Busby M, Chapple L, Matthews R, Burke F J T, Chapple I
1] Dental Advisor Denplan, The Stables, Heritage Ct, Clifton Reynes, Olney, MK46 5FW [2] Honorary Lecturer in Primary Dental Care, University of Birmingham, St Chad's Queensway, Birmingham, B4 6NN.
Managing Director Oral Health Innovations Ltd, Birmingham Research Park, Vincent Drive, Birmingham, B15 2SQ.
Br Dent J. 2014 May;216(9):E20. doi: 10.1038/sj.bdj.2014.352.
To compare the outcomes of a contemporary oral health status (OHS) scoring system with national oral health data from the 2009 Adult Dental Health Survey, and to explore the utility of the OHS in audit and service development.
An OHS scoring system was developed as part of a previously reported comprehensive on-line patient assessment tool. The assessment tool also measured future disease risk and indicative capitation fee grading. The modified OHS score component was developed over 20 years of research and experience from the original Oral Health Index (Burke and Wilson 1995). The online tool was piloted by 25 volunteer dentists on 640 recall patients and qualitative and quantitative feedback provided. Anonymised data from the inputs and scores generated were collected centrally and analysed using descriptive statistics.
The modified OHS was reported to have good validity by the pilot group. Submitted data confirmed a mean age for the recall patients examined as 53 ± 15.8 years and an average oral health status score of 79.5 ± 10.8 where a score of 100 equates to perfect oral health. A breakdown of the scores into the eight principal components provided evidence of cross validation with the Adult Dental Health Survey (2009).
Scoring oral health status electronically offers valuable opportunities for clinical audit. The reported benchmark oral health score of 79.5 for recall patients can be updated as increased numbers of patients enter the centralised data recording system. Audit can be facilitated by this move from a paper-based system to an on-line tool with central data collection.
将一种当代口腔健康状况（OHS）评分系统的结果与2009年成人牙齿健康调查的全国口腔健康数据进行比较，并探讨OHS在审计和服务发展中的效用。
开发了一种OHS评分系统，作为先前报道的综合在线患者评估工具的一部分。该评估工具还测量了未来疾病风险和指示性人头费分级。改良的OHS评分组件是在20年基于原始口腔健康指数（Burke和Wilson，1995年）的研究和经验基础上开发的。该在线工具由25名志愿牙医在640名复诊患者身上进行了试点，并提供了定性和定量反馈。集中收集输入数据和生成分数的匿名数据，并使用描述性统计进行分析。
试点组报告改良后的OHS具有良好的效度。提交的数据证实，接受检查的复诊患者的平均年龄为53±15.8岁，平均口腔健康状况评分为79.5±10.8，其中100分相当于完美的口腔健康。将分数细分为八个主要组成部分，为与成人牙齿健康调查（2009年）的交叉验证提供了证据。
以电子方式对口腔健康状况进行评分，为临床审计提供了宝贵的机会。随着越来越多的患者进入集中数据记录系统，复诊患者报告的基准口腔健康评分为79.5分可以更新。从纸质系统转向具有集中数据收集功能的在线工具，有助于审计工作。
