Deliberative improvement of oral care quality

口腔疾病和病症影响着全世界超过35亿人。它们是欧盟治疗费用第三高的疾病，对弱势群体造成严重影响。与联合国和世卫组织的全民健康覆盖目标相背离，许多欧盟公民在没有经济困难的情况下无法获得高质量的口腔护理。为此，DELIVER（DELiberative Improvement of oRal care quality）项目旨在通过公民、患者、提供者、支付者和政策制定者的协商对话和行动来提高口腔护理质量。DELIVER将创建一个协同解决问题的生态系统，将协商对话转化为有意义的口腔护理质量改善。DELIVER汇集了来自著名大学，民间社会和患者组织，卫生专业人员，政策制定者和中小企业/行业的顶级研究人员，以实现集体解决问题的一步变化。鉴于该主题的全面性，DELIVER采用有针对性的方法，完全集中在当前口腔护理系统局限性的五个主要根源上。使用混合方法的研究方法，DELIVER将分三个阶段共同开发和共同制作新的质量改进方法。第一阶段包括形势分析，核心质量指标的同意，以及欧盟范围内的监测框架的发展。第二阶段涉及深入分析选定的质量改进方法：（一）以PROMs/PREMs为基础的牙科实践质量改进;（二）以社区为基础的弱势群体质量改进;（三）以质量为导向的口腔保健服务委托。口腔护理质量改善的监管决定因素将被仔细审查。在第三阶段和最后阶段，第一阶段和第二阶段获得的知识将与手册和数字化工具合并到DELIVER质量工具包中，用于口腔护理质量改进的具体可操作和适应环境的方法。

Oral diseases and conditions affect more than 3.5 billion people worldwide. They are the 3rd most expensive diseases to treat in the EU and disproportionally affect vulnerable groups. In deviation from the UN and WHO goal of Universal Health Coverage, many EU citizens do not have access to quality oral care without financial hardship. To this end, the DELIVER (DELiberative ImproVEment of oRal care quality) project aims to enhance the quality of oral care through deliberative dialogue and action involving citizens, patients, providers, payers, and policymakers.DELIVER will create a synergistic problem-solving ecosystem to convert deliberative dialogues into meaningful improvement of oral care quality. DELIVER brings together top investigators from prestigious universities, civil society and patient organizations, health professionals, policymakers, and SME/industry to achieve a step change in collective problem solving. Given the comprehensiveness of the topic, DELIVER uses a targeted approach that is entirely focused on five major root-causes underlying the current limitations of oral care systems.Using a mixed-methods research approach, DELIVER will co-develop and co-produce new quality improvement approaches in three phases. The 1st phase involves situational analysis, consenting of core quality indicators, and development of an EU-wide monitoring framework. The 2nd phase involves in-depth analysis of select quality improvement approaches: (i) PROMs/PREMs-based quality improvement in dental practices; (ii) community-based quality improvement for vulnerable groups; (iii) quality-oriented commissioning of oral health services. The regulatory determinants of oral care quality improvement will be scrutinized. In the 3rd and final phase, the knowledge gained in the 1st and 2nd phases will be merged into the DELIVER Quality Toolkit with manuals and digital tools for concretely actionable and context-adaptive approaches for oral care quality improvement.