Oral health care Oral Health
Conditions
Interventions
Current interventions, as of 17/06/2024:
In this practice-based trial, the impact of a new prevention-oriented provider payment model will be studied which operationalizes SES-risk-adjusted (low or
Sponsors
Radboud University Nijmegen Medical Centre
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Current inclusion criteria as of 17/06/2024: 1. Dental practices which regularly enrol and treat persons aged up until 18 years old. 2. Dental practices which use clinical management software that offers de-identified data export (in order to obtain information on caries risk) 3. Patients aged up until 18 years old. _____ Previous inclusion criteria: 1. Dental practices which regularly enrol and treat persons aged 4-18 years 2. Dental practices which use clinical management software that offers de-identified data export (in order to obtain information on caries risk) 3. Patients aged 4-18 years
Exclusion criteria
Exclusion criteria: 1. Dental practices which treat less than yearly 200 persons aged 4-18 years (to ensure sufficient clinical expertise and reaching the overall sample size) 2. Patients with disabilities 3. No informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Current primary outcome measure as of 17/06/2024: Changes in utilization of oral health care according to routine data from health insurers and dental practice software after 6, 12, 24 and 36 months after study onset. _____ Previous primary outcome measure: The change in volume of restorative dental care, volume of preventive dental care, volume of restorative treatments due to caries, mean caries risk and access to care for patients with low SES will be measured using routine dental electronic health record (EHR) data as delivered by the participating health care insurance companies and dental software provider after 3, 6, 12, 24, 36 and 48 months after study onset. | — |
Secondary
| Measure | Time frame |
|---|---|
| Process evaluation: The feasibility to implement the new provider payment model, the acceptability for providers, insurers and patients and the initiated changes in practice organisation and care delivery (e.g. task delegation) will be evaluated in the beginning of the study via an online survey and, if needed, at the middle/end of the study via semi-structured interviews with relevant stakeholders such as patients/parents, dental professionals and health insurers. Economic evaluation: The change in treatment costs and cost-effectiveness (with focus on differences in costs vs. differences in the amount of caries-related treatments between the intervention and control groups) as a result of the new provider payment model will be analysed before and after implementation of the intervention. | — |
Countries
Netherlands
Outcome results
None listed