Dutch oral health care quality measures: a modified Delphi study

A.J. Righolt; D. Duijster; P.J. van der Wees; S. Listl; K.P.J. Smits

doi:10.1111/idj.12566

Dutch oral health care quality measures: a modified Delphi study

A.J. Righolt
, D. Duijster
, P.J. van der Wees
, S. Listl
, K.P.J. Smits

Oral Public Health

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

Objectives: Quality measures offer opportunities for evaluation and improvement of the quality of oral health care. This study describes the development of a core set of oral health care quality measures for adults in the Netherlands, which can be used in dental practice.

Materials and methods: A comprehensive two-stage approach was used, consisting of: (1) identification of an initial set of measures based on appraised literature; and (2) a four-round modified RAND/UCLA Appropriateness Method to establish measures that are relevant, appropriate and important to oral health care. Measures were rated anonymously on a nine-point Likert scale, ranging from 1 (lowest rating) to 9 (highest rating), followed by a group discussion to reach consensus. Multiple key stakeholder groups in the Dutch oral health care field were involved in the Delphi rounds, including dental professionals, scientists and representatives from Dutch oral health care organisations.

Results: The study resulted in a core set of 13 oral health care quality measures. The measures cover domains related to oral disease outcomes, oral treatment and preventive services, patient experiences, patient safety, and organisational aspects of oral health care. In addition, the study led to the identification of 49 structural aspects of oral health care that are important to measure.

Discussion: To our knowledge, this is the first study combining appraised literature from a systematic review and a rigorous multi-stage procedure with extensive stakeholder involvement to develop a core set of oral health care quality measures. In the next phase, the measures will be tested on feasibility, reliability, and will be piloted and implemented in practice.

Original language	English
Pages (from-to)	277-286
Number of pages	10
Journal	International Dental Journal
Volume	70
Issue number	4
DOIs	https://doi.org/10.1111/idj.12566
Publication status	Published - Aug 2020

Bibliographical note

Published online: 7 December 2020.

© 2020 The Authors. International Dental Journal published by John Wiley & Sons Ltd on behalf of World Dental Federation

Funding

The authors thank the members of the advisory board and the expert panel: Prof. Dr G.J.M.G. van der Heijden, Academic Centre for Dentistry Amsterdam (ACTA); Dr A.A. Schuller, University Medical Center Groningen (UMCG)/the Netherlands Organization for Applied Scientific Research (TNO); Prof. Dr J.J.M. Bruers, the Royal Dutch Dental Association (KNMT)/Academic Centre for Dentistry Amsterdam (ACTA); Dr T.G. Mettes, the Knowledge Institute of Oral Care (KIMO); A.C. Verburg, the Scientific Center for Quality of Health Care (IQ HealthCare); J. Benedictus, Netherlands Patient Federation; Prof. Dr A.J.A. Felling, patient representative; Prof. Dr M.S. Cune, University Medical Center Groningen (UMCG); Dr W.J.M. van der Sanden, Radboud University Medical Center (Radboudumc), Prof. Dr H. de Bruyn, Radboud University Medical Center (Radboudumc); Prof. Dr M.A.W. Merkx, Radboud University Medical Center (Radboudumc); Prof. Dr M.C.D.N.J.M. Huysmans, Radboud University Medical Center (Radboudumc); Dr D.J.M. Niesten, Radboud University Medical Center (Radboudumc); Dr N.J.M. Opdam, Radboud University Medical Center (Radboudumc); Dr V.R.Y. Hollaar, A. van Boxtel, M.J.C. van Maaswaal, Radboud University Medical Center (Radboudumc); H.T. Scheper, Radboud University Medical Center (Radboudumc); O.J. de Zoete, Radboud University Medical Center (Radboudumc); and Prof. Dr N.H.J. Creugers, Radboud University Medical Center (Radboudumc). Further, the authors would like to thank Prof. Dr A.J.M. Plaschaert for moderating the consensus meeting. The panel members did not receive any financial compensation for their time.

Funders
A. van Boxtel
Academic Centre for Dentistry Amsterdam
KNMT
Netherlands Organization for Applied Scientific Research
Royal Dutch Dental Association
TNO
Alliance for California Traditional Arts
Radboud Universitair Medisch Centrum

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 16 Peace, Justice and Strong Institutions

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abstract = "Objectives: Quality measures offer opportunities for evaluation and improvement of the quality of oral health care. This study describes the development of a core set of oral health care quality measures for adults in the Netherlands, which can be used in dental practice. Materials and methods: A comprehensive two-stage approach was used, consisting of: (1) identification of an initial set of measures based on appraised literature; and (2) a four-round modified RAND/UCLA Appropriateness Method to establish measures that are relevant, appropriate and important to oral health care. Measures were rated anonymously on a nine-point Likert scale, ranging from 1 (lowest rating) to 9 (highest rating), followed by a group discussion to reach consensus. Multiple key stakeholder groups in the Dutch oral health care field were involved in the Delphi rounds, including dental professionals, scientists and representatives from Dutch oral health care organisations. Results: The study resulted in a core set of 13 oral health care quality measures. The measures cover domains related to oral disease outcomes, oral treatment and preventive services, patient experiences, patient safety, and organisational aspects of oral health care. In addition, the study led to the identification of 49 structural aspects of oral health care that are important to measure. Discussion: To our knowledge, this is the first study combining appraised literature from a systematic review and a rigorous multi-stage procedure with extensive stakeholder involvement to develop a core set of oral health care quality measures. In the next phase, the measures will be tested on feasibility, reliability, and will be piloted and implemented in practice.",

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Dutch oral health care quality measures: a modified Delphi study

Abstract

Bibliographical note

Funding

UN SDGs

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