Strategic Shift to a Diagnostic Model of Care in a Multi-Site Group Dental Practice.
Strategic Shift to a Diagnostic Model of Care in a Multi-Site Group Dental Practice.
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DOI：
10.16966/2378-7090.209
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发表时间：
2016-07
期刊：
影响因子：
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通讯作者：
Ramoni RB
中科院分区：
文献类型：
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作者：
Kalenderian E;Maramaldi P;Kim S;Etolue J;McClellan L;Simmons K;Yansane A;White JM;Walji MF;Ramoni RB
记录标准化的牙科诊断术语代表了牙科实践方式的一个新兴变化。我们专注于一个中等规模的牙科集团的做法，因为它转移到一个政策，记录病人的诊断使用标准化的术语在电子健康记录。科特的变革框架被转化为面试问题，提出了一个中等规模的牙科集团实践的高级领导。此外，对标准化诊断文件实施前后的书面政策和表格进行了定量内容分析，以评估表格和政策反映转变的程度。三位评审员分别分析了数据，并在需要时达成共识。Kotter的指导性变革框架解释了电子健康记录和牙科诊断代码的97%利用率所采取的步骤。在表格和政策分析所列的96份文件中，有31份文件得到正式更新，但只有两份文件增加了诊断内容。在商业文献中建立的改变策略对寻求以诊断为中心的护理的牙科实践具有实用性。转变为诊断驱动的护理理念的做法最好是确保变革过程遵循与组织文化相适应的领导框架。
Documenting standardized dental diagnostic terms represents an emerging change for how dentistry is practiced. We focused on a mid-sized dental group practice as it shifted to a policy of documenting patients’ diagnoses using standardized terms in the electronic health record. Kotter’s change framework was translated into interview questions posed to the senior leadership in a mid-size dental group practice. In addition, quantitative content analyses were conducted on the written policies and forms before and after the implementation of standardized diagnosis documentation to assess the extent to which the forms and policies reflected the shift. Three reviewers analyzed the data individually and reached consensuses where needed. Kotter’s guiding change framework explained the steps taken to 97 percent utilization rate of the Electronic Health Record and Dental Diagnostic Code. Of the 96 documents included in the forms and policy analysis, 31 documents were officially updated but only two added a diagnostic element. Change strategies established in the business literature hold utility for dental practices seeking diagnosis-centered care. A practice that shifts to a diagnosis-driven care philosophy would be best served by ensuring that the change process follows a leadership framework that is calibrated to the organization’s culture.