Table 3.
Classification of all Peer-Reviewed and Grey Literature measures identified according to dimensions and domains
| Domains |
|||
|---|---|---|---|
| Structure | Process | Outcome | |
| Dimensions | |||
| Safe | Dentist : Nurse ratio | Recording of medical history | Patient satisfaction with cleanliness of facilities |
| Evidence of staff training/certification | Evidence of incident reporting being carried out | Patient satisfaction with quality improvement initiatives | |
| Evidence of ensuring that suppliers/contractors are certified | Number of serious incidents | ||
| Building set up to allow decontamination away from clinical areas | |||
| Evidence of complaints handling procedures | |||
| Evidence of data protection and handling procedures | |||
| Cleanliness of practice | |||
| Evidence of practice infection-control measures | |||
| Use of single-use equipment where feasible | |||
| Certification of buildings and surgery safety | |||
| Evidence of medical emergency equipment | |||
| Effective | Percentage of patients receiving oral health examination | Patient rating of comfort in daily function | |
| Percentage of patients receiving soft-tissue screening | Patient rating of comfort during visit | ||
| Percentage of patients receiving emergency treatment | Patient rating of ease to eat | ||
| Percentage of patients receiving planned treatment | Patient rating of appearance of teeth | ||
| Percentage of patients receiving preventive advice | Patient rating of comprehensiveness of examination/treatment | ||
| Number of patients having radiographs taken | Patient satisfaction with treatment received | ||
| Percentage of patients receiving dental follow-up after emergency department visit for dental cause | Patient rating of quality of treatment | ||
| Extraction to endodontics ratio | Periodontal health: number of sites with bleeding on probing | ||
| Evidence of caries and periodontal risk assessment being carried out | Caries: number of decayed teeth | ||
| Percentage of patients receiving treatment for caries | Caries: prevalence of early childhood caries | ||
| Prevention: fillings ratio | Caries: new caries at recall of patient | ||
| Number of referrals to medical care | Number of patients who are caries free | ||
| Number of referrals to secondary dental care | Plaque on children’s teeth | ||
| Percentage of patients with a recording of Basic Periodontal Examination | Referral to secondary care for paediatric tooth extraction | ||
| Percentage of patients having comprehensive periodontal examination | Emergency department visits from dental-related cause | ||
| Percentage of patients with history of periodontitis undergoing course of periodontal therapy | Patient-reported oral health-related quality of life | ||
| Percentage of patients with fluoride needs assessment | Proportion of endodontic teeth that required retreatment | ||
| Percentage of patients receiving preventive advice | Proportion of sealants that require retreatment | ||
| Provision of fissure sealants in high-risk groups | Number of deciduous teeth extracted | ||
| Provision of fluoride therapy in high-risk groups | Complications following treatment | ||
| Extractions following endodontics | |||
| Proportion of fillings that subsequently required retreatment/endodontics/extraction | |||
| Longevity of restorations | |||
| Patient-centred | Percentage of patients with named regular dentist | Evidence of assessment of needs | Patient satisfaction with communication – listening to patient concerns |
| Access to hygienist | Development of personalised treatment plans | Patient satisfaction with communication – showing concern | |
| Access to Out of Hours care | Setting self-management goals for patients | Patient satisfaction with communication – explaining treatments | |
| Comfort of dental practice | Time spent with patients | Patient satisfaction with communication – treatment/preventive advice | |
| Aesthetics of dental practice | Percentage of patients seeing same dentist/dental team at consecutive visits | Patient satisfaction with communication – giving appropriate level of information | |
| Ease of payment | Percentage of patients having treatment by their regular dentist | Patient perception of dentist’s acceptance of them as a person | |
| Percentage of patients who are able to see their own dentist for emergency treatment | Patient satisfaction with courtesy and respect of dental team | ||
| Extractions/endodontics completed by patient’s general dentist | Patient satisfaction with time spent with dental team | ||
| Length of treatment sessions (comfort to patient) | Patient satisfaction with helpfulness of staff | ||
| Patient rating of ‘atmosphere’ of dental environment | |||
| Percentage of patients who would recommend to friend | |||
| Patient rating of trust | |||
| Patient satisfaction of dental team’s ability to respond to their needs | |||
| Patient satisfaction with written information | |||
| Patient satisfaction with dentist | |||
| Patient rating of comfort of treatment | |||
| Patient-reported pain | |||
| Patient retention – number of patients who stay with practice over time period | |||
| Timely | Percentage of group of interest who have access to dentist | Timeliness of treatment plan completion | Patient satisfaction with waiting times – to get standard appointment |
| Percentage of group of interest who have access to oral health education | Timeliness of administrative claims | Patient satisfaction with waiting times – to get emergency appointment | |
| Patient satisfaction with waiting times – in surgery | |||
| Proportion of high-risk patients who have been able to access dentist | |||
| Efficient | Generalist: specialist ratio in primary care | Patient satisfaction with cost | |
| Quality of interpersonal relationships between members of dental team | Patient rating of structure of dental appointments | ||
| Dental team satisfaction with their leadership | Percentage of treatment plans completed | ||
| Dental team satisfaction with their ability to make changes | Number of patients failing to attend | ||
| Responsiveness of practice and team to making changes | Percentage of patients reattending within 3 months | ||
| Stress of team members within dental practice | Average cost of treatment per patient | ||
| Use of modern equipment | Number of dental encounters/hour | ||
| Longevity of restorations | |||
| Equity | Evidence of local arrangements to assess health needs | Percentage of group of interest that receive preventive advice/treatment in non-dental setting | Patient perception of dentist’s acceptance of them as a person |
| Local arrangements to identify high needs groups | Patient rating of ease of access | ||
| Local arrangements to ensure access for high-needs groups | |||
| Ease of access – car parking, disabled access | |||