Differences in dimensions of satisfaction with private and public dental care among children
Differences in dimensions of satisfaction with private and public dental care among children
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DOI：
10.1002/j.1875-595x.2001.tb00826.x
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发表时间：
2001-04-01
影响因子：
3.3
通讯作者：
Spencer, AJ
中科院分区：
文献类型：
--
作者：
Brennan, DS;Gaughwin, A;Spencer, AJ
患者满意度的测量在了解患者行为和评估牙科提供者、服务和设施方面有应用。此外，交付系统的差异可能反映在满意度的构成维度之间的差异上。目的：这项研究的目的是比较学校牙科服务(SDS)和私人牙医提供的护理服务的满意度。设计：1993-94年间进行了三阶段横断面调查。这一分析是基于研究的第二阶段(n=2792名参与者，应答率=78.0%)。地点：南澳大利亚州阿德莱德市的学校。参与者：家长和学童。干预/方法：邮寄自填问卷。主要观察指标：牙科满意度指数(DSI)和构成分量表。结果：使用DSI的总体满意度在使用十二烷基硫酸钠和私人牙科护理使用者之间没有显著差异。使用抑郁自评量表的儿童的父母在“总体满意度”、“质量”、“可获得性”和“连续性”上的满意度得分较低，而在“成本”和“可获得性”维度上的满意度得分较高(OLS回归；P<；0.01)。在控制了自上次就诊以来的时间、父母的教育程度、保险状况、职业和所说的语言后，提供者组对牙科护理的这些满意度模式仍然存在(OLS回归；P<；0.05)。这可能反映了不同提供者群体之间满意度维度的平衡，导致DSI没有显着差异。结论：总体满意度较高，且不随服务提供者群体的不同而变化，但满意度的构成维度存在差异。
Measures of patient satisfaction have application in understanding patient behaviour, and in evaluating dental providers, services, and facilities. Further, differences in delivery systems may be reflected in variation between the component dimensions of satisfaction. Aim: The aim of this study was to compare perceptions of satisfaction with care provided by the School Dental Service (SDS) and private dentists. Design: A three-stage cross-sectional survey was conducted during 1993-94. This analysis is based on Stage 2 of the study (n = 2,792 participants, response rate = 78.0%). Setting: Schools in metropolitan Adelaide, South Australia. Participants: Parents and schoolchildren. Interventions/methods: Mailed self-complete questionnaires. Main outcome measures: The Dental Satisfaction Index (DSI) and component subscales. Results: Overall satisfaction using the DSI showed no significant difference between SDS users and users of private dental care. Parents of children using the SDS had lower satisfaction scores for 'general satisfaction', 'quality','access', and 'continuity', but had higher satisfaction scores for the dimensions of 'cost' and 'availability' (OLS regression; P < 0.01). These patterns of satisfaction with dental care by provider group persisted after controlling for time since last visit, parental education level, insurance status, occupation and language spoken (OLS regression; P < 0.05). This may reflect a counter-balancing of dimensions of satisfaction across provider groups resulting in no significant difference in the DSI. Conclusions: Overall satisfaction was high and did not vary by provider group, but there was variation in the component dimensions of satisfaction.