Egohid Phase I - Summary
   
 
 

Information in the oral health field is basically affected by the insufficient use of available for data planning, implementation, service management and evaluation the inadequate quality of data produced. The profusion of internationally recommended indicators may complicate the national selection of indicators and may lead to unnecessary and costly monitoring efforts.

  Overall objectives
  To support European Member States in their efforts to reduce the toll of morbidity, disability related to oral health diseases and especially :
 
  • To strengthen the ability at the local, national, regional levels to measure, compare and determine the effects of oral health services and use of resources on oral health,
  • To outline a process for identifying a set of core oral health professionals to promote and improve the oral health of people in Europe,
  • To identify indicators of oral health (problems, determinant and risk factors related to lifestyle) of critical oral health care, its quality of care and of essential health ressources,
  • To identify the types of data generation and management problems within the health information system,
  • To develop an evidence-based approach to the delivery of services and for improved access to appropriate care that meets the lifestyle needs and working patterns of patient groups.
  The project is an integration and further development of a large number of ongoing oral health projects in different fields. In particular in Europe, it will use:
 
  • Common Methods and Instruments for Health Interview Surveys in Europe (EUROHIS) Concerted Action (DG XII-1998/2000),
  • Development of set of specific and generic cost and health indicators : reproductive health (DG XIII 1994/1995), oral health ( DG XIII, 1993/95), oral health (DG XIII 1997/98), Biomed (DG XII 1994/1998), diabetes mellitus (DG XIII, 1992/1998),
  • Oratel. Telematic Systems for Quality Insurance in Oral Health Care (CEC Project A 2029), WHO Regional Office for Europe (1992),
  • Quality of Care Development Programme in Oral Health, WHO Regional Office for Europe (1999).
  Dimension
 

Introduction of standardized, specific and generic, common and comparable cost indicators for selected oral health areas, which are relevant as tools for proactive (needs assessment) and retrospective (outcomes and cost assessment) methodologies, adaptable to any set of geographical sittings and condition throughout the EU.

  Project added value
 
  • An updating of the priority health problems of the countries,
  • To provide technical support and appropriate guidelines to UE states in assessing their needs, developing effective oral health promotion programmes, adapting their oral health care systems,
  • To ensure that the leadership is based on the best available evidence and thus to facilitate capacity building and establishment of a global network information system.
  Outputs
 
  • Promotion of systematic identification and technical specifications of oral health indicators through the use of an oral health outcome framework including information on the level of development of existing indicators and issues where indicators are lacking and require research,
  • Facilitation of comparisons of indicator data by promoting standardisation of indicators,
  • To improve the capacity of area health services to monitor their oral health improvement activities in a standardised manner in the longer term,
  • In the longer term, facilitate service specifications across area health services with a view to maintaining and improving performance,
  • Enhancement of the capacity to analyse the social, economic, behavioural and political determinants with particular reference to poor and disadvantaged populations.
  Methodology
  Systemic review is expected to identify the evidence of indicators for oral health in different sectors i.e. the global oral health promotion, the quality of care and surveillance of people in Europe. This review will be directed by the University Lyon I including the setting up of a conference (20 participants) including the steering group, with the aim of identifying consensus on the current situation and the perspective of development in Europe using a nominal technique methodology.
A report of the conclusions will be produced at each step. The two peer view consultations will identify the professional views presented at each step. The documents will be distributed by post, sent to an expert panel included at least 3 members in each countries issue from the community, the oral health producers, the scientific communities.
Analysis et evaluation of information collected will be presented to the STG.
The two consensus Workshops for Selecting Essential Oral Health Indicators and for Guidelines in Oral Health Information Support involves the organization of the setting up of a series of workshops by thematic (50 and 20 participants). RepresentativeS of the dental profession, oral health officialS and experts in epidemiology, health economic, telematics will be invited.
The Final Consensus Meeting is the formulation of the guidelines and recommendations issue of the different committee including the participation of the enhanced steering group.
The Final list of indicators and of guidelines document will be produced in collaboration with each partners members of the project.
   
  Top of the page