Do people trust dentists? Development of the Dentist Trust Scale (original) (raw)
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Trusting the Dentist—Expecting a Leap of Faith vs. a Well-Defined Strategy for Anxious Patients
Dentistry Journal
This article aimed to set into perspective the unique aspects of trust within the dentist–patient relationship by exploring the literature as well as historical aspects of dentistry in the association between trust/distrust and patient anxiety. In order to characterise this uniqueness, the assumptions for trusting in dentistry are compared and contrasted with other professions using a conceptual analysis. The professions of medicine, sociology, psychology, nursing and dentistry were check listed according to the tenets of a concept analytical approach reported by Hupcey et al., in 2001. Recommendations for patient/person-centred care, as opposed to dentist-centred care, that would improve trust are specified according to the literature. These include empowering patients, practicing active listening, empathy and relationship building that might benefit dental patients in relation to the perceived risks of anxiety or induced pain. It was concluded that global distrust of dominating de...
The Influence of Quality of Dental Health Services on Trust in West Sulawesi Province, Indonesia
International Journal of Dentistry and Oral Science, 2020
Purpose: To evaluate patient confidence in the quality of community dental and oral health services from various dimension. Materials and Methods: This research was conducted in Polewali Mandar Regency in 2019 and used a pilot path finder design. The subjects consisted of 458 participants. Data was collected using a questionnaire which had been design in accordance with this survey. The questionnaire included 67 questions with responses in the form of bad, poor, moderate, good, very good. Questions about confidence in dental and oral health services were grouped into four dimensions, namely the dimensions of ability, kindness, integrity, and confidence. Confidence was analyzed using the F-test and multiple regression. Results: Service quality dimension which included dimension of registration, doctors, and pharmacy had an influence on community confidence wih a P value < 0,05. Conclusion: The quality of dental and oral health services in Wonomulyo sub-district and Bulo sub-district, Polewali Mandar Regency, had a signicant influence on community confidence.
SciDoc Publishers, 2020
Purpose: To evaluate patient confidence in the quality of community dental and oral health services from various dimension. Materials and Methods: This research was conducted in Polewali Mandar Regency in 2019 and used a pilot path finder design. The subjects consisted of 458 participants. Data was collected using a questionnaire which had been design in accordance with this survey. The questionnaire included 67 questions with responses in the form of bad, poor, moderate, good, very good. Questions about confidence in dental and oral health services were grouped into four dimensions, namely the dimensions of ability, kindness, integrity, and confidence. Confidence was analyzed using the F-test and multiple regression. Results: Service quality dimension which included dimension of registration, doctors, and pharmacy had an influence on community confidence wih a P value < 0,05. Conclusion: The quality of dental and oral health services in Wonomulyo sub-district and Bulo sub-district, Polewali Mandar Regency, had a signicant influence on community confidence.
Communication, Trust and Dental Anxiety: A Person-Centred Approach for Dental Attendance Behaviours
Dentistry Journal
Effective communication forges the dentist-patient treatment alliance and is thus essential for providing person-centred care. Social rank theory suggests that shame, trust, communication and anxiety are linked together, they are moderated by socio-economic position. The study is aimed to propose and test an explanatory model to predict dental attendance behaviours using person-centred and socio-economic position factors. A secondary data analysis was conducted on a cross-sectional representative survey of a two-stage cluster sample of adults including England, Wales and Northern Ireland. Data were drawn from structured interview. Path analysis of proposed model was calculated following measurement development and confirmation of reliable constructs. The findings show model fit was good. Dental anxiety was predicted negatively by patient’s trust and positively by reported dentist communication. Patient’s shame was positively associated with dental anxiety, whereas self-reported dent...
Is trust a predictor of having a dental home?
The Journal of the American Dental Association, 2004
Background. Developing a better understanding of sociodemographic variables that predict having a dental home may aid in reducing the disparities in oral health among minorities in the United States. Methods. The authors used data from a telephone survey of 1,005 randomly selected lowincome residents (403 men, 602 women) aged 18 or older in two Florida counties-Miami-Dade and Duval-to examine the sociodemographic characteristics of people who reported having a regular dentist. Results. Bivariate analyses showed that respondents' levels of trust in physicians and dentists were strongly associated with having a dental home. After adjusting for other variables in a multiple logistic regression model, the authors found that respondents with a moderate level of trust in physicians and dentists were 52 percent less likely (odds ratio, or OR, = 0.48; 95 percent confidence interval, or CI, 0.26 to 0.89) and those with low trust were 54 percent less likely (OR = 0.46; 95 percent CI, 0.28 to 0.75) than those with high trust to have a regular dentist. Race/ethnicity, sex, age, education level and employment status remained significant correlates of having a regular dentist in the multivariate model. Conclusions. The results of this study suggest that efforts to reduce disparities in access to dental care and establish dental homes should include programs to increase patients' trust in dental professionals. Clinical Implications. While policymakers consider ways to improve access to dental care, dental professionals should work at the community level to increase the level of trust of the community in the dental health provider.
Qualitative techniques to investigate how patients evaluate dentists: a pilot study
Community Dentistry and Oral Epidemiology, 2000
Objectives: Most previous studies have portrayed patient satisfaction as a rather simple outcome based solely on patient perceptions. The goal of this pilot study was to determine if evidence could be found to support the view that patient evaluation is a more complex process better explained by drawing on the theories of 'disconfirmation of expectations' and 'attribution'. Methods: A qualitative methodological approach was chosen with data collection being achieved by means of four focus group interviews comprising a total of 25 participants (16 women and 9 men, mean age 43.8 years, standard deviation of 14.45) representing a wider population of adults (over the age of 18) who had attended for dental treatment within the previous 12 months. Results: Analysis suggests that patient Key words: behavioural dental science; dental; dentist-patient relationship perceptions of dental practice alone do not fully account for the way patients evaluate dentists. Disconfirmation of expectations does take place during the eval
International journal of dental hygiene, 2008
Interpersonal relationships are important for communication, oral health education and patients' satisfaction with dental care. To assess patients' attitudes towards dental caregivers, a Swedish version of the revised Dental Belief Survey (DBS-R) and a comparable and partly new instrument the Dental Hygienist Belief Survey (DHBS) have been evaluated. The aim of the present study was to investigate if patients' attitudes towards dental hygienists (DH) and dentists (D) differ with regard to the separate items in DBS-R and DHBS. The study was a comparative cross-sectional study with 364 patients (students, general patients and patients with periodontal disease). All patients completed the DBS-R and DHBS surveys. The overall pattern in the results showed that participants in general had a less negative attitude towards DH when compared with that towards D. This was most pronounced among students and least pronounced among patients with periodontal disease. No statistically s...
Trust in GPs: A Review of the Literature and Analyses of the GP/Patient Survey Data
2014
The purpose of this paper is to initially review the conceptual landscape of trust within the social sciences in order to highlight under what circumstances trust becomes a crucial concern for human interactions. From this basis, the concept of trust is unpacked alongside similar concepts, such as confidence, and goes on to explore trust within the context of a salient concern with the UK health profession, that is, trust between patients and general practitioners (GPs). As will be demonstrated, issues of trust are heightened under greater situations of vulnerability and uncertainty, which means that health researchers interested in trust between patients and GPs need to be sensitive to the types of medical conditions patients have when examining trust in patient/GP relationships. Building on recent focus group work in the UK specifically designed to explore issues of trust with patient/GP relations (Wiles 2014), and using data from the GP/Patient Survey, a set of multivariate analy...
Why Patients Visit Dentists – A Study in all World Health Organization Regions
Journal of Evidence Based Dental Practice, 2020
Background: The dimensions of oral health-related quality of life (OHRQoL) Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact are the major areas where patients are impacted by oral diseases and dental interventions. Aim: The aim of this study was to evaluate whether dental patients' reasons to visit the dentist fit the four OHRQoL dimensions. Methods: Dentists (N=1,580) from 32 countries participated in a web-based survey. For their patients with current oral health problems, dentists were asked whether these problems were related to teeth, mouth, and jaws' function, pain, appearance, or psychosocial impact or whether they do not fit into the previous four categories. Dentists were also asked about their patients who intended to prevent future oral health problems. For both patient groups, the proportions of oral health problems falling into the four OHRQoL dimensions were calculated. Results: For 96 out of 100 dental patients, their current oral health problems were related to teeth, mouth, and jaws' function, pain, appearance, or psychosocial impact. For 92 out of 100 dental patients, the oral health problems they intended to prevent in the future were related to the OHRQoL dimensions. Both numbers increased to 98% or higher when experts analyzed dentists' explanations of why some oral health problems would not fit these four categories. None of the dentist-provided explanations suggested evidence against the OHRQoL dimensions as the concepts that capture dental patients' suffering. Conclusion: Oral Function, Orofacial Pain, Orofacial Appearance, and Psychosocial Impact capture dental patients' oral health problems worldwide. These four OHRQoL dimensions offer a psychometrically sound and practical framework for patient care and research, identifying what is important to dental patients.