title: BDA special care case mix model.
abstract: Routine dental care provided in special care dentistry is complicated by patient specific factors which increase the time taken and costs of treatment. The BDA have developed and conducted a field trial of a case mix tool to measure this complexity. For each episode of care the case mix tool assesses the following on a four point scale: 'ability to communicate', 'ability to cooperate', 'medical status', 'oral risk factors', 'access to oral care' and 'legal and ethical barriers to care'. The tool is reported to be easy to use and captures sufficient detail to discriminate between types of service and special care dentistry provided. It offers potential as a simple to use and clinically relevant source of performance management and commissioning data. This paper describes the model, demonstrates how it is currently being used, and considers future developments in its use.
authors.affiliation: Dental Services, Sheffield PCT, Firth Park Clinic, North Quadrant, Sheffield, S5 6NU. peter.bateman@sheffi eldpct.nhs.uk
authors.forename: P
authors.initials: P
authors.lastname: Bateman
authors.forename: C
authors.initials: C
authors.lastname: Arnold
authors.forename: R
authors.initials: R
authors.lastname: Brown
authors.forename: L V
authors.initials: LV
authors.lastname: Foster
authors.forename: S
authors.initials: S
authors.lastname: Greening
authors.forename: N
authors.initials: N
authors.lastname: Monaghan
authors.forename: L
authors.initials: L
authors.lastname: Zoitopoulos
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D003142:Communication; D003149:Community Dentistry / Q000191:economics / Q000331:legislation & jurisprudence / Q000458:organization & administration; D003284:Contract Services / Q000191:economics / Q000331:legislation & jurisprudence / Q000458:organization & administration; D003299:Cooperative Behavior; D003730:Dental Care for Persons with Disabilities / Q000191:economics / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D003812:Dentist-Patient Relations; D003953:Diagnosis-Related Groups; D017050:Episode of Care; D004990:Ethics, Dental; D006297:Health Services Accessibility / Q000191:economics / Q000331:legislation & jurisprudence / Q000458:organization & administration; D006304:Health Status; D006305:Health Status Indicators; D006801:Humans; D007223:Infant; D008875:Middle Aged; D020380:Needs Assessment; D009909:Oral Health; D012307:Risk Factors; D012953:Societies, Dental; D013218:State Dentistry / Q000191:economics / Q000331:legislation & jurisprudence / Q000458:organization & administration; D006113:United Kingdom; D055815:Young Adult