LESSONS LEARNED FROM the FIRST STEPS of IMPLEMENTING VALUE-BASED ORAL HEALTH CARE: A CASE STUDY FROM the MEDICAL UNIVERSITY of VIENNA
Anamnesis
Medical record
DOI:
10.1016/j.jebdp.2022.101791
Publication Date:
2022-10-17T12:59:33Z
AUTHORS (3)
ABSTRACT
Value-based oral healthcare (VBOHC) has two fundamental components, the assessment of patients' dental outcomes and measurement costs to achieve those outcomes. The aim this article is describe challenges opportunities implementing patient-reported (dPROs) in clinical care at University Clinic Dentistry, Medical Vienna, Austria, determine lessons learned next steps forward VBOHC implementation.A case study determining based on an implementation process incorporate a outcome measure (dPROM) routine was conducted. German version five items Oral Health Impact Profile (OHIP-5), dPROM selected integrated into general anamnesis including medical history for patients aged ≥16 years. paper be completed by each new patient during registration process. Thereafter, it uploaded record via scan main central admission. However, then treating dentist's task transfer data digital system. Data accuracy between forms investigated, regarding first were summarized findings.To date, 8,147 approached fill OHIP-5. only 266 patients´ OHIP- 5 files transferred system dentist. To explore manual from format, 89 randomly compared. Of sample, 74 (83.1%) patient's sets found identical. Lessons included importance institutional dedication, stakeholders' engagement, dPROMs integration follow up visits, significance solutions, continuous monitoring evaluation.Integrating settings achievable important step move with implementation.
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