Gender and Age Differences in Patients' Satisfaction with Dental Care in the Slovak Republic: A Cross-sectional Questionnaire Study

Martin Samohyl, Anna Nadazdyova, Martin Hirjak, Lubica Argalasova, Katarina Hirosova, Jana Jurkovicova

Abstract


Objective: To analyze the level of quality of healthcare satisfaction/dissatisfaction according to gender and age in terms of time spent with the doctor, communication, general satisfaction, interpersonal and financial aspects, technical quality and access/availability/convenience. Material and Methods: The standardized "Patient Satisfaction Questionnaire" (n=445) was collected in dental clinics in the Slovak Republic in the period of 2014-2015. The study sample was divided into subgroups according to gender (males: n=236; females: n=209) and age (<35 years: n= 243; ≥36 years: n=202). A scale from 1 (maximum dissatisfaction with quality of healthcare) to 5 (maximum satisfaction with quality of healthcare) was evaluated. Results: The highest significant satisfaction level of quality of healthcare (expressed as a mean score) were found in females in the subscale time spent with doctor (<35 y.) (2.90±0.69; p<0.042); the lowest satisfaction level was found in females (<35 y.) in the subscale general satisfaction (2.53±0.36; p=n.s.). Females (≥36y.) were significantly more satisfied with health care quality in the subscale communication than males (2.72±0.34 and 2.62±0.3, respectively; p=0.046). Males (<35 y.) were significantly less satisfied in the subscale technical quality compared to females (2.54±0.27 and 2.65±0.26, respectively; p=0.002). Conclusion: For the future, it is necessary to specify the next reasons for patients’ satisfaction/dissatisfaction with dental care.

Keywords


Patient Satisfaction; Dental Care; Surveys and Questionnaires.

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References


Carneiro TV, Ribeiro ILA, Neto EAL, Valença AMG. Access to and satisfaction with oral health care from the perspective of pediatric cancer patients and their caregivers. Braz Res Pediatr Dent Integr Clin 2015; 15(1):171-81. doi: 10.4034/PBOCI. 2015.151.19.

Madruga RCR, Soares RSC, Cardoso AMR, Cavalcanti SDLB, Góes PSA, Cavalcanti AL. Access to oral health services in areas covered by the family health strategy, Paraíba, Brazil. Pesqui Bras Odontoped Clín Integr 2017; 17(1):e3006. doi: 10.4034/PBOCI.2017.171.06.

Bader JD. Challenges in quality assessment of dental care. J Am Dent Assoc 2009; 140(12):1458-64. doi: 10.14219/jada.archive.2009.0084.

Sahin B, Yilmaz F, Lee KH. Factors affecting inpatient satisfaction: Structural equation modeling. J Med Syst 2007; 31(1):9-16.

Fuertes JN, Boylan LS, Fontanella JA. Behavioral indices in medical care outcome: The working alliance, adherence, and related factors. J Gen Intern Med 2009; 24(1):80-5. doi: 10.1007/s11606-008-0841-4.

Tracey TJ, Kokotovic AM. Factor structure of the Working Alliance Inventory. Psychol Assess 1989; 1(3):207-10. doi: 10.1037/1040-3590.1.3.207.

DiMatteo MR, Hays RD, Gritz ER, Bastani R, Crane L, Elashoff R, et al. Patient adherence to cancer control regimens: scale development and initial validation. Psychol Assess 1993; 5(1):102-12. doi: 10.1037/1040-3590.5.1.102.

Catz SL, Kelly JA, Bogart LM, Benotsch EG, McAuliffe TL. Patterns, correlates, and barriers to medication adherence among persons prescribed new treatments for HIV disease. Health Psychol 2000; 19(2):124-33.

Hojat M, Gonnella JS, Nasca TJ, Mangione S, Veloksi JJ, Magee M. The Jefferson Scale of Physician Empathy: Further psychometric data and differences by gender and specialty at item level. Acad Med 2002; 77(10 Suppl):S58-60.

LaFromboise TD, Coleman HLK, Hernandez A. Development and factor structure of the Cross-Cultural Counseling Inventory - Revised. Prof Psychol Res Pr 1991; 22(5):380-88. doi: 10.1037/0735-7028.22.5.380.

Fuertes JN, Mislowack A, Bennett J, Paul L, Gilbert TC, Fontan G, et al. The physician-patient working alliance. Patient Educ Couns 2007; 66(1):29-36.

Hays RD, Davies RD, Ware JE. Scoring the medical outcomes study patient satisfaction questionnaire: PSQ-III. MOS Memorandum. Santa Monica (CA): Rand Corporation, 1987. Available from: https://www.rand.org/content/dam/rand/www/external/health/surveys_tools/psq/psq3_scoring.pdf. [Accessed 6 November 2017].

Ziaei H, Katibeh M, Eskandari A, Mirzadeh M, Rabbanikhah Z, Javadi MA. Determinants of patient satisfaction with ophthalmic services. BMC Res Notes 2011; 4:7. doi: 10.1186/1756-0500-4-7.

Chander V, Bhardwaj AK, Raina SK, Bansal P, Agnihotri RK. Scoring the medical outcomes among HIV / AIDS patients attending antiretroviral therapy center at Zonal Hospital, Hamirpur, using Patient Satisfaction Questionnaire (PSQ-18). Indian J Sex Transm Dis 2011; 32(1):19-22. doi: 10.4103/0253-7184.81249.

Fortin AH 6th. Communication skills to improve patient satisfaction and quality of care. Ethn Dis 2002; 12(4):S3-58-61.

Clever SL, Jin L, Levinson W, Meltzer DO. Does doctor-patient communication affect patient satisfaction with hospital care? Results of an analysis with a novel instrumental variable. Health Serv Res 2008; 43(5 Pt 1):1505-1519. doi: 10.1111/j.1475-6773.2008.00849.x.

Nguyen Thi PL, Briançon S, Empereur F, Guillemin F. Factors determining inpatient satisfaction with care. Soc Sci Med 2002; 54(4):493-504.

Holikatti PC, Kar N, Mishra A, Shukla R, Swain SP, Kar S. A study on patient satisfaction with psychiatric services. Indian J Psychiatry 2012; 54(4):327-32. doi: 10.4103/0019-5545.104817.

Hussey PS, Wertheimer S, Mehrotra A. The association between health care quality and cost: A systematic review. Ann Intern Med 2013; 158(1):27-34. doi: 10.7326/0003-4819-158-1-201301010-00006.




DOI: http://dx.doi.org/10.4034/PBOCI.2018.181.11

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