The formula for success in Dentistry: Quality management models enhancing clinical services
DOI:
https://doi.org/10.52076/eacad-v6i2.652Keywords:
Quality Assurance; Dental Care; Patient Satisfaction; Risk Management; Total Quality Management.Abstract
The provision of high-quality services is a central concern in contemporary dentistry. This article aims to analyze the main management models applied in dentistry and their impact on the administration and quality of clinical services. Among the most widely applied frameworks are Donabedian’s model, emphasizing structure, process, and outcomes, and SERVQUAL, which evaluates patient perceptions of environment, safety, empathy, and staff performance. The ISO 9001:2015 standard reinforces continuous improvement, risk management, and strategic human resource involvement. Evidence shows that clinics with adequately trained personnel achieve higher levels of patient satisfaction, highlighting the critical role of human talent in clinical outcomes. Key Performance Indicators (KPIs) and systematic audits, both internal and external, are essential for assessing clinical, administrative, and patient-centered processes, supporting evidence-based decision-making and compliance with established standards. The adoption of standardized protocols for infection prevention, adverse event management, and continuous professional training consolidates patient safety and ethical clinical practice. This review demonstrates that the synergistic application of structured management models, skilled human resources, and advanced technologies constitutes a comprehensive strategy to achieve clinical excellence. Integrative approaches improve patient satisfaction and safety, optimize resources, reduce operational costs, and strengthen the competitive position of dental clinics.
References
Aldossary, M. S. (2023). Exploring predictors of patient satisfaction in dental services. International Journal of Environmental Research and Public Health, 20(7), 1789. https://doi.org/10.3390/ijerph20071789
Antonopoulou, V., et al. (2024). Understanding healthcare professionals' responses to patient complaints: A systematic review. Health Policy and Systems, 22(1), 1–12.
Armijos Idrovo, S. G., Lazo Gómez, E. O., Serrano Piña, P. A., León Loja, E. J., & Bravo Calderón, M. E. (2023). Revisión documental para la implementación de normas ISO 9001 en clínicas dentales ecuatorianas. Research, Society and Development, 12(6), 42331. https://rsdjournal.org/rsd/article/view/42331
Crisan, E. L., Covaliu, B. F., & Chis, D. M. (2021). A systematic literature review of quality management initiatives in dental clinics. International Journal of Environmental Research and Public Health, 18(21), 11084. https://doi.org/10.3390/ijerph182111084
Donabedian, A. (2003). An introduction to quality assurance in health care. Oxford University Press.
Efthymiou, I. P. (2024). The importance of soft skills in healthcare: The impact of communication, empathy, and teamwork on doctor–nurse interactions. International Case Studies Journal, 13(11), 6–11.
Emami, E., Harnagea, H., Shrivastava, R., Ahmadi, M., & Giraudeau, N. (2022). Patient satisfaction with e-oral health care in rural and remote settings: A systematic review. Systematic Reviews, 11(234). https://doi.org/10.1186/s13643-022-02103-2
Escudero-Cantacheff, C., Rugani de Cravero, M., & López de Rosales, H. (2023). Auditoría de estructura odontológica realizada de manera íntegramente virtual en contexto de pandemia. Revista de la Facultad de Odontología (UNC), 33(2), 23–30.
González-Salvador, T., et al. (2021). La comunicación en el ámbito sanitario: Herramientas para mejorar la relación con el paciente. Revista Española de Comunicación en Salud, 11(2), 45–52.
Gonzalez, M., & López, F. (2024). Integrating process, structure, and outcome audits in clinical governance: Insights from hospital settings. International Journal for Quality in Health Care, 36(1), 25–34.
Gurupur, V. P., et al. (2022). A brief analysis of challenges in implementing telehealth in rural areas. Journal of Telemedicine and Telecare, 28(3), 147–158.
Franco, E. J. V. (2022). Comunicación organizacional y felicidad en el trabajo. Revista Latinoamericana de Estudios de Trabajo, 28(2), 1–22. https://www.redalyc.org/journal/268/26876172007/html/
Hodgson, C., et al. (2023). Clinical audit as a tool for improving quality in healthcare: A systematic review. BMJ Open Quality, 12(2), e002345.
Hung, M., et al. (2022). Teledentistry implementation during the COVID-19 pandemic: A scoping review. JMIR Medical Education, 8(2), e39955.
Kaplan, R. S., & Norton, D. P. (1996). The balanced scorecard: Translating strategy into action. Harvard Business School Press.
Idrovo, S. G. A. (2023). Revisión documental para la implementación de la norma ISO 9001 en clínicas odontológicas ecuatorianas. Research, Society and Development, 12(4), 42331. https://rsdjournal.org/rsd/article/view/42331
López, Á. G. (2024). Estudio de satisfacción del usuario de los servicios odontológicos del municipio de Ixtlahuaca de Juárez, Estado de México. Revista Odontológica UCC, 16(1), 1–14. https://revistas.ucc.edu.co/index.php/od/article/download/3638/3060/
Parmenter, D. (2020). Key performance indicators: Developing, implementing, and using winning KPIs (4th ed.). Wiley.
Silva, E. N. C. (2001). Management and application of TQM principles and tools as a source of information in daily dentistry. POMS. https://www.pomsmeetings.org/ConfProceedings/001/Papers/QM-03.1.pdf
Talla, P. K., et al. (2023). Barriers and enablers to implementing teledentistry from the perspectives of dental and health care professionals: A systematic review. BMC Oral Health, 23(1), 1–13.
Valencia Ramón, L. Y., & Corona Ferreira, A. (2021). El expediente clínico electrónico. Revista Científica de Salud UNITEPC, 8(1), 24–34. https://doi.org/10.36716/unitepc.v8i1.74
Wang, S.-C., Chu, N.-F., Tang, P.-L., & Pan, L.-F. (2023). Using healthcare complaints analysis tool to evaluate patient complaints during the COVID-19 pandemic at a medical center in Taiwan. International Journal of Environmental Research and Public Health, 20(1), 310.
World Health Organization. (2021). Clinical management frameworks. Geneva: World Health Organization.
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Copyright (c) 2025 Gustavo Adrián Morales Valladares; Martha Alexandra Vergara Castillo; Kerly Valeria Chicaiza Bermeo; Erika Najely Taco Lobato; Jorge Ariel Oñate Rivera; Ana Jacqueline Balseca Morales

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