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瑞典牙科服务中本土出生与外国出生患者对沟通和护理的认知

Native-born versus foreign-born patients' perception of communication and care in Swedish dental service.

作者信息

Olausson Minh, Esfahani Nadya, Östlin Johanna, Hägglin Catharina

出版信息

Swed Dent J. 2016;40(1):91-100.

PMID:27464385
Abstract

Like many other countries Sweden is becoming more multicultural and many residents do not fully master the national language and are not completely familiar with national norms and habits. The key to good interaction between dentists and patients is communication. Therefore this study aimed to examine whether there are differences in the experience of communication and care between native-born (NB) and foreign-born (FB) patients in the Swedish Public Dental Service (PDS). Consecutive patients at four PDS clinics in a major Swedish city (Gothenburg) were asked to complete the Dental Visit Satisfaction Scale (DVSS), eight additional items concerning communication and care, and a questionnaire eliciting background information.The questionnaires were available in English, Swedish, Arabic and Farsi. The response rate was 74% (204 patients, mean age: 42 years, range 18-86). Of the participants, 96 (47%) were NB and 108 (53%) were FB; 80 (40%) were men and 121 (60%) women. The NB group was significantly older, had higher education and more regular dental care habits, and reported higher dental fear than the FB group. Fewer FB than NB patients thought the dentist treated them in the same manner as he or she would treat other patients and this applied particularly to those who had lived in Sweden for more than 5 years. FB patients were as satisfied with the information and communication they received from the dentist as those born in Sweden, but they were more sceptical about the dentist's technical competence. The differences between the two groups were otherwise smaller than might have been expected in view of probable language difficulties and differences in dental care background.

摘要

与许多其他国家一样,瑞典正变得越来越多元化,许多居民不能完全掌握国家语言,也不完全熟悉国家规范和习惯。牙医与患者之间良好互动的关键在于沟通。因此,本研究旨在调查在瑞典公共牙科服务(PDS)中,本国出生(NB)和外国出生(FB)的患者在沟通和护理体验上是否存在差异。瑞典一个主要城市(哥德堡)的四家PDS诊所的连续就诊患者被要求填写牙科就诊满意度量表(DVSS)、另外八项关于沟通和护理的项目,以及一份获取背景信息的问卷。问卷有英文、瑞典文、阿拉伯文和波斯文版本。回复率为74%(204名患者,平均年龄:42岁,范围18 - 86岁)。参与者中,96名(47%)为本国出生,108名(53%)为外国出生;80名(40%)为男性,121名(60%)为女性。本国出生组年龄显著更大,受教育程度更高,有更规律的牙科护理习惯,且报告的牙科恐惧程度高于外国出生组。认为牙医对待他们与对待其他患者方式相同的外国出生患者比本国出生患者更少,这尤其适用于那些在瑞典居住超过5年的人。外国出生患者对从牙医那里获得的信息和沟通与瑞典出生的患者一样满意,但他们对牙医的技术能力更持怀疑态度。考虑到可能存在的语言困难和牙科护理背景差异,两组之间的差异在其他方面比预期的要小。

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