Table 2.
Mean scores* for the domains and dimensions of the European practice assessment instrument
Domain | No of indicators |
Intervention group (n = 45) |
Change in score (95% CI) | Score for comparison group 2 (n = 56) | Between-group difference in scores 3 (95% CI) | |
---|---|---|---|---|---|---|
Score at first assessment | Score at second assessment | |||||
Infrastructure |
77 |
90.8 |
94.2 |
3.4 (−1.9; 8.7) |
84.0 |
10.2 (2.3; 18.1)* |
Accessibility and availability |
15 |
76.9 |
85.5 |
8.6 (0.4; 16.8) |
76.1 |
9.4 (1.8; 17.0)* |
Disabled access |
5 |
55.0 |
59.2 |
4.2 (−1.7; 10.1) |
57.3 |
1.9 (−1.7; 5.5) |
Premises |
20 |
89.4 |
92.8 |
3.4 (−1.9; 8.7) |
88.6 |
4.2 (−1.1; 9.5) |
Medical equipment, including drugs |
14 |
89.7 |
91.7 |
2.0 (−2.1; 6.1) |
83.5 |
8.2 (1.0; 15.4)* |
Nonmedical equipment |
3 |
83.4 |
90.9 |
7.5 (−0.2; 15.2) |
83.0 |
7.9 (0.8; 15.0)* |
Material management |
5 |
95.9 |
97.7 |
1.8 (−2.1; 5.7) |
98.9 |
−1.2 (−4.1; 1.7) |
Laboratory management |
9 |
94.7 |
95.1 |
0.4 (−1.4; 2.2) |
90.4 |
4.7 (−0.8; 10.2) |
IT-security |
6 |
90.8 |
94.2 |
3.4 (−1.9; 8.7) |
90.5 |
3.7 (−1.2; 8.6) |
People |
79 |
79.9 |
82.3 |
2.4 (−2.1; 6.9) |
78.1 |
4.2 (−1.1; 9.5) |
Perspective of patients |
33 |
87.3 |
87.3 |
--- |
87.7 |
−0.4 (−2.1; 1.3) |
Perspective of dental staff on working conditions |
15 |
77.5 |
79.4 |
1.9 (−2.1; 5.9) |
76.7 |
2.7 (−1.5; 6.9) |
Perspective of dentists on working conditions |
12 |
83.0 |
82.0 |
−1.0 (−3.9; 1.9) |
78.7 |
3.3 (−1.4; 8.0) |
Staff management |
10 |
64.9 |
77.5 |
12.6 (2.9; 22.2) |
60.2 |
17.3 (7.4; 27.2)* |
Education and training |
9 |
69.7 |
74.0 |
4.3 (−1.6; 10.2) |
64.7 |
9.3 (1.7; 16.9) |
Information |
56 |
82.6 |
89.0 |
6.4 (−0.7; 13.6) |
82.0 |
7.0 (0.3; 13.7) |
Confidentiality and privacy |
6 |
85.6 |
93.6 |
8.0 (0.01; 15.9) |
82.3 |
11.3 (3.0; 19.6)* |
Prevention |
8 |
75.7 |
79.9 |
4.2 (−1.7; 10.1) |
67.6 |
12.3 (3.7; 20.9)* |
Clinical data, patients records |
7 |
91.6 |
95 .7 |
4.1 (−1.7; 9.9) |
91.3 |
4.4 (−0.9; 9.8) |
Information for staff |
3 |
81.6 |
89.5 |
7.9 (0.01; 15.9) |
86.2 |
3.3 (−1.4; 8.0) |
Information for patients on medical care |
16 |
91.9 |
94.6 |
2.7 (−2.0; 7.4) |
91.4 |
3.2 (−1.4; 7.8) |
Use of computers |
2 |
77.8 |
87.6 |
9.8 (1.1; 18.5) |
82.9 |
4.7 (−0.8; 10.2) |
Communication with other health care providers |
5 |
79.9 |
92.7 |
12.8 (3.3; 22.6)* |
84.1 |
8.6 (1.3; 15.9)* |
Information for patients on practice, practice policy and community resources |
9 |
66.3 |
76.8 |
10.5 (1.5; 19.5) |
67.8 |
9.0 (1.5; 16.5)* |
Finance |
10 |
83.2 |
86.3 |
3.1 (−1.9; 8.2) |
78.2 |
8.1 (0.9; 15.2) |
Financial leadership and responsibilities |
6 |
90.2 |
91.3 |
1.1 (−1.9; 4.1) |
87.7 |
3.6 (−1.3; 8.5) |
Financial planning |
1 |
42.2 |
48.9 |
6.7 (−0.6; 14.0) |
33.3 |
15.6 (6.1; 25.1)* |
Annual report (retrospective) |
3 |
82.9 |
88.9 |
6.0 (−0.9; 12.9) |
73.5 |
15.4 (5.9; 24.9)* |
Quality & Safety |
59 |
82.4 |
88.7 |
6.3 (−0.7; 13.4) |
78.1 |
10.6 (2.5; 18.7)* |
Quality development, quality policy |
10 |
76.1 |
80.5 |
4.4 (−1.6; 10.4) |
69.1 |
11.4 (3.1; 19.7)* |
Detection of quality and safety problems |
11 |
83.1 |
88.7 |
5.6 (−1.1; 12.3) |
77.4 |
11.3 (3.0; 19.6)* |
Safety of staff and patients, hygiene, infection control |
24 |
93.2 |
97.0 |
3.8 (−1.8; 9.4) |
91.4 |
5.6 (−0.4; 11.6) |
Provisions for emergency situations |
6 |
74.2 |
83.3 |
9.1 (0.7; 17.5) |
68.7 |
14.6 (5.4; 23.8)* |
Complaint management |
5 |
54.4 |
74.4 |
20.0 (8.3; 31.7)* |
48.7 |
25.7 (14.3; 37.1)* |
Analysis of critical incidents |
3 |
78.1 |
83.3 |
5.2 (−1.3; 11.7) |
72.0 |
11.3 (3.0; 19.6)* |
Total | 281 | 82.7 | 87.1 | 4.4 (−1.0; 9.8) | 80.5 | 6.6 (0.1; 13.1) |
T0, First assessment; T1, Second assessment.
*Statistical significances of difference: P < 0.05.
1Mean scores are on a scale of 0 to 100 and are based on the proportion of indicators for which a positive response was achieved by all of the practices.
2Mean scores at first assessment.
3Comparison between mean scores at second assessment for intervention practices and mean scores at first assessment for comparative practices since there was no second assessment for this group.