Hayden W J
University of Missouri Kansas City School of Dentistry, USA.
J Dent Educ. 1997 Jan;61(1):47-55.
Marketplace pressures for accountability in dentistry have made clear dental delivery systems' weaknesses in information generation, management, and analysis methods. Without this type of information, dentistry is unable to quantify and document the outcomes of the dental care services it provides. The Pew Health Professions Commission and the Institute of Medicine both suggest that dental schools should be among the leaders in the development and teaching of dental information capabilities, as well as the source of fundamental dental health services research. This paper argues that dental schools are the logical location for the development of valid, reliable, and acceptable health services research methods and databases. It describes the development of an insurance claims database to demonstrate the types of investigations possible, as well as the weaknesses and shortcomings of pure administrative data.
牙科领域对问责制的市场压力已凸显出牙科服务体系在信息生成、管理及分析方法方面的薄弱环节。缺乏这类信息，牙科行业就无法对其所提供的牙科护理服务成果进行量化和记录。皮尤健康职业委员会和医学研究所均建议，牙科学院应在牙科信息能力的开发与教学方面发挥引领作用，同时也应成为基础牙科健康服务研究的源头。本文认为，牙科学院是开发有效、可靠且可接受的健康服务研究方法及数据库的合理场所。文中描述了一个保险理赔数据库的开发情况，以展示可能开展的调查类型，以及单纯行政数据的弱点和不足。
