Number of Pregnant Women at Four Dental Clinics and the Care They Received: A Dental Quality eMeasure Evaluation

Autor: Ana Neumann, Oluwabunmi Tokede, Krisha Kumar Kookal, Muhammad F. Walji, Elizabeth Mertz, Joshua B. Even, Arti Gharpure, Aram Kim, Kristen Simmons, Suhasini Bangar, Joel M. White, Enihomo Obadan-Udoh, Alfa Yansane, Shwetha V. Kumar, Elsbeth Kalenderian, Joanna Mullins, Sapna Panwar
Rok vydání: 2019
Předmět:
Quality management
020205 medical informatics
8.1 Organisation and delivery of services
Reproductive health and childbirth
02 engineering and technology
quality improvement
0302 clinical medicine
Pregnancy
0202 electrical engineering
electronic engineering
information engineering
Electronic Health Records
Dental Care
media_common
dentistry
Oral health education
Prenatal Care
pregnant patients
General Medicine
Health Services
Quality Improvement
Dental care
Dental examination
Female
Patient Safety
Curriculum
dental quality measure
Health and social care services research
Adult
medicine.medical_specialty
Adolescent
media_common.quotation_subject
Concordance
Article
Young Adult
03 medical and health sciences
stomatognathic system
Clinical Research
medicine
Humans
Quality (business)
Dental/Oral and Craniofacial Disease
dental patients
business.industry
Prevention
Dental Clinics
030206 dentistry
medicine.disease
stomatognathic diseases
dental education
Family medicine
Accountable care
business
Curriculum and Pedagogy
Zdroj: J Dent Educ
Journal of dental education, vol 83, iss 10
ISSN: 0022-0337
Popis: Process-of-care quality measure research can be used to identify gaps in the delivery of dental services to pregnant patients. The aim of this study was to evaluate the types of dental services that pregnant patients received in four dental clinics over five years as documented in the electronic health record (EHR). To accomplish this objective, the authors modified and validated a previously published claims-based dental quality measure for EHR use. After the electronic dental quality measure specifications were defined, the number of pregnant patients was calculated at three academic dental institutions and one large accountable care organization, and the types of dental care services they received over a five-year period (2013-17) were determined. Calibrated reviewers at each institution independently reviewed a sub-sample of patient charts to validate the information obtained from EHR queries, and the concordance between manual chart reviews and EHR query reports was analyzed. Of the 335,078 women aged 15-44 years who received care at the four clinics for the five reporting years, 3.9% (n=13,026) were pregnant. Among these pregnant patients, 48.9% (n=6,366) received a periodic dental examination; 30.0% (n=3,909) received a comprehensive dental exam; and 21.5% (n=2,799) received additional dental services, irrespective of comprehensive or periodic oral evaluations. Overall, the mean proportion of pregnant patients seeking care in these academic dental and group practice clinics was low, but 78.9% of them received either a periodic or comprehensive oral evaluation. Given the importance of oral health care during pregnancy, these findings suggest a need for curriculum development to incorporate prenatal oral health education in the training of dental students.
Databáze: OpenAIRE
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