Physician and Patient Dissatisfaction with Outpatient Pre-Screening Triage in Public Dental Hospitals: Scope and Strategies for Improvement.

IF 2.7 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Healthcare Pub Date : 2025-07-11 DOI:10.3390/healthcare13141672

Siwei Ma, Li Zhang, Wenzhi Du, Gaofeng Fang, Peng Zhang, Fangfang Xu, Xingke Hao, Xiaojing Fan, Ang Li

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引用次数: 0

Abstract

Objectives: While pre-screening triage (PST) enhances healthcare efficiency in emergency and pediatric settings, its application in dental healthcare remains undervalued. This novel study implemented PST in dental services, identifying determinants of physician-patient dissatisfaction to optimize triage systems and promote dental health outcomes. Methods: A cross-sectional survey (July-September 2024) recruited 113 physicians and 206 patients via convenience sampling. Dissatisfaction levels were quantified using validated questionnaires and analyzed through t-tests, ANOVA, and regression models. Results: In total, 37.17% of physicians with prior PST experience demonstrated significantly higher dissatisfaction scores (37.67 ± 9.08 vs. 32.51 ± 10.08, p = 0.006). Multivariate analysis revealed that experienced physicians rated PST services 5.63 points higher than less experienced counterparts (95% CI: 0.75-10.51). Dental patients expressed dissatisfaction with nurse attitudes (β = 1.04, 95% CI: 0.07-2.01) and triage process inefficiencies. Conclusions: Key dissatisfaction drivers include a lack of physician PST exposure and nurse-patient interaction quality in dental settings. These findings advocate for the development of a specialized triage system to enhance clinical workflow efficiency and service effectiveness in dental healthcare.

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公立牙科医院门诊预筛分诊的医师与患者不满意：改善的范围与策略。

目的：虽然预筛查分诊（PST）提高医疗效率在急诊和儿科设置，其应用在牙科保健仍然被低估。这项新颖的研究在牙科服务中实施了PST，确定了医患不满的决定因素，以优化分诊系统并促进牙科健康结果。方法：采用横断面调查方法（2024年7 - 9月），采用方便抽样法，招募113名医生和206名患者。不满意程度采用有效问卷量化，并通过t检验、方差分析和回归模型进行分析。结果：37.17%有PST治疗经验的医师对PST的不满意评分明显高于其他医师（37.67±9.08比32.51±10.08,p = 0.006）。多变量分析显示，经验丰富的医生对PST服务的评价比经验不足的同行高5.63分（95% CI: 0.75-10.51）。牙科患者对护士态度（β = 1.04, 95% CI: 0.07-2.01）和分诊流程效率不满意。结论：主要不满意的驱动因素包括缺乏医生PST暴露和护理-患者互动质量在牙科设置。这些发现提倡发展一个专门的分类系统，以提高临床工作流程的效率和服务效果在牙科保健。

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

Healthcare Medicine-Health Policy

CiteScore

3.50

自引率

7.10%

发文量

审稿时长

47 days

期刊介绍： Healthcare (ISSN 2227-9032) is an international, peer-reviewed, open access journal (free for readers), which publishes original theoretical and empirical work in the interdisciplinary area of all aspects of medicine and health care research. Healthcare publishes Original Research Articles, Reviews, Case Reports, Research Notes and Short Communications. We encourage researchers to publish their experimental and theoretical results in as much detail as possible. For theoretical papers, full details of proofs must be provided so that the results can be checked; for experimental papers, full experimental details must be provided so that the results can be reproduced. Additionally, electronic files or software regarding the full details of the calculations, experimental procedure, etc., can be deposited along with the publication as “Supplementary Material”.