是监测口腔健康生活质量的指标。发展公共卫生保健以及其中的牙科保健的目的是有效利用资源,除此之外,还要达到大众健康获益水平,这是在形成并持续发展提供者质量方法时的必要工具。

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