Busby M, Chapple E, Matthews R, Chapple I L C
University of Birmingham, The Stables, Heritage Court, Clifton Reynes, Olney MK46 5FW.
Br Dent J. 2013 Aug;215(3):115-20. doi: 10.1038/sj.bdj.2013.738.
To report the development and evaluation of an evidence-based, online, patient assessment tool, capable of measuring oral health status, future disease risk and capitation fee guidance.
An online integrated oral health and risk assessment tool called DEPPA was developed, incorporating 1) PreViser(™) risk scores for periodontal disease, caries, non-carious tooth surface loss and oral cancer, 2) revised versions of Denplan Excel's Oral Health Score and 3) capitation fee guidance score. DEPPA was piloted by 25 dentists who provided quantitative and qualitative feedback.
Six hundred and forty assessments were performed. There was strong agreement on the need for such a tool, that it constituted a comprehensive assessment and supported good patient communication. The validity of the system was perceived as sound and the revised capitation fee guidance broadly welcomed. While some deemed the caries risk scoring algorithm to be too sensitive, the 30% high/very high risk rating is consistent with current rates of active caries in UK adults.
A viable online oral health and risk-assessment tool has been developed (DEPPA) that will allow dental teams to measure oral health status, future disease risk and receive ongoing guidance on capitation fee setting. The indications are that DEPPA could be a valuable audit, care planning and patient communication tool.
报告一种基于证据的在线患者评估工具的开发与评估情况，该工具能够测量口腔健康状况、未来疾病风险以及人头费指导标准。
开发了一种名为DEPPA的在线综合口腔健康与风险评估工具，纳入了1）牙周病、龋齿、非龋性牙面丧失和口腔癌的PreViser（™）风险评分，2）Denplan Excel口腔健康评分的修订版，以及3）人头费指导评分。25名牙医对DEPPA进行了试点，并提供了定量和定性反馈。
共进行了640次评估。对于此类工具的需求、它构成全面评估并支持良好医患沟通这几点，大家达成了强烈共识。该系统的有效性被认为是可靠的，修订后的人头费指导标准也受到广泛欢迎。虽然有些人认为龋齿风险评分算法过于敏感，但30%的高/非常高风险评级与英国成年人当前的活跃龋齿率一致。
已开发出一种可行的在线口腔健康与风险评估工具（DEPPA），它将使牙科团队能够测量口腔健康状况、未来疾病风险，并获得人头费设定方面的持续指导。有迹象表明，DEPPA可能是一种有价值的审计、护理规划和医患沟通工具。
