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将患者的口腔健康观点纳入循证决策。

Including the patient's oral health perspective in evidence-based decision-making.

作者信息

Paulson Danna R, Pattanaik Swaha, Chanthavisouk Phonsuda, John Mike T

机构信息

Department of Primary Dental Care, University of Minnesota, Minneapolis, MN, USA.

University of Minnesota, 515 Delaware St. SE, 7-557 Moos Tower, 55455, Minneapolis, MN, USA.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2021 Aug;64(8):959-966. doi: 10.1007/s00103-021-03375-0. Epub 2021 Jul 9.

Abstract

BACKGROUND

How to approach the assessment of patient-perceived oral health is of fundamental importance for the evaluation of clinical and public health interventions because the patient's assessment should be used as an adjunct to objective dental findings in order to decide which interventions work.

AIM

This review article aims to provide an overview of the principles, current status, and future outlook for how a patient's oral health perception can and should be assessed.

REVIEW FINDINGS

The hierarchical position of dental patient-reported outcomes, oral health-related quality of life (OHRQoL), and dental patient-reported outcome measures within the hierarchical concepts of quality of life and its component, health-related quality of life, is presented. The Mapping Oral Disease Impact with a Common Metric project is outlined as an international effort to describe current approaches to standardize the measurement of oral impact using the four OHRQoL dimensions of oral function, orofacial pain, orofacial appearance, and psychosocial impact.

CONCLUSION

Ultimately, these four dimensions of OHRQoL provide a practical and psychometrically solid way to collect and analyze OHRQoL data for all oral diseases in all settings, and eventually for all treatments through the use of a standardized, universal measurement tool. This universal impact metric capturing the patient's oral health perspective is the key to moving evidence-based dentistry and value-based oral health care forward.

摘要

背景

如何进行患者口腔健康感知的评估对于临床和公共卫生干预措施的评估至关重要,因为患者的评估应作为客观牙科检查结果的辅助手段,以确定哪些干预措施有效。

目的

这篇综述文章旨在概述评估患者口腔健康感知的原则、现状和未来展望。

综述结果

介绍了牙科患者报告结局、口腔健康相关生活质量(OHRQoL)以及牙科患者报告结局测量在生活质量及其组成部分健康相关生活质量的层次概念中的层次地位。概述了“用通用指标映射口腔疾病影响”项目,这是一项国际努力,旨在描述目前使用口腔功能、颌面疼痛、颌面外观和心理社会影响这四个OHRQoL维度来标准化口腔影响测量的方法。

结论

最终,OHRQoL的这四个维度为在所有环境中收集和分析所有口腔疾病的OHRQoL数据提供了一种实用且心理测量学上可靠的方法,并最终通过使用标准化的通用测量工具为所有治疗提供数据。这种捕捉患者口腔健康观点的通用影响指标是推动循证牙科和基于价值的口腔保健向前发展的关键。

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