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The patient-centered dental home: A standardized definition for quality assessment, improvement, and integration.


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

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Publications

The patient-centered dental home: A standardized definition for quality assessment, improvement, and integration.

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]

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