"A Patient-Centred Care of Dentist Scale: Perceptions of Dentists' in Thai Community Hospitals: A Multi-Group Analysis".

IF 3.2 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

International dental journal Pub Date : 2025-05-02 DOI:10.1016/j.identj.2025.02.002

Yutthana Khamnil, Surasak Kao-Iean, Pagaporn Pantuwadee Pisarnturakit

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引用次数: 0

Abstract

Introduction and aims: Providing high-quality dental services at the primary care level requires a patient-centred approach. However, there is a lack of specific instruments to measure PCC in this context. This study aimed to develop and validate a tool to assess patient-centred care (PCC) among dentists working in Thailand's primary care settings and to examine how personal characteristics influence PCC.

Methods: A set of 61 statements was developed for the Patient-Centred Care of Dentist Scale (PCCDS-D). Responses were collected using a Google Form. The validity and reliability of the scale were assessed through confirmatory factor analysis (CFA), exploratory factor analysis (EFA), Cronbach's alpha, and the intraclass correlation coefficient (ICC). Responses from dentists in large hospitals were compared with those from dentists in small hospitals. The influence of dentist attributes on PCC was examined.

Results: The randomized samples for EFA and CFA included 754 and 305 dentists, respectively. The final version of the PCCDS-D contains 36 statements across seven components: dentist-patient relationship, disease-illness, integrated care, communication, shared information and decision-making, holistic, and empathy and anxiety management. The PCCDS-D demonstrated satisfactory reliability and validity, with good model fit and invariance across different dentist groups. The Cronbach's alpha and ICC were 0.94 and 0.93, respectively. The frequency of dentists practicing at primary care units (PCU) was found to influence the delivery of PCC.

Conclusions: The PCCDS-D included 36 statements across seven domains and showed consistency among dentists in various-sized hospitals. It demonstrates robust reliability and validity. Additionally, experiences gained from practicing at PCU appear to impact the delivery of PCC.

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“以病人为中心的牙医护理规模：牙医在泰国社区医院的看法：多组分析”。

简介和目标：在初级保健一级提供高质量的牙科服务需要以病人为中心的方法。然而，在这种情况下，缺乏具体的工具来测量PCC。本研究旨在开发和验证一种工具，以评估在泰国初级保健机构工作的牙医的以病人为中心的护理（PCC），并检查个人特征如何影响PCC。方法：编制以患者为中心的牙科护理量表（PCCDS-D），共61项。使用谷歌表单收集回复。通过验证性因子分析（CFA）、探索性因子分析（EFA）、Cronbach’s alpha和类内相关系数（ICC）对量表的效度和信度进行评估。比较了大医院和小医院牙医的回答。考察了牙医属性对PCC的影响。结果：EFA和CFA随机样本分别为754名和305名牙医。PCCDS-D的最终版本包含7个组成部分的36项声明：牙医-患者关系、疾病-疾病、综合护理、沟通、共享信息和决策、整体、移情和焦虑管理。PCCDS-D具有良好的信度和效度，在不同牙医群体间具有良好的模型拟合和不变性。Cronbach’s alpha和ICC分别为0.94和0.93。在初级保健单位（PCU）执业牙医的频率被发现影响PCC的交付。结论：PCCDS-D包括7个领域的36个陈述，在不同规模医院的牙医中具有一致性。该方法具有良好的信度和效度。此外，从PCU实践中获得的经验似乎影响了PCC的交付。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International dental journal 医学-牙科与口腔外科

CiteScore

4.80

自引率

6.10%

发文量

159

审稿时长

63 days

期刊介绍： The International Dental Journal features peer-reviewed, scientific articles relevant to international oral health issues, as well as practical, informative articles aimed at clinicians.