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安全网患者对不同类型医疗服务提供者提供的口腔健康服务的满意度以及再次寻求更多护理的意愿。

Safety net patients' satisfaction with oral health services by provider type and intent to return for more care.

作者信息

Zhao Yunhan, Surdu Simona, Langelier Margaret

机构信息

Department of Sociology, Criminology and Anthropology, Colorado State University - Pueblo, Pueblo, Colorado, USA.

Oral Health Workforce Research Center, Center for Health Workforce Studies, School of Public Health, University at Albany, State University of New York (SUNY), Rensselaer, New York, USA.

出版信息

J Public Health Dent. 2024 Sep;84(3):289-299. doi: 10.1111/jphd.12629. Epub 2024 May 25.

Abstract

OBJECTIVES

This study examined patients' satisfaction with services provided by different oral health providers, their intent to return for additional care, and associations with patients' demographics and service characteristics.

METHODS

Descriptive analyses and multivariable ordinal logistic regressions were conducted using survey data from 898 patients who received care at Apple Tree Dental (ATD) in Minnesota during 2021. The questionnaire included 12 statements on patient satisfaction with the clinician's ability to explain the dental diagnosis and treatment options, to be considerate of the patient's needs and dental anxiety, and to provide technically competent services.

RESULTS

In general, patients reported high satisfaction with dental care and a strong intent to return to ATD for future services. No significant differences in patient satisfaction were observed by provider type. Patients' intent to return was higher among non-White respondents (OR = 1.76; 95% CI = 1.06-2.92) and patients who were more satisfied with their providers' technical competence/treatment (OR = 1.47; 95% CI = 1.37-1.57). The association between intent to return and patient satisfaction with providers' information/communication was stronger for patients treated by dental hygienists. The association between intent to return and patient satisfaction with providers' technical competence/treatment was also stronger for patients who were more satisfied with providers' information/communication and understanding/acceptance, and for those treated by their desired or usual provider.

CONCLUSIONS

The study underscores the benefits of introducing dental therapists to the oral healthcare team, showing that this can be achieved without sacrificing either the quality of patient care or patient satisfaction.

摘要

目的

本研究调查了患者对不同口腔健康服务提供者所提供服务的满意度、他们寻求进一步治疗的意愿,以及与患者人口统计学特征和服务特点之间的关联。

方法

使用2021年期间在明尼苏达州苹果树牙科(ATD)接受治疗的898名患者的调查数据进行描述性分析和多变量有序逻辑回归。问卷包含12条关于患者对临床医生解释牙齿诊断和治疗方案的能力、对患者需求和牙科焦虑的体谅程度,以及提供技术上合格服务的满意度的陈述。

结果

总体而言,患者对牙科护理的满意度较高,并且有强烈的意愿返回ATD接受未来的服务。未观察到不同服务提供者类型在患者满意度上存在显著差异。非白人受访者(OR = 1.76;95% CI = 1.06 - 2.92)以及对服务提供者的技术能力/治疗更满意的患者(OR = 1.47;95% CI = 1.37 - 1.57)返回治疗的意愿更高。对于由牙科保健员治疗的患者,返回意愿与患者对服务提供者信息/沟通的满意度之间的关联更强。对于对服务提供者的信息/沟通和理解/接受度更满意的患者,以及由他们期望或通常的服务提供者治疗的患者,返回意愿与患者对服务提供者技术能力/治疗的满意度之间的关联也更强。

结论

该研究强调了将牙科治疗师引入口腔医疗团队的益处,表明在不牺牲患者护理质量或患者满意度的情况下可以实现这一点。

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