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VALUE-BASED ORAL HEALTH CARE: IMPLEMENTATION LESSONS FROM FOUR CASE STUDIES.
- Source :
-
The journal of evidence-based dental practice [J Evid Based Dent Pract] 2022 Jan; Vol. 22 (1S), pp. 101662. Date of Electronic Publication: 2021 Nov 06. - Publication Year :
- 2022
-
Abstract
- Value-Based Healthcare has gained considerable attention in medicine but relatively little in oral health care so far. Implementation of Value-Based Oral Health Care (VBOHC) is complicated by a multitude of system-level and contextual factors, especially the siloed innovation culture in dentistry which has been evolving separately from the broader medical system. Previous literature has described 4 key limitations to adaptation of value-based health care, that is creating multidisciplinary units, measuring patient-centered outcomes, attributing and communicating costs, and bundling payments. This paper presents 4 case studies on oral health care which provide relevant learnings about addressing challenges when seeking to implement VBOHC: (i) The Nurse Practitioner-Dental (NPD) Model outlines an approach for creating a multi-disciplinary center in monitoring chronic diseases improving healthcare outcomes; (ii) Treatment of Early Childhood Caries displays the utility of quality measures in value measurement and placing patients at the center of their care; (iii) ClearChoice Dental Implant Centers outlines how cost attribution leads to better management and creation of value centers; and (iv) Proposed Payment Model Changes in Oral Maxillofacial Surgery outlines a method to cover all episodic care of this otherwise expensive disease. Despite the challenges of implementing VBOHC, this paper provides insights into its feasibility and actionability.<br /> (Copyright © 2021 The Author(s). Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Child, Preschool
Delivery of Health Care
Humans
Dental Caries therapy
Oral Health
Subjects
Details
- Language :
- English
- ISSN :
- 1532-3390
- Volume :
- 22
- Issue :
- 1S
- Database :
- MEDLINE
- Journal :
- The journal of evidence-based dental practice
- Publication Type :
- Academic Journal
- Accession number :
- 35063180
- Full Text :
- https://doi.org/10.1016/j.jebdp.2021.101662