Evidence summary: what do we know from qualitative research about people's care-seeking about oral health?

Fox, Chris

doi:10.1038/sj.bdj.2010.796

Cited by 18 publications

(25 citation statements)

References 13 publications

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“…Despite the existing barriers for prevention, changes occurred in the context of a relationship with a dentist and the dental team – having a preventive structured approach in place helped individual patients to feel that their dentist respected their views and concerns. This is consistent with literature that suggests that patients’ perceptions of the quality of dental care and the likelihood of them seeking care are related to their perceptions of dentists as caregivers [15]. Several studies have described perceived characteristics of dentists that are likely to increase care-seeking or satisfaction with care, including communication skills, informing patients about treatment options, and dental teams’ behaviour during dental visits [13-17,22-25].…”

Section: Discussionsupporting

confidence: 85%

“…Patients have been shown to have confidence in dentists who are friendly, kind, not victim blaming towards patients, are patient focused rather than income focused; and who take time to explain procedures [15,16]. Similarly, in our study, patients talked about being compliant with preventive care recommendations because they felt they were being “treated as a person and not as a patient.” There was a perception that the offer of preventive care was a caring action: by making this offer, the dentist demonstrated that he or she was committed to work with a patient to “keep their teeth.” In contrast, many patients wondered why their previous care had been mainly restorative, and were concerned that they had not been offered the benefits of preventive care earlier in life.…”

Section: Discussionmentioning

confidence: 69%

“…These expectations are less related to the technical competence of dentists, and more to do with the attitudes and communication skills [9,13-16]. In particular patients want a dentist who listens to them, has a friendly caring attitude, explains treatment options and procedures, and inspires confidence [9,15,17]. This is consistent with research findings in the medical literature which shows that “the most important health service factor affecting” patient satisfaction is the quality of the doctor-patient relationship [18].…”

Section: Introductionmentioning

confidence: 99%

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Experiences of dental care: what do patients value?

Sbaraini

Carter

Evans

et al. 2012

BMC Health Serv Res

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BackgroundDentistry in Australia combines business and health care service, that is, the majority of patients pay money for tangible dental procedures such as fluoride applications, dental radiographs, dental fillings, crowns, and dentures among others. There is evidence that patients question dentists’ behaviours and attitudes during a dental visit when those highly technical procedures are performed. However, little is known about how patients’ experience dental care as a whole. This paper illustrates the findings from a qualitative study recently undertaken in general dental practice in Australia. It focuses on patients’ experiences of dental care, particularly on the relationship between patients and dentists during the provision of preventive care and advice in general dental practices.MethodsSeventeen patients were interviewed. Data analysis consisted of transcript coding, detailed memo writing, and data interpretation.ResultsPatients described their experiences when visiting dental practices with and without a structured preventive approach in place, together with the historical, biological, financial, psychosocial and habitual dimensions of their experience. Potential barriers that could hinder preventive activities as well as facilitators for prevention were also described. The offer of preventive dental care and advice was an amazing revelation for this group of patients as they realized that dentists could practice dentistry without having to “drill and fill” their teeth. All patients, regardless of the practice they came from or their level of clinical risk of developing dental caries, valued having a caring dentist who respected them and listened to their concerns without “blaming” them for their oral health status. These patients complied with and supported the preventive care options because they were being “treated as a person not as a patient” by their dentists. Patients valued dentists who made them aware of existing preventive options, educated them about how to maintain a healthy mouth and teeth, and supported and reassured them frequently during visits.ConclusionsPatients valued having a supportive and caring dentist and a dedicated dental team. The experience of having a dedicated, supportive and caring dentist helped patients to take control of their own oral health. These dentists and dental teams produced profound changes in not just the oral health care routines of patients, but in the way patients thought about their own oral health and the role of dental professionals.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 69%

Section: Introductionmentioning

confidence: 99%

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Experiences of dental care: what do patients value?

Sbaraini

Carter

Evans

et al. 2012

BMC Health Serv Res

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“…1 Oral health has remained as an integral part of an individual's general health and over all well-being. [2][3][4] Maintaining good oral hygiene is one of the most important things for healthy teeth and gums.…”

Section: Introductionmentioning

confidence: 99%

Oral health knowledge, attitude and behavior among students of age 10–18years old attending Jenadriyah festival Riyadh; a cross-sectional study

Subait

Alousaimi

Geeverghese

et al. 2016

The Saudi Journal for Dental Research

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Introduction: Several studies have documented a high prevalence of dental problems among Saudi youth. In order to plan successful public health awareness campaigns it is essential to evaluate three domains related to oral health at the population level, namely knowledge, attitudes and behavior. Objective: To assess the level and aspects of knowledge, attitudes, and behaviors related to oral health among school students who attended a major festival in the City of Riyadh. Methods: This survey followed a cross sectional study design. Study subjects were recruited randomly among Saudi nationals attending the Jenadriyah festival in Riyadh City in the year 2013. Results: The study population was composed of 287 participants of age 10-18 years. Around 67% students reported brushing their teeth daily. We found significant difference in brushing habit between genders (P = 0.001) with girls showing a better dental practice. Compared to boys, girls were more aware about bleeding gums (P value 6 0.001), oral health effects general health (P value = 0.004) and importance of dental check-up (P value 6 0.001). Compared to boys' girls were significantly more conscious about tooth color (P value = 0.05). Other attitudes toward dental health were not significantly different in-between genders. Conclusion: This population-based study among 15-18-year old students found that around two third of Saudi youth brush their teeth proportion which is similar to that reported among similar age groups 10 years ago. Through this study we recommended that evidenced-based effective dental awareness programs are needed in order to improve dental-related practice among that age group. Evaluations of ongoing campaigns in

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“…The consumers of dental care services do not behave exactly as consumers of banking, pest control and fast foods tested by Cronin and Taylor [15] , hence their results may not be directly applicable. In dental care, patient's expectations especially of the attitudes and communication skills of the dentists remained important for overall patient satisfaction [18,21] . According to Crow et al the most important health services factor affecting satisfaction was the quality of doctor-patients interacttion [22] .…”

Section: Introductionmentioning

confidence: 99%

Patient assessment of the quality of dental care services in a Nigerian hospital

Adebayo

Adesina

Ahaji

et al. 2014

JHA

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Dental care services are available in many urban communities worldwide where discerning and sophisticated clients expect quality care. Many available studies evaluated satisfaction rather than quality of dental care; others did not reveal the patients' perception of gaps in the quality of care. Service quality (SERVQUAL) tool assesses quality of service based on the dimensions of tangibles, reliability, responsiveness, assurance and empathy as described by Parasuraman et al. (1985). The aim of this study was to assess the gaps in quality of dental care in a Nigerian government owned dental clinic using an unweighted SERVQUAL tool to determine the difference between expectations and perceptions of patients. Consenting patients seen during the study period were given a 32-items questionnaire divided equally between expectations and perception of quality of dental care services received. Out of 112 questionnaires analysed, patients had the most expectation for neatness (4.69 ± 0.85) and least for pain free treatment (3.76 ± 1.16). Highest perception was for knowledgeable clinic staff (4.34 ± 0.71) while support to enable staff work well was the least perceived quality (3.73 ± 0.86). Overall, among the 5 dimensions of quality, there were marked statistically significant quality gaps in assurance (p = .0001) and tangibles (p = .0006). This study showed that patients in a Nigerian government-owned dental clinic, there is need for greater attention to be paid to assurance, tangibles and reliability dimensions of service quality to improve patient perceptions.

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Evidence summary: what do we know from qualitative research about people's care-seeking about oral health?

Cited by 18 publications

References 13 publications

Experiences of dental care: what do patients value?

Experiences of dental care: what do patients value?

Oral health knowledge, attitude and behavior among students of age 10–18years old attending Jenadriyah festival Riyadh; a cross-sectional study

Patient assessment of the quality of dental care services in a Nigerian hospital

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