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      Relationship variables, with the satisfaction of patients of dental services Translated title: Variáveis relacionadas com a satisfação do paciente dos serviços odontológicos Translated title: Variables relacionadas con la satisfacción del paciente de los servicios odontológicos

      research-article
      , ,
      Revista Gerencia y Políticas de Salud
      Pontificia Universidad Javeriana
      satisfação do paciente, atendimento odontológico, ansiedade, qualidade do atendimento de saúde, relações dentista-paciente, auto eficácia, atendimento odontológico, satisfação do paciente, qualidade do atendimento na saúde, Patient Satisfaction, Dental Care, Quality of Health Care, Dentist-Patient Relations, Self Efficacy, Dental Care, Patient Satisfaction, Quality of Health Care, satisfacción del paciente, atención odontológica, ansiedad, calidad de la atención de salud, relaciones dentista-paciente, autoeficacia, atención odontológica, satisfacción del paciente, calidad de la atención de salud

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          Abstract

          This study aimed at relating sociodemographic variables, anxiety levels and oral health beliefs with the level of patient satisfaction in oral health. A sample of 342 patients was selected by systematic sampling. Dissatisfied patients were characterized by using a total prosthesis, by considering that oral diseases can be serious and treatments are costly and by recognizing that dental diseases affect self-esteem and that they are afraid of visiting the dentist. Dissatisfaction was related to sociodemographic characteristics, severe anxiety, general and dental health condition, perceived susceptibility and benefits, self-efficacy, fear to visit the dentist, easy access to a dentist and the need to visit the dentist for a check-up.

          Translated abstract

          O objetivo deste estudo foi relacionar as variáveis sócio demográficas, os níveis de ansiedade e as crenças em saúde oral com a satisfação do paciente. Selecionaram-se por amostragem probabilística sistemática 342 pacientes. Os pacientes insatisfeitos se caracterizaram por usar prótese total; considerar que as doenças orais podem ser graves e os tratamentos caros; reconhecer que as doenças dos dentes afetam sua autoestima e que eles têm medo de ir ao dentista. Com a insatisfação se relacionaram as características sócio demográficas, a ansiedade severa, o estado de saúde geral e dental, a susceptibilidade e os benefícios percebidos, a auto eficácia, o medo ao dentista, a facilidade para ter acesso a ele, e a necessidade de ir à consulta por sintomas.

          Translated abstract

          El objetivo del estudio fue relacionar las variables sociodemográficas, los niveles de ansiedad y las creencias en salud oral con la satisfacción del paciente. Se seleccionaron por muestreo probabilístico sistemático 342 pacientes. Los pacientes insatisfechos se caracterizaron por usar prótesis total; considerar que las enfermedades orales pueden ser graves y los tratamientos costosos; reconocer que las enfermedades de los dientes afectan su autoestima y que les da miedo ir al odontólogo. Con la insatisfacción se relacionaron las características sociodemográficas, la ansiedad severa, el estado de salud general y dental, la susceptibilidad y los beneficios percibidos, la autoeficacia, el miedo al odontólogo, la facilidad para acceder a él, y la necesidad de asistir a la consulta por síntomas.

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          Most cited references45

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          The quality of care. How can it be assessed?

          Before assessment can begin we must decide how quality is to be defined and that depends on whether one assesses only the performance of practitioners or also the contributions of patients and of the health care system; on how broadly health and responsibility for health are defined; on whether the maximally effective or optimally effective care is sought; and on whether individual or social preferences define the optimum. We also need detailed information about the causal linkages among the structural attributes of the settings in which care occurs, the processes of care, and the outcomes of care. Specifying the components or outcomes of care to be sampled, formulating the appropriate criteria and standards, and obtaining the necessary information are the steps that follow. Though we know much about assessing quality, much remains to be known.
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            The measurement of patient satisfaction.

            Many applied health service researchers launch into patient satisfaction surveys without realizing the complexity of the task. This paper identifies the difficulties involved in executing patient satisfaction surveys. The recent revival of interest in 'satisfaction' and disagreements over the meaningfulness of a unitary concept itself are outlined, and the various perspectives and definitions of the components of satisfaction are explored. The difficulties of developing a comprehensive conceptual model are considered, and the issues involved in designing patient satisfaction surveys--and the disasters that occur when these issues are ignored--are then set out. The potential cost-effectiveness of qualitative techniques is discussed, and the paper concludes by discussing how health care management systems could more effectively absorb the findings of patient satisfaction surveys.
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              Reliability and validity of the Modified Dental Anxiety Scale (MDAS) in a Turkish population.

              Fear of dentistry is a common obstacle to obtaining dental care in Turkey. The aim of this study was to assess the reliability, validity and psychometric characteristics of the Turkish translation of the Modified Dental Anxiety Scale (MDAS) and compare it to the Dental Fear Survey (DFS) scores obtained in the same population. The Turkish translated version of the MDAS was administered to 115 dental patients; 21 subjects who suffered from dental phobia, requiring general anesthesia for dental procedures, and 94 who did not have dental anxiety, in addition to 442 subjects from the general population. The Turkish translated version of the MDAS was internally consistent and reproducible. The patients with dentist phobia had the highest score. The Turkish MDAS correlated with the DFS (r = 0.80, P or = 15, sensitivity was 0.80, specificity 0.74, positive predictive value 0.41 and negative predictive value 0.94. Although the specificity values were low, the Turkish MDAS demonstrated acceptable sensitivity, positive and negative predictive values. Thus, high reliability and validity of the MDAS supports its cross-cultural validity and indicated that it may be a valuable tool in quantifying fear of dentistry among Turks.
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                Author and article information

                Journal
                rgps
                Revista Gerencia y Políticas de Salud
                Rev. Gerenc. Polit. Salud
                Pontificia Universidad Javeriana (Bogotá, Distrito Capital, Colombia )
                1657-7027
                June 2010
                : 9
                : 18
                : 124-136
                Affiliations
                [01] orgnameUniversidad Autónoma de Manizales sonrie@ 123456autonoma.edu.co
                [03] orgnameUniversidad Autónoma de Manizales
                [02] orgnameUniversidad Autónoma de Manizales mapice@ 123456autonoma.edu.co
                Article
                S1657-70272010000100009 S1657-7027(10)00901809
                7b022f5c-5fc7-4fd3-834e-5498ba45faf2

                This work is licensed under a Creative Commons Attribution 4.0 International License.

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                Figures: 0, Tables: 0, Equations: 0, References: 45, Pages: 13
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                SciELO Colombia

                Categories
                Studies and investigations

                calidad de la atención de salud,satisfação do paciente,atendimento odontológico,ansiedade,qualidade do atendimento de saúde,relações dentista-paciente,auto eficácia,qualidade do atendimento na saúde,Patient Satisfaction,Dental Care,Quality of Health Care,Dentist-Patient Relations,Self Efficacy,satisfacción del paciente,atención odontológica,ansiedad,relaciones dentista-paciente,autoeficacia

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