Department of Community Dentistry and Behavioral Sciences, College of Dentistry, University of Florida, Gainesville 32610, USA.
J Am Dent Assoc. 2012 Sep;143(9):1002-10. doi: 10.14219/jada.archive.2012.0329.
The authors conducted a study to identify components of patient satisfaction with restorative dental care and to test the hypothesis that certain dentist, patient and procedure factors are associated with patient satisfaction.
Practitioner-investigators (P-Is) from 197 practices in The Dental Practice-Based Research Network (DPBRN) recruited consecutively seen patients who had defective permanent-tooth restorations that were replaced or repaired. At the end of the treatment visit, P-Is asked each participant to complete a satisfaction survey and mail it directly to a DPBRN regional coordinator.
Analysis of the results of 5,879 satisfaction surveys revealed three satisfaction components: interpersonal relationship-comfort factors, material choice-value factors and sensory-evaluative factors. Satisfaction was highest among patients who received care in a private practice model, whose restorations were repaired rather than replaced and whose restored teeth were not molars.
These data suggest that a patient's judgments of a dentist's skills and quality of care are based on personal interactions with the dentist, the level of comfort the patient perceives while receiving care and any experience of posttreatment sensitivity in the treated tooth. These conclusions have direct implications for management of patient care before, during and after the procedure.
By taking a patient-centered approach, dentists should seek to understand how patients evaluate and rate the service provided, thereby enabling themselves to focus on what each patient values most.
作者开展了一项研究,旨在确定患者对修复性牙科护理满意度的组成部分,并验证以下假设,即某些牙医、患者和治疗程序因素与患者满意度相关。
来自牙科实践基础研究网络(DPBRN)的 197 个实践的从业者调查员(P-Is)连续招募了患有永久性牙齿修复体缺陷的患者,这些修复体需要更换或修复。在治疗就诊结束时,P-Is 要求每位参与者完成一份满意度调查,并直接邮寄给 DPBRN 区域协调员。
对 5879 份满意度调查结果的分析显示,有三个满意度组成部分:人际关系舒适因素、材料选择价值因素和感官评估因素。在私人执业模式下接受治疗、修复而非更换修复体且修复牙齿非磨牙的患者满意度最高。
这些数据表明,患者对牙医技能和护理质量的判断基于与牙医的个人互动、患者在接受治疗时感知的舒适度以及治疗牙术后任何敏感性体验。这些结论对治疗前、治疗中和治疗后患者护理管理有直接影响。
通过采取以患者为中心的方法,牙医应努力了解患者如何评估和评价所提供的服务,从而使自己能够专注于每个患者最看重的方面。