Department of Social Dentistry, Academic Centre for Dentistry Amsterdam, University of Amsterdam and VU University, Amsterdam, The Netherlands.
School of Pharmacy, Keele University, Keele, UK.
Acta Odontol Scand. 2020 Oct;78(7):481-493. doi: 10.1080/00016357.2020.1729406. Epub 2020 Feb 26.
Academic detailing (AD) is a defined form of educational outreach that can be used to influence decision making and reduce unwarranted variation in healthcare delivery. This paper describes the results of the proof of concept phase of the ADVOCATE Field Studies. This study evaluated the feasibility, acceptability and usefulness of AD reinforced with feedback data, to promote prevention-oriented, patient-centred and evidence-based oral healthcare delivery by general dental practitioners (GDPs). In the Field Studies, six groups of GDPs ( = 39) were recruited in The Netherlands, Germany and Denmark. Each group had four meetings reinforced with feedback data for open discussions on dental practice and healthcare delivery. Conventional and directed content analysis was used to analyze the qualitative data collected from focus group interviews, debriefing interviews, field notes and evaluation forms. A total of nine themes were identified. Seven themes related to the process of the Field Studies and covered experiences, barriers and facilitators to AD group meetings, data collection and the use of an electronic dashboard for data presentation and storage. Two themes related to the outcomes of the study, describing how GDPs perceived they made changes to their clinical practice as a result of the Field Studies. The ADVOCATE Field Studies approach offers a novel way of collecting and providing feedback to care providers which has the potential to reduce variation oral healthcare delivery. AD plus feedback data is a useful, feasible approach which creates awareness and gives insight into care delivery processes. Some logistic and technical barriers to adoption were identified, which if resolved would further improve the approach and likely increase the acceptability amongst GDPs.
学术细化（AD）是一种明确的教育外展形式，可用于影响决策并减少医疗保健提供方面不必要的差异。本文介绍了 ADVOCATE 现场研究概念验证阶段的结果。本研究评估了强化反馈数据的 AD 在促进普通牙医（GDP）提供以预防为导向、以患者为中心和基于证据的口腔保健方面的可行性、可接受性和有用性。在现场研究中，在荷兰、德国和丹麦招募了六组 GDP（ = 39）。每个小组都有四次强化反馈数据的会议，用于就牙科实践和医疗保健提供进行公开讨论。使用常规和定向内容分析对焦点小组访谈、汇报访谈、现场记录和评估表中收集的定性数据进行了分析。共确定了九个主题。七个主题与现场研究的过程有关，涵盖了 AD 小组会议、数据收集以及使用电子仪表板进行数据呈现和存储的经验、障碍和促进因素。两个主题与研究结果有关，描述了 GDP 如何感知他们由于现场研究而对临床实践进行了更改。ADVOCATE 现场研究方法提供了一种新颖的收集和向护理提供者提供反馈的方法，有可能减少口腔保健提供的差异。AD 加反馈数据是一种有用且可行的方法，它可以提高意识，并深入了解护理提供过程。确定了一些采用的后勤和技术障碍，如果得到解决，将进一步改进该方法，并可能提高 GDP 的接受度。
