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Audit of the Health Service Executive orthodontic referral pathway between 2009 and 2011 in the Dublin Mid-Leinster region.
Wolstencroft, Simon Khosa, Allah Dad
Wolstencroft, Simon
Khosa, Allah Dad
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Date
2014-03-21
Date Submitted
Keywords
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Subject Mesh
Anodontia
Catchment Area (Health)
Dental Audit
Eligibility Determination
Health Services Needs and Demand
Humans
Index of Orthodontic Treatment Need
Ireland
Malocclusion
Mastication
Open Bite
Orthodontics, Corrective
Overbite
Referral and Consultation
Speech Disorders
Time Factors
Tooth, Impacted
Waiting Lists
Catchment Area (Health)
Dental Audit
Eligibility Determination
Health Services Needs and Demand
Humans
Index of Orthodontic Treatment Need
Ireland
Malocclusion
Mastication
Open Bite
Orthodontics, Corrective
Overbite
Referral and Consultation
Speech Disorders
Time Factors
Tooth, Impacted
Waiting Lists
Planned Date
Start Date
Collaborators
Principal Investigators
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AuditHSEOrth.pdf
Adobe PDF, 185.06 KB
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Abstract
An audit was undertaken in 2009 to determine the success of the new national orthodontic referral protocol introduced to the Health Service Executive (HSE) in 2007 and operated in the Dublin Mid-Leinster HSE region. It was repeated in 2011 to determine if the HSE austerity measures have had a bearing on the orthodontic service performance in the Dublin Mid-Leinster HSE region. The audit also measured the success of referring practitioners in identifying the correct Index of Orthodontic Treatment Need (IOTN) classification of the patient. In the 2011 audit, the figures were broken down to identify the occlusal variables that caused dental practitioners most difficulties in identification. The audit demonstrates a good referral to assessment timeframe in 2009 (85-80% compliance for IOTN 5 and 4 within three to six months, respectively), which deteriorates significantly in 2011 (26-4% for IOTN 5 and 4 within three to six months, respectively). The ability of dentists to identify the correct IOTN classification was better in 2009 (60% correct) compared to 2011 (51% correct), but both figures fell below the audit standard of 75% of referrals with correct IOTN classifications. The IOTN occlusal dental health components most readily identified by referring practitioners and meeting audit standards were 5a (overjet >9mm), 5i (impacted teeth) and 5h (extensive hypodontia). The remaining occlusal dental health components in the HSE IOTN fell below the audit standard. The audit clearly identifies a requirement for a continued educational effort to maintain the HSE IOTN skill base in primary care, and a need for additional resources to manage the demand for orthodontic assessments.
Language
en
ISSN
0021-1133
eISSN
ISBN
DOI
PMID
24282865