Evaluation of the Practice of Patient Centered Care among Saudi Dentists in Central Region of Saudi Arabia: A Cross-sectional Study (original) (raw)
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A conceptual construction of patient-centered dental care for primary care dentists in Thailand
The objective of this qualitative study was to develop a conceptual construct of patientcentered dental care for primary care dentists in Thailand. The study was divided into 2 steps, with the first step comprising a review of publications in dentistry as well as related medical and nursing care concerning patient-centered treatment. The second step involved in-depth interviews with participants using a semi-structured, open-ended interview form. The participants comprised 3 groups including 5 experts in patient-centered care, 7 dental practitioners, and 8 dental patients at community hospitals. The participants were recruited by purposive sampling. Interviews were transcribed and extracted conceptual constructs by using the thematic analysis method. Nine common attributes were extracted from 9 relevant articles, which could be used to create a patientcentered dental care model. These common attributes included communication, disease diagnostic and illness, whole person, shared information and decision-making, dentist-patient relationship, empathy, comprehensive care, continuing care, and coordinated care. In the second step, 12 attributes were obtained from the interview transcripts. The results found 3 different attributes including accessibility and the dentist's self-awareness, and pain and anxiety management, and. The 12 attributes can be formed into 2 specific domains covering 1) patient-centered interpersonal care, consisting of 8 attributes, and 2) patient-centered integrated care, consisting of 4 attributes. Additionally, this notion could be expanded to further research focused on creating a measurement to assess the proficiency of patient-centered dental care for primary care dentists.
Background Patient-centered care is essential for providing quality services thoroughly from the primary care level, but it is unclear and lacks measurement. This study aimed to develop a reliable and valid instrument to measure patient perception of patient-centered care of primary dental care in Thailand and test the measurement invariance between the large and small community hospitals.Methods The initial set of 45 items for the Patient Perception of Patient-Centered Care of Dentist Scale (PPCCDS) was developed using a mixed-method approach, which included a literature review, content validity test, cognitive interviews, and a pre-test. A multistage sampling strategy was used to recruit dental patients or parents/caregivers from community hospitals across Thailand. Validity was examined through exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Reliability was assessed using Cronbach's alpha coefficient and intraclass correlation coefficient. Furthermor...
Enhancing patient-centred care in dentistry: a narrative review
British Medical Bulletin
Introduction Patient-centred care (PCC) is widely used within the medical setting, but there is a need for more research on PCC implementation in dentistry. Sources of data A narrative review was conducted with literature identified from the Ovid Interface, including several databases such as Embase and Medline. Areas of agreement PCC is associated with better health outcomes for patients, and greater work satisfaction among healthcare professionals. Areas of controversy Efforts to implement PCC in dentistry are lacking due to several issues including non-consensus about PCC definition and lack of explicit guidelines on how to implement PCC in dentistry. Growing points and areas timely for developing research A theory-derived model of PCC explicitly designed for the dental setting was identified. This serves as a starting point to enhance PCC in dentistry, though further research is needed to empirically test the implementation of this model.
Background: Delivering improvements in quality is a key objective within most healthcare systems, and a view which has been widely embraced within the NHS in the United Kingdom. Within the NHS, quality is evaluated across three key dimensions: clinical effectiveness, safety and patient experience, with the latter modelled on the Picker Principles of Patient-Centred Care (PCC). Quality improvement is an important feature of the current dental contract reforms in England, with "patient experience" likely to have a central role in the evaluation of quality. An understanding and appreciation of the evidence underpinning PCC within dentistry is highly relevant if we are to use this as a measure of quality in general dental practice. Methods: A systematic review of the literature was undertaken to identify the features of PCC relevant to dentistry and ascertain the current research evidence base underpinning its use as a measure of quality within general dental practice. Results: Three papers were identified which met the inclusion criteria and demonstrated the use of primary research to provide an understanding of the key features of PCC within dentistry. None of the papers identified were based in general dental practice and none of the three studies sought the views of patients. Some distinct differences were noted between the key features of PCC reported within the dental literature and those developed within the NHS Patient Experience Framework. Conclusions: This systematic review reveals a lack of understanding of PCC within dentistry, and in particular general dental practice. There is currently a poor evidence base to support the use of the current patient reported outcome measures as indicators of patient-centredness. Further research is necessary to understand the important features of PCC in dentistry and patients' views should be central to this research.
Journal of Taibah University Medical Sciences, 2012
Objective: Quality is a major concern of health care agencies all over the world. Patients' satisfaction has been investigated in many colleges of dentistry in various countries. Dental complaints made by patients may cause a great deal of anxiety and stress among dental care providers. It is important for the profession to promote high standards of professional conduct among dentists. The aim of this study is to determine patients' satisfaction regarding the quality of dental care at dental clinics of the College of Dentistry at Taibah University.
Defining patient-centred care in dentistry? A systematic review of the dental literature
British dental journal, 2016
Objective This paper presents the results of a systematic review, designed to explore how patient-centred care (PCC) is defined in the dental literature.Method An electronic search of MEDLINE (1946-2012), Embase (1980-2012) PsycINFO (1806-2012), the Cochrane Library and non-peer reviewed literature was conducted using a standardised search protocol. Definitions of patient centred care were identified and scored on two criteria to evaluate quality of definition and quality/type of evidence.Results Of the 28 papers included in the review the majority provided definitions of PCC synonymous with good quality general care (holistic, humanitarian). Only three mentioned the provision of information and the tools to facilitate informed choice. Less than a third of the papers included in this review were based on empirical evidence, and of those that were, only one was an RCT study.Conclusion The evidence suggests that the concept of PCC is neither clearly understood nor empirically and syst...
Abstract Objectives: The objective of this study was to investigate the relationship between patient perceptions and professional assessments for restorative treatment needs in a population attending dental Clinics at Hail. Methodology: Descriptive study with a cross sectional design. A validated questionnaire encompassing five subject areas for the dentists and patients was used as a study tool for this study. Data was presented in form of percentage. Chi-square test was employed to identify association amongst patient and dentists. P value <0.05 was considered significant. Results: Twenty-six 26% patients perceived discoloration compared to 41% reported by dentist, 70% patients and 59% dentist reported it not being a problem. 72% patients perceived pain as a concern compared to 91% by dentists. Both findings were statistically significant at P. value < 0.05. Twenty-eight 28% patients perceived space as a concern compared to 32% by dentist. Whereas for 70% patients space was not a concern, compared to 68% by the dentists. Similarly for loose teeth 53% patients and 47% dentists perceived it as a concern, while 47% patients and 53% dentists did not. Both findings were not statistically significant at P. value > 0.05. Conclusions Significant difference was observed between patient and dentist perception for pain and aesthetic (poor color). This difference could be because of aesthetic and pain being subjective entities. Cost was not a barrier in seeking dental consultation. Keywords: Dentist, Patients, Perceptions, Treatment
Patient-centred care in general dental practice - a systematic review of the literature
2014
Background: Delivering improvements in quality is a key objective within most healthcare systems, and a view which has been widely embraced within the NHS in the United Kingdom. Within the NHS, quality is evaluated across three key dimensions: clinical effectiveness, safety and patient experience, with the latter modelled on the Picker Principles of Patient-Centred Care (PCC). Quality improvement is an important feature of the current dental contract reforms in England, with "patient experience" likely to have a central role in the evaluation of quality. An understanding and appreciation of the evidence underpinning PCC within dentistry is highly relevant if we are to use this as a measure of quality in general dental practice. Methods: A systematic review of the literature was undertaken to identify the features of PCC relevant to dentistry and ascertain the current research evidence base underpinning its use as a measure of quality within general dental practice. Results: Three papers were identified which met the inclusion criteria and demonstrated the use of primary research to provide an understanding of the key features of PCC within dentistry. None of the papers identified were based in general dental practice and none of the three studies sought the views of patients. Some distinct differences were noted between the key features of PCC reported within the dental literature and those developed within the NHS Patient Experience Framework. Conclusions: This systematic review reveals a lack of understanding of PCC within dentistry, and in particular general dental practice. There is currently a poor evidence base to support the use of the current patient reported outcome measures as indicators of patient-centredness. Further research is necessary to understand the important features of PCC in dentistry and patients' views should be central to this research.
Evaluation of Patient-Centered Communication in the Dental Practice of Kazakhstan
2020
Background: The number of patients’ complaints based on dissatisfaction with dental care in the Republic of Kazakhstan remains high and is steadily increasing [1,2,3,4,5]. This study aims to evaluate the level of perception of patient-centered care among participants and find possible contributing factors that result in the high dissatisfaction among the patients.Methods: The cross-sectional study of 400 dentists and 400 patients from private dental clinics in the city of Nur-Sultan was conducted using a survey which contained PPOS by age and sex, dentists’ job satisfaction, job effort, job reward levels, and scales measuring the patients’ life satisfaction and communication assessment. The number of all respondents were 400 of dentists and 400 of patients ,correspondingly with an overall response rate of 80%. The middle-age (31-50 years) people have composed the major part of all the respondents, or 66.3% of the total.Results: According to the study, the patient-centered orientatio...