Summary
The ADVOCATE project is a multi-country European initiative funded by Horizon 2020 that aims to identify and implement system-level transitions toward patient-centred, prevention-oriented oral health care. The work combines evaluation of existing oral health systems across six EU member states, development of standardised performance measures, and economic analysis of preventive strategies, whilst leveraging routinely collected insurance data and engaging key stakeholders from dental practice, policy, and patients. The project seeks to establish evidence-based policy options and incentive schemes that shift the balance from restorative to preventive care delivery within existing health systems.
UK applicability
The United Kingdom is an active partner in the ADVOCATE consortium, making findings directly applicable to NHS dental services and English devolved health systems. Insights on system design and incentive mechanisms for prevention may inform current policy efforts to strengthen primary preventive care within dental commissioning frameworks.
Key measures
Oral health care system designs, oral care delivery measures, oral health outcomes, feedback approach effectiveness in promoting preventive care, economic cost-effectiveness of preventive strategies, policy recommendations
Outcomes reported
The study outlined objectives for evaluating oral health care systems across EU member states, developing performance measures for oral care delivery and health outcomes, testing feedback interventions in dental practice, and conducting economic evaluations of preventive oral health strategies. It described a novel methodology using routinely collected health insurance data and multi-stakeholder engagement.
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