The Royal London Dental Hospital, Barts Health NHS Trust, London, UK.
Oral Surgery, Dental Institute, Barts and The London, QMUL, London, UK.
Br Dent J. 2020 Jan;228(2):70-74. doi: 10.1038/s41415-020-1198-2.
Introduction Patient-reported experience and outcome measures (PREMs and PROMs) are useful tools in assessing the quality of a service and the care it provides. We present our findings from the collection and analysis of PREMs and PROMs at the Royal London Dental Hospital Oral Surgery Department and discuss implications for future practice.Methods PREMs questionnaires exploring peri-operative aspects of care were distributed to patients having dental extractions under local anaesthetic. Patients were later invited to complete a PROMs questionnaire to gather information about their post-operative experience.Results One hundred and fifty-five PREMs questionnaires were completed. Over 98% of patients reported that they felt involved in their treatment, their pain and anxiety was well managed, they received information in a suitable language, and they felt able to ask questions. Eighty-seven (56%) patients subsequently completed the PROMs questionnaire. Twelve (14%) reported that they required assistance following treatment and two (2%) required further surgery. Sixty-three (72%) patients reported that they achieved normal function/appearance within two weeks.Conclusion The majority of patients reported a positive experience throughout their patient journey. We conclude that PREMs and PROMs may be used for benchmarking and managing service provision. There is scope for developing comprehensive measures for use in dental settings.
简介
患者报告的体验和结果测量（PREMs 和 PROMs）是评估服务质量和所提供护理的有用工具。我们介绍了在伦敦皇家牙科医院口腔外科部收集和分析 PREMs 和 PROMs 的结果，并讨论了对未来实践的影响。
方法
在局部麻醉下进行拔牙手术的患者会收到一份探索围手术期护理方面的 PREMs 问卷。之后，患者被邀请完成一份 PROMs 问卷，以收集有关他们术后体验的信息。
结果
共完成了 155 份 PREMs 问卷。超过 98%的患者表示他们感到参与了自己的治疗，他们的疼痛和焦虑得到了很好的控制，他们以合适的语言收到了信息，并且他们感到能够提出问题。随后，有 87 名（56%）患者完成了 PROMs 问卷。有 12 名（14%）患者报告在治疗后需要帮助，有 2 名（2%）患者需要进一步手术。有 63 名（72%）患者报告在两周内恢复了正常功能/外观。
结论
大多数患者在整个治疗过程中都报告了积极的体验。我们得出结论，PREMs 和 PROMs 可用于基准测试和管理服务提供。在牙科环境中开发综合措施还有很大的空间。
