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Development of a model for assessing the quality of an oral health program in long-term care facilities

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dc.contributor.author Pruksapong, Matana
dc.date.accessioned 2008-08-27T21:02:35Z
dc.date.available 2008-08-27T21:02:35Z
dc.date.copyright 2008 en
dc.date.issued 2008-08-27T21:02:35Z
dc.identifier.uri http://hdl.handle.net/2429/1529
dc.description.abstract Background: There is little information on how the quality of oral health services in long-term care (LTC) facilities is conceptualized or assessed. Objectives: This study aims to develop a model for assessing the quality of oral healthcare services in LTC facilities. Methods: This study is divided into four main steps. Firstly, I examined literature for existing concepts relating to program evaluation and quality assessment in healthcare to build a theoretical framework appropriate to dental geriatrics. Secondly, I explored as an ethnographic case study a comprehensive oral healthcare program within a single administrative group of 5 LTC facilities in a large metropolis by interviewing 33 participants, including residents and their families, nursing staff, administrators and dental personnel. I also examined policy documents and made site visits to identify other attributes influencing the quality of the program. Thirdly, I drafted the assessment model combining a theoretical framework with empirical information from the case study. And lastly, I tested the feasibility and usability of the model in another dental geriatric program in northern British Columbia. I applied the assessment model by conducting 15 interviews with participants in the program, made site-visits to the 5 facilities, and reviewed documents on the development and operation of the program. Results: A combination of theory-based evaluation and quality assurance provided six sequential and iterative steps for quality assessment of oral health services in LTC. The empirical information supported the theoretical framework that a program of oral healthcare in a LTC context should be assessed for quality from multiple perspectives; it should be comprehensive; and it should include the three main attributes of quality - capacity, performance, and outcomes. Participants revealed 20 quality indicators along with suggested program objectives which encompass eight quality dimensions such as effectiveness, efficiency, and patient-centered. Conclusion: The model provides a unique system for assessing the quality of dental services in LTC facilities that seems to meet the needs of dental and non-dental personnel in LTC. en
dc.format.extent 3865586 bytes
dc.format.mimetype application/pdf
dc.language.iso eng en
dc.publisher University of British Columbia
dc.subject Dental care for aged en
dc.subject Quality of care en
dc.subject Long-term care en
dc.title Development of a model for assessing the quality of an oral health program in long-term care facilities en
dc.type Electronic Thesis or Dissertation
dc.degree.name Doctor of Philosophy - PhD en
dc.degree.discipline Dental Science en
dc.degree.grantor University of British Columbia
dc.date.graduation 2008-11 en
dc.degree.campus UBCV en


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