Toward development of a naval oral health status index

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towarddevelopmen00jime.pdf (60.6 MB)
Authors
Jimerfield, Craig Alexander
Davidson, Dennis M.
Subjects
oral health status index
dental health status index
preference pairs
Advisors
Whipple, David R. Jr.
Swenson, Thomas G.
Date of Issue
1985-12
Date
December 1985
Publisher
Language
en_US
Abstract
The literature pertaining to general health indexes and a wide variety of oral health indexes is reviewed. The pioneering work of Nikias et al., in demonstrating the feasibility of using expert opinion to develop a comprehensive oral health index, is presented. After a review of all available literature concerning oral health indexes, it appeared that the oral health status index developed by Marcus et al., using the preference pairs methodology of Mickey and Britt to develop a model based upon the preferences of experts, provided the most promising alternative for an oral health index for use within the Navy's health care system. Subsequent evaluation of the methodologies employed by Marcus et al., however, revealed a number of problems which questioned the validity of the oral health status index, particularly for use within the Navy. More specifically, these problems related to the patient population sampled and a number of questionable statistical procedures used in the development of the oral health status index. The major conclusion of this thesis is that no existing oral health index both satisfies the preferences of experts and is suitable for use by health care providers, managers, planners, and other decision makers.
Type
Thesis
Description
URI
https://hdl.handle.net/10945/21589
Series/Report No
Department
Administrative Sciences
Organization
Naval Postgraduate School (U.S.)
Identifiers
NPS Report Number
Sponsors
Funder
Format
799 p.
Citation
Distribution Statement
Approved for public release; distribution is unlimited.
Rights
This publication is a work of the U.S. Government as defined in Title 17, United States Code, Section 101. Copyright protection is not available for this work in the United States.
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