Brennan D S, Spencer A J
Dental School, Faculty of Health Sciences, Adelaide University, Australia.
Community Dent Health. 2002 Jun;19(2):109-15.
To examine evaluations of patients by dentists, and analyse these by patient, visit and service characteristics.
Mailed questionnaires collected from a random sample of Australian dentists in 1997-98 (response rate = 60.3%; n = 345 private general practitioners provided service data).
Three factor-based sub-scales ('payment', 'no problems', and 'knowledge') and an overall scale ('evaluation') were derived from a 5-item battery. Scale and sub-scale scores ranged between I and 5. Lower scores indicated better evaluation ratings.
Nearly 60% of patients had better ratings (scores < or = 2) on the 'payment' and 'no problems' sub-scales, 39.9% on the 'knowledge' sub-scale, and 36.4% on the 'evaluation' scale. Better ratings on all sub-scales and the overall scale were associated with dentate patients, non-emergency visits, insurance, and no decayed teeth (chi2; P<0.05). Those with better 'evaluation' scale ratings (scores < or = 2.0), had higher [Poisson regression, P < or = 0.05; RR=Rate ratio] preventive (RR = 1.30), and crown and bridge rates (RR = 1.88), but lower extraction rates (RR = 0.52).
Desirable characteristics of patients were associated with more favourable evaluation scores by their dentists. Patients with better evaluation scores received a more favourable service pattern.
检查牙医对患者的评价，并根据患者、就诊及服务特征进行分析。
1997 - 1998年从澳大利亚牙医的随机样本中收集邮寄问卷（回复率 = 60.3%；345名私人全科医生提供了服务数据）。
从一个包含5个条目的量表中得出三个基于因素的子量表（“付费”、“无问题”和“知识”）以及一个总体量表（“评价”）。量表及子量表得分在1至5分之间。得分越低表明评价等级越高。
近60%的患者在“付费”和“无问题”子量表上的评分较好（得分≤2），在“知识”子量表上为39.9%，在“评价”量表上为36.4%。所有子量表及总体量表上的较好评分与有牙患者、非急诊就诊、保险以及无龋齿相关（卡方检验；P<0.05）。那些“评价”量表评分较好（得分≤2.0）的患者，预防性治疗（相对危险度 = 1.30）、冠桥修复率（相对危险度 = 1.88）较高，但拔牙率较低（相对危险度 = 0.52）[泊松回归，P≤0.05；RR = 率比]。
患者的理想特征与牙医更有利的评价得分相关。评价得分较好的患者接受的服务模式更有利。
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