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ABSTRACT: Objective
To develop the first standardized definition of the patient-centered dental home (PCDH).Data sources/study setting
Primary data from a 55-member national expert panel and public comments.Study design
We used a modified Delphi process with three rounds of surveys to collect panelists' ratings of PCDH characteristics and open-ended comments. The process was supplemented with a 1-month public comment period.Data collection/extraction methods
We calculated median ratings, analyzed consensus using the interpercentile range adjusted for symmetry, and qualitatively evaluated comments.Principal findings
Forty-nine experts (89%) completed three rounds and identified eight essential PCDH characteristics, resulting in the following definition: "The patient-centered dental home is a model of care that is accessible, comprehensive, continuous, coordinated, patient- and family-centered, and focused on quality and safety as an integrated part of a health home for people throughout the life span."Conclusions
This PCDH definition provides the foundation for developing measures for research, care improvement, and accreditation and is aligned with the patient-centered medical home. Consensus among a broad national expert panel-including provider, payer, and accreditation stakeholder organizations and experts in medicine, dentistry, and quality measurement-supports the definition's usability and its potential to facilitate medical-dental primary care integration.
SUBMITTER: Damiano P
PROVIDER: S-EPMC6407358 | biostudies-literature | 2019 Apr
REPOSITORIES: biostudies-literature
Damiano Peter P Reynolds Julie J Herndon Jill Boylston JB McKernan Susan S Kuthy Raymond R
Health services research 20181010 2
<h4>Objective</h4>To develop the first standardized definition of the patient-centered dental home (PCDH).<h4>Data sources/study setting</h4>Primary data from a 55-member national expert panel and public comments.<h4>Study design</h4>We used a modified Delphi process with three rounds of surveys to collect panelists' ratings of PCDH characteristics and open-ended comments. The process was supplemented with a 1-month public comment period.<h4>Data collection/extraction methods</h4>We calculated m ...[more]