利雅得市青春期女性口腔健康服务利用情况及满意度的影响因素
Factors affecting utilization of dental health services and satisfaction among adolescent females in Riyadh City.
作者信息
Al-Hussyeen Al Johara A
机构信息
Department of Pediatric Dentistry and Orthodontics, King Saud University, College of Dentistry, P.O. Box 60169, Riyadh 11545, Saudi Arabia.
出版信息
Saudi Dent J. 2010 Jan;22(1):19-25. doi: 10.1016/j.sdentj.2009.12.004. Epub 2009 Dec 28.
OBJECTIVES
This study was conducted to determine factors affecting utilization of dental health services among intermediate female school students in Riyadh. In addition to assessing their satisfaction with the dental care received during the last dental visit.
SUBJECTS AND METHODS
Self-administered questionnaires were distributed among students attending eight public and four private schools. These schools were selected randomly to represent the four different administrative zones in Riyadh.
RESULTS
Of 600 questionnaires distributed, 531 were complete and suitable for analysis. Nearly three quarters of the students visited the dentist more than once during the last 2 years. A bout 75% had their treatment in private dental clinics and 63% made their visits for routine treatment. The quality of dental care was found to be the most encouraging factor for utilization of dental services, whereas, far geographic location of the dental clinics was the most discouraging factor. For those who received treatment in the government clinics, the most discouraging factor was post operative complications (P < 0.0001), while the most encouraging factor was the availability of friendly staff (P < 0.0001). The high cost of dental care was the most discouraging factor for utilizing the dental services for those who visited private clinics (P < 0.0001), while the high quality of dental care was the most encouraging factor (P < 0.009). Students who made their visits because of pain highly considered modern clinics and those recommended by friends as highly encouraging factors (P < 0.002), while they considered the high cost of dental care as discouraging factor for using dental services (P < 0.038). Students who visited the dentist for routine treatment gave the quality of dental care as encouraging for the use of dental clinics (P < 0.0001). Satisfaction with dental care was found to be significantly associated with high quality of dental care, convenient appointment, friendly staff, modern dental clinics and clinics recommended by friends.
CONCLUSION
Quality of dental care, reasonable fees for dental services and close location of dental clinics to students' homes are encouraging factors for utilization of dental services.
目的
本研究旨在确定影响利雅得初中女生牙科保健服务利用情况的因素。此外，还评估她们对上一次牙科就诊时所接受牙科护理的满意度。
对象与方法
自行填写的问卷分发给八所公立学校和四所私立学校的学生。这些学校是随机挑选的，代表利雅得四个不同的行政区。
结果
在分发的600份问卷中，531份完整且适合分析。近四分之三的学生在过去两年中看过不止一次牙医。约75%的学生在私人牙科诊所接受治疗，63%的学生因常规治疗就诊。发现牙科护理质量是利用牙科服务最积极的因素，而牙科诊所地理位置偏远是最消极的因素。对于那些在政府诊所接受治疗的学生，最消极的因素是术后并发症（P<0.0001），而最积极的因素是有友善的工作人员（P<0.0001）。牙科护理费用高昂是那些在私人诊所就诊的学生利用牙科服务最消极的因素（P<0.0001），而高质量的牙科护理是最积极的因素（P<0.009）。因疼痛就诊的学生高度认可现代化诊所和朋友推荐的诊所是积极因素（P<0.002），而他们认为牙科护理费用高昂是使用牙科服务的消极因素（P<0.038）。因常规治疗就诊的学生认为牙科护理质量是使用牙科诊所的积极因素（P<0.0001）。发现对牙科护理的满意度与高质量的牙科护理、便捷的预约、友善的工作人员、现代化牙科诊所和朋友推荐的诊所有显著关联。
结论
牙科护理质量、合理的牙科服务费用以及牙科诊所距离学生家庭较近是利用牙科服务的积极因素。
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