title: The Oral Health Information Suite (OHIS): its use in the management of periodontal disease.
abstract: Health care costs continue to increase at a rapid rate. Dental costs alone have risen from $31.5 billion in 1990 to $70.3 billion in 2002, outpacing inflation by 160 percent. Payers for health care services have no means to evaluate the value of these large expenditures. Quantified information is not available regarding a patient's condition prior to and after treatment nor on the probability of future disease. The absence of this information prevents dentists from responding effectively to challenges by payers and patients, and specifically prevents dentists from effectively influencing the quality of periodontal care. We have developed a user-friendly Internet-based technology that quantifies risk for periodontitis and periodontal disease severity and extent and generates recommended treatments and interventions. A caries risk assessment tool has also been developed, and an oral cancer assessment tool is being developed. This technology, designated the Oral Health Information Suite (OHIS), provides quantitative information to the clinician and patient as an aid to diagnosis and to facilitate individual, needs-based treatment planning. OHIS enables successful application of the wellness model of oral health care, which may be expected to result in more uniform and accurate clinical decision making, improved oral health, reduction in the need for complex periodontal therapy, reduction in oral health care costs, and improved clinician productivity and income. It also will permit patients to become more involved in their oral health care, payers to quantify and predict their health care expenditures, dentists to experience an increase in trust and respect, and periodontists to be more properly consulted regarding periodontal care.
authors.affiliation: Department of Periodontics, University of Washington, Box 357480, Seattle, WA 98195, USA. roypage@u.washington.edu
authors.forename: Roy C
authors.initials: RC
authors.lastname: Page
authors.forename: John A
authors.initials: JA
authors.lastname: Martin
authors.forename: Carl F
authors.initials: CF
authors.lastname: Loeb
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003363:Cost Control; D003657:Decision Making; D003729:Dental Care; D017598:Efficiency, Organizational; D017048:Health Care Costs; D005102:Health Expenditures; D006293:Health Promotion; D006801:Humans; D007256:Information Systems; D007349:Insurance, Health, Reimbursement; D020407:Internet; D008875:Middle Aged; D009909:Oral Health; D010347:Patient Care Planning; D010358:Patient Participation; D010510:Periodontal Diseases / Q000145:classification / Q000191:economics / Q000628:therapy*; D011787:Quality of Health Care; D018570:Risk Assessment