1. Do health provider-patient relationships matter? Exploring dentist-patient relationships and oral health-related quality of life in older people.
- Author
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Muirhead VE, Marcenes W, and Wright D
- Subjects
- Aged, Cross-Sectional Studies, Data Collection, Female, Humans, London epidemiology, Male, Oral Health statistics & numerical data, Outcome and Process Assessment, Health Care, Patient Preference, Quality Improvement, Surveys and Questionnaires, Dentist-Patient Relations, Diagnosis, Oral ethics, Diagnosis, Oral standards, Mouth Diseases diagnosis, Mouth Diseases epidemiology, Mouth Diseases psychology, Mouth Diseases therapy, Quality of Life
- Abstract
Background: patient experience is now a key parameter in health care. Yet, very little is known about the possible impact of dentist-patient relationships on patient-centred outcomes including older peoples' oral health-related quality of life (OHRQoL)., Objective: this study assessed the relationship between OHRQoL and dentist-patient relationships related to perceived unmet dental needs; shared decision-making; time spent discussing oral health problems; respect and confidence and trust., Participants: older people aged 65 years and over living in East London, U.K. in 2011., Methods: a cross-sectional study using stratified random sampling recruited a representative sample of older people (n = 772). PARTICIPANTS completed an oral examination and a structured questionnaire including the Oral Health Impact Profile-14 (OHIP-14) measuring OHRQoL and five dentist-patient relationship questions taken from the U.K. 2009 Adult Dental Health Survey. Multivariate Poisson regressions modelled the association between OHRQoL and dentist-patient factors adjusting for socio-demographic factors, clinical oral indicators, and dental attendance., Results: having a perceived unmet need for dental treatment (PRR = 1.84; 95% CI: 1.32, 2.56) and expressing a lack of trust and confidence in one's dentist (PRR = 1.74; 95% CI: 1.01, 2.98) were significant predictors of poor OHRQoL among older people., Conclusions: these findings suggest that older people with unmet dental needs and those who expressed a lack of trust and confidence in their dentist were more likely to experience poor OHRQoL reinforcing the importance of the dental patient experience in healthy ageing and well-being.
- Published
- 2014
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