Department of Preventive and Restorative Dental Sciences, University of California San Francisco, School of Dentistry, 707 Parnassus Avenue, D3214, Box #1361, San Francisco, CA, 94143, USA.
Ibn Sina Community Dental Clinic, Houston, TX, USA.
BMC Oral Health. 2024 Apr 10;24(1):438. doi: 10.1186/s12903-024-04030-1.
Active patient involvement in promoting quality and safety is a priority for healthcare. We investigated how dental patients perceive their role as partners in promoting quality and safety across various dental care settings.
Focus group sessions were conducted at three dental practice settings: an academic dental center, a community dental clinic, and a large group private practice, from October 2018-July 2019. Patients were recruited through flyers or word-of-mouth invitations. Each session lasted 2.5 h and patients completed a demographic and informational survey at the beginning. Audio recordings were transcribed, and a hybrid thematic analysis was performed by two independent reviewers using Dedoose.
Forty-seven participants took part in eight focus group sessions; 70.2% were females and 38.3% were aged 45-64 years. Results were organized into three major themes: patients' overall perception of dental quality and safety; patients' reaction to an adverse dental event; and patients' role in promoting quality and safety. Dental patients were willing to participate in promoting quality and safety by careful provider selection, shared decision-making, self-advocacy, and providing post-treatment provider evaluations. Their reactions towards adverse dental events varied based on the type of dental practice setting. Some factors that influenced a patient's overall perception of dental quality and safety included provider credentials, communication skills, cleanliness, and durability of dental treatment.
The type of dental practice setting affected patients' desire to work as partners in promoting dental quality and safety. Although patients acknowledged having an important role to play in their care, their willingness to participate depended on their relationship with their provider and their perception of provider receptivity to patient feedback.
积极的患者参与促进质量和安全是医疗保健的首要任务。我们调查了牙科患者如何将自己视为在各种牙科保健环境中促进质量和安全的合作伙伴。
2018 年 10 月至 2019 年 7 月，在三个牙科诊所环境中进行了焦点小组会议：学术牙科中心、社区牙科诊所和大型私人诊所。通过传单或口口相传来招募患者。每个会议持续 2.5 小时，患者在开始时完成一份人口统计学和信息调查。音频记录被转录，两位独立的审查员使用 Dedoose 进行了混合主题分析。
47 名参与者参加了 8 次焦点小组会议；70.2%为女性，38.3%年龄在 45-64 岁之间。结果分为三个主要主题：患者对牙科质量和安全的总体看法；患者对不良牙科事件的反应；以及患者在促进质量和安全方面的作用。牙科患者愿意通过仔细选择提供者、共同决策、自我倡导和提供治疗后提供者评估来参与促进质量和安全。他们对不良牙科事件的反应取决于牙科诊所环境的类型。影响患者对牙科质量和安全总体看法的一些因素包括提供者的资质、沟通技巧、清洁度和牙科治疗的耐久性。
牙科诊所环境的类型影响患者作为促进牙科质量和安全的合作伙伴的意愿。尽管患者承认在他们的护理中扮演着重要的角色，但他们参与的意愿取决于他们与提供者的关系以及他们对提供者接受患者反馈的看法。
