Use of clinical services compared with patients' perceptions of and satisfaction with oral health status.
Use of clinical services compared with patients' perceptions of and satisfaction with oral health status.
复制标题
临床服务的使用与患者对口腔健康状况的看法和满意度的比较。
DOI：
10.1111/j.1752-7325.2004.tb02733.x
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发表时间：
2004
影响因子：
2.3
通讯作者：
White,BAlex
中科院分区：
文献类型：
--
作者：
Maupomé,Gerardo;Peters,Dawn;White,BAlex
目的：探讨临床服务使用率与自我报告的口腔健康状况感知和满意度之间的关系。方法：使用健康维护组织电子数据计算1990年至2000年间年龄55岁及以上且至少有四年资格的会员的牙科服务提供率。邮件调查得到了986份回复（回复率为65.7%）。在控制了年龄、受教育程度、性别和婚姻状况等因素后，使用泊松回归检验服务利用率与自我报告的口腔健康状况感知和满意度之间的关系。结果：总体而言，口腔健康状况感知与口腔健康满意度密切相关。对口腔健康状况的不满意程度和对较差的口腔健康状况的认识与非预防性牙科服务的较高使用率相关。对口腔健康状况的满意度较低与较高的修复服务使用率和较低的预防服务使用率相关，与牙周服务使用率略有相关。口腔健康状况较差的感觉与较高的修复和牙周服务使用率密切相关，但与预防性服务使用率只有微弱关联。结论：牙科计划成员的服务使用与他们对口腔健康状况的认知和满意度有关。未来的工作应该试图澄清，对口腔健康状况和满意度的看法是长期临床经验的结果，还是与寻求和获得护理相关的行为和价值观反而塑造了对状况和满意度的看法。
Objectives: To examine the relationship between rates of clinical service use and self‐reported perception of and satisfaction with oral health status.Methods: Dental services provision rates were calculated using health maintenance organization electronic data for members 55 years of age and older with at least four years of eligibility between 1990 and 2000. A mail survey yielded 986 responses (response rate=65.7%). Poisson regression was used to examine the relationship between service utilization rates and self‐reported perception of and satisfaction with oral health status, controlling for age, education, sex, and marital status.Results: Perceptions of oral health status and levels of satisfaction with oral health status generally were closely associated. Greater dissatisfaction with oral health status and perception of poorer oral health status were associated with higher usage of nonpreventive dental services. Less satisfaction with oral health status was associated with higher restorative services usage and lower preventive services usage and slightly associated with periodontal service usage. Perception of a less favorable oral health status was strongly associated with higher restorative and periodontal services usage, but had only a weak association with preventive services usage.Conclusions: Dental plan members' service use is associated with their perception of their oral health status and their level of satisfaction with it. Future work should seek to clarify whether opinions on oral health status and satisfaction are a result of clinical experiences over time or whether the behavior and the values associated with seeking and obtaining care instead shape opinions on status and satisfaction.