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Basic research for the development of quality measures of oral care in Korea

J Korean Dent Assoc > Volume 60(11); 2022 > Article
The Journal of The Korean Dental Association 2022;60(11):742-753.
DOI: https://doi.org/10.22974/jkda.2022.60.11.006    Published online October 31, 2022.
우리나라 구강건강 의료의 질 지표 개발을 위한 기초연구
신호성1  , 김민경2  , 김보라3 
1원광대학교 치과대학 인문사회치의학교실
2경희대학교 대학원 치의학과 예방사회치과학전공
3남서울대학교 치위생학과
Basic research for the development of quality measures of oral care in Korea
Hosung Shin1  , Minkyoung Kim2  , Bo-Ra Kim3 
1Department of Social and Humanity in Dentistry, Dental College, Wonkwang University
2Department of Preventive and Social Dentistry, Graduate school, Kyung Hee University, Seoul, Korea
3Department of Dental Hygiene, Namseoul University
Correspondence:  Hosung Shin, Tel: 82-63-850-6995, Fax: 82-63-850-6934, 
Email: shinhosung@gmail.com
Received: 13 October 2022   • Revised: 16 October 2022   • Accepted: 26 October 2022
Abstract
The aims of this study were to evaluate quality indicators that can be applied to the dental care delivery system in Korea. This study was performed with a three-step process. Firstly, authors searched for quality indica- tors developed in dentistry field. Among them, 80 quality indicators were selected as the indicators that used in dental institutions, and then 33-item preliminary list was extracted through evaluation by 9 experts consisted of dental clinicians and professors (college of dentistry and department of dental hygiene). Based on this 33-item preliminary list, a Delphi process was conducted twice by a stakeholder group consisting of 17 panels (dentists, dental hygienists, dental technicians, professors of dental colleges, and dental hygiene professors). Each item of the preliminary list was classified into 5 domains of importance, relevance, feasibility, reliability, and sensitiv-ity. The panels were asked to rate from 0 to 3-point (very unnecessary - very appropriate) to the 5 domains of all items. As a result, the sealant treatment item received the most consent, and the item of whether unnecessary antibiotics is prescribed received the lowest preference. Among the 33 items, the items that received a score of 2.5 or higher were sealant, brushing, fluoride application, caries prevention, periodontal management, regular check-up, continuity of treatment, and evaluation of current symptoms. This study was performed as basic re- search. Based on international consensus on the definition of the quality of oral health care, development of new measures is necessary to produce quality indicators that suitable for the dental setting in Korea.
Key Words: Quality of dental care; Quality Measures; Validity, Reliability; Quality of care


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