Faculty of Dentistry, Department of Oral Sciences, Sir John Walsh Research Institute, University of Otago, Dunedin, New Zealand.
Otago Business School, University of Otago, Dunedin, New Zealand.
PLoS One. 2021 Aug 6;16(8):e0253517. doi: 10.1371/journal.pone.0253517. eCollection 2021.
The dimensions of patient-centred care include not only clinical effectiveness and patient safety, but, importantly, the preferences of patients as consumers of healthcare services. A total of 249 participants were included in the study, with a balanced population proportional representation by age, gender, ethnicity and geographic region of New Zealand. An online questionnaire was used to identify participants' decision-making process, and what factors and barriers for participants to seek dental treatment. Cross-tabulations, Spearman correlation analysis and Pearson Chi-Square analysis were used for the statistical analyses. Three most common reasons for visit were check-up (77%), clean (57%) and relief of pain 36%). A desire to treat a perceived problem was the most common encouraging factor to seek dental care. Cost was the most common barrier to seeking dental services. The majority of participants attended a private practice (84%), with convenience of location and referral from professionals the most likely to influence their choice. Participants felt the most important trait a dental practitioner could demonstrate was to discuss treatment options with them before any treatment. Dental check-up, teeth cleaning and relief of pain were the most common reasons for patients to choose dental services. Cost and ethnicity of the consumers had a significant impact on how dental services were perceived and sought. Dental practitioners may need to reorientate how they express value of oral health practice, not just in regard to communication with patients, but also with government funding agencies.
患者为中心的护理的维度不仅包括临床效果和患者安全，而且重要的是，还包括患者作为医疗服务消费者的偏好。共有 249 名参与者参与了这项研究，其年龄、性别、种族和新西兰地理位置的人口比例均衡。采用在线问卷来确定参与者的决策过程，以及参与者寻求牙科治疗的因素和障碍。交叉表、斯皮尔曼相关分析和皮尔逊卡方分析用于统计分析。就诊的三个最常见原因是检查（77%）、清洁（57%）和缓解疼痛（36%）。治疗感知问题的愿望是寻求牙科护理的最常见鼓励因素。费用是寻求牙科服务的最常见障碍。大多数参与者去私人诊所就诊（84%），地点便利和专业人士的推荐是最有可能影响他们选择的因素。参与者认为牙医最能展现的重要特质是在进行任何治疗之前与他们讨论治疗方案。牙科检查、牙齿清洁和缓解疼痛是患者选择牙科服务的最常见原因。消费者的费用和种族对如何看待和寻求牙科服务有重大影响。牙医可能需要重新调整他们表达口腔健康实践价值的方式，不仅要与患者沟通，还要与政府资助机构沟通。
