DENTISTS’PERCEPTIONS OF THEIR PATIENTS: RELATION TO QUALITY OF CARE <sup>†</sup><sup>#</sup>

Weinstein, Philip; Milgrom, Peter; Ratener, P; Read, W; Morrison, Kenneth

doi:10.1111/j.1752-7325.1978.tb03712.x

Cited by 29 publications

(11 citation statements)

References 30 publications

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“…In this study, participants described some patients as being too ‘unreliable’ to benefit from preventive care. This is consistent with previous research that shows that dentists may find it difficult to treat patients who do not value oral health, are disinterested or ‘uncooperative’ , providing them with a different quality of dental care . This study provides evidence that this is particularly salient to how dentists’ approach prevention – that their deeply‐held beliefs about the motivation, values or cooperativeness of patients may be an important explanatory factor in determining whether or not prevention is offered.…”

Section: Discussionsupporting

confidence: 89%

How do dentists and their teams incorporate evidence about preventive care? An empirical study

Sbaraini

Carter

Evans

et al. 2013

Comm Dent Oral Epid

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Objectives: To identify how dentists and their teams adopt evidence-based preventive care.\ud Methods: A qualitative study using grounded theory methodology was conducted. We interviewed 23 \ud participants working in eight dental practices about their experience and work processes, while \ud adopting evidence-based preventive care. During the study, Charmaz’s grounded theory methodology \ud was employed to examine the social process of adopting preventive dental care in dental practices. \ud Charmaz’s iteration of the constant comparative method was used during the data analysis. This \ud involved coding of interview transcripts, detailed memo-writing and drawing diagrams. The transcripts \ud were analysed as soon as possible after each round of interviews in each dental practice. Coding was \ud conducted primarily by AS, supported by team meetings and discussions when researchers \ud compared their interpretations.\ud Results: Participants engaged in a slow process of adapting evidence-based protocols and guidelines \ud to the existing logistics of the practices. This process was influenced by practical, philosophical, and \ud historical aspects of dental care, and a range of barriers and facilitators. In particular, dentists spoke \ud spontaneously about two deeply held ‘rules’ underpinning continued restorative treatment, which \ud acted as barriers to provide preventive care: (i) dentists believed that some patients were too \ud ‘unreliable’ to benefit from prevention; and (ii) dentists believed that patients thought that only tangible \ud restorative treatment offered ‘value for money’. During the adaptation process, some dentists and \ud teams transitioned from their initial state – selling restorative care – through an intermediary stage –\ud learning by doing and educating patients about the importance of preventive care – and finally to a \ud stage where they were offering patients more than just restorative care. Resources were needed for \ud the adaptation process to occur, including: the ability to maintain the financial viability of the practice, \ud appropriate technology, time, and supportive dental team relationships.\ud Conclusions: The findings from this study show that with considerable effort, motivation and \ud coordination, it is possible for dental practices to work against the dental ‘mainstream’ and implement \ud prevention as their clinical norm. This study has shown that dental practice is not purely scientific, but\ud it includes cultural, social, and economic resources that interfere with the provision of preventive care.NHMRC Project Grant 63271

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Section: Discussionsupporting

confidence: 89%

How do dentists and their teams incorporate evidence about preventive care? An empirical study

Sbaraini

Carter

Evans

et al. 2013

Comm Dent Oral Epid

View full text Add to dashboard Cite

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“…Oral health variables were recorded to indicate the status of each patient at the beginning of the current visit. A rating of these patients in terms of dental knowledge and payment factors also was recorded using a five-point Likert scale of items related to patient dental values (24,25). Residential postal code was also recorded for each patient treated and used to link with an areabased indicator of SES derived from census data (26).…”

Section: Methodsmentioning

confidence: 99%

Influence of Patient, Visit, and Oral Health Factors on Dental Service Provision

Brennan¹,

Spencer²

2002

J Public Health Dent

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After controlling for oral health, visit characteristics persisted as significant predictors of services, with nonemergency visits, insurance, and capital city location associated with more favorable service mix patterns. Higher socioeconomic status areas and payment scale ratings also were associated with a better service pattern in particular service areas. These findings show that a wide range of factors, in addition to oral health, contribute to variation in service provision.

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“…This pessimistic view of patient compliance is in keeping with previous reports that patients fail to comply with dentists' recommendations 8 and that they are poorly motivated in following instructions concerning oral hygiene. [9][10][11] Bending and splaying of bristles was selected as the main indicator that a toothbrush should be renewed and confirms the findings of previous surveys of dentists 3,12 and patients. [13][14][15] Although one investigation reported the amount of toothbrush wear correlated with the length of time in use, 16 other studies found toothbrush wear varies among people and depends mainly on how the toothbrush is used.…”

Section: O N T H S R E C O M M E N D a T Io N S F O R P A T Ie N T Smentioning

confidence: 66%

Australian dentists' views on toothbrush wear and renewal

Daly

Marshall

Lazarus

2000

Australian Dental Journal

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The purpose of this study was to survey the views of Australian dentists on toothbrush wear, toothbrush renewal periods and recommendations to patients and to investigate the relationship between dentists' views on patients' toothbrush renewal intervals and dentists' own renewal habits. Questionnaires were mailed to 5,596 Australian general dental practitioners and replies received from 3,406 (61 per cent response rate). The majority of respondents (85.7 per cent) felt patients should renew their toothbrushes more often. However, only 45.3 per cent usually made a recommendation to their patients as to when they should renew their toothbrush and only 41.7 per cent thought patients actually followed such recommendations. Most respondents (56.6 per cent) thought the average adult patient should renew a toothbrush every two‐three months. A renewal period of one month or earlier was recommended by 23.8 per cent of dentists; four‐five months by 8 per cent; and six months or longer by 11.5 per cent. A highly significant correlation was found between the renewal periods recommended for patients and the intervals selected by the dentists for their personal brushes (p<0.001; chi‐square test). Bending and splaying of bristles was the sign identified by the majority of dentists (70 per cent) as indicating the need for a new brush. The findings suggest dentists' recommendations concerning toothbrush renewal intervals may be based on their own toothbrush renewal habits. It is also concluded that dentists think patients comply poorly with their recommendations on toothbrush renewal.

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DENTISTS’PERCEPTIONS OF THEIR PATIENTS: RELATION TO QUALITY OF CARE ^†^#

Cited by 29 publications

References 30 publications

How do dentists and their teams incorporate evidence about preventive care? An empirical study

How do dentists and their teams incorporate evidence about preventive care? An empirical study

Influence of Patient, Visit, and Oral Health Factors on Dental Service Provision

Australian dentists' views on toothbrush wear and renewal

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DENTISTS’PERCEPTIONS OF THEIR PATIENTS: RELATION TO QUALITY OF CARE †#

Cited by 29 publications

References 30 publications

How do dentists and their teams incorporate evidence about preventive care? An empirical study

How do dentists and their teams incorporate evidence about preventive care? An empirical study

Influence of Patient, Visit, and Oral Health Factors on Dental Service Provision

Australian dentists' views on toothbrush wear and renewal

Contact Info

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Resources

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DENTISTS’PERCEPTIONS OF THEIR PATIENTS: RELATION TO QUALITY OF CARE ^†^#