Development of a three-dimensional evaluation system for outpatient healthcare quality in stomatological hospitals

Objective: To develop a three-dimensional (structure-process-outcome) evaluation index system for outpatient healthcare quality tailored to the "large outpatient, small inpatient" operational characteristics of stomatological hospitals in China, addressing the current monitoring gap of over-reliance on outcome measures while neglecting structural and process dimensions. Methods: coefficient was applied to assess reliability. Results: coefficients for all dimensions ranged from 0.604 to 0.975. Conclusion: By shifting quality control checkpoints forward to the care delivery process (highest weight assigned to process quality), this index system facilitates a paradigm shift from "post-hoc remediation" to "proactive prevention" in quality management. It provides an evidence-based tool for standardized quality evaluation, cross-regional benchmarking, and quality monitoring under DRG/DIP payment reforms in stomatological hospitals, offering significant public health administration value.

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Publication Details

Journal
Frontiers in Public Health
Published
2026-04-15
DOI
https://doi.org/10.3389/fpubh.2026.1773077
Primary Topic
Delphi Technique in Research
Type
article
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article

Development of a three-dimensional evaluation system for outpatient healthcare quality in stomatological hospitals

Qingbin Zhang, Haiqian Chen, Wei Liu
Frontiers in Public Health
Delphi Technique in Research
article

Development of a three-dimensional evaluation system for outpatient healthcare quality in stomatological hospitals

Qingbin Zhang, Haiqian Chen, Wei Liu
article en

Abstract

Objective: To develop a three-dimensional (structure-process-outcome) evaluation index system for outpatient healthcare quality tailored to the "large outpatient, small inpatient" operational characteristics of stomatological hospitals in China, addressing the current monitoring gap of over-reliance on outcome measures while neglecting structural and process dimensions. Methods: coefficient was applied to assess reliability. Results: coefficients for all dimensions ranged from 0.604 to 0.975. Conclusion: By shifting quality control checkpoints forward to the care delivery process (highest weight assigned to process quality), this index system facilitates a paradigm shift from "post-hoc remediation" to "proactive prevention" in quality management. It provides an evidence-based tool for standardized quality evaluation, cross-regional benchmarking, and quality monitoring under DRG/DIP payment reforms in stomatological hospitals, offering significant public health administration value.

Frontiers in Public HealthVol. 14
Stomatology Hospital (CN), Guangzhou Medical University (CN)
Quality Education
Openalex Percentile: Top 18%
Delphi Technique in Research
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