Patient expectations and satisfaction with non-surgical periodontal treatment provided by fourth-year dental students at the University of Otago, Faculty of Dentistry, Dunedin

Cindy  Liu; Michael Le Pine-Day; Zeina  Al-Naasan; Andrew Tawse-Smith

doi:10.31436/ijohs.v6i1.372

Authors

Cindy Liu Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand.
Michael Le Pine-Day Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand.
Zeina Al-Naasan Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand.
Andrew Tawse-Smith Sir John Walsh Research Institute, Faculty of Dentistry, University of Otago, Dunedin, New Zealand.

DOI:

https://doi.org/10.31436/ijohs.v6i1.372

Keywords:

periodontal, patient, satisfaction, university

Abstract

Evaluation of patient satisfaction is critical to assessing the quality of care. In New Zealand, there are limited studies evaluating the satisfaction of patients receiving treatment by dental students. The aim of this study was to evaluate the current patient satisfaction levels and the factors that influence patient satisfaction with non-surgical periodontal treatment provided by fourth-year dental students at the University of Otago Faculty of Dentistry, along with areas requiring improvement. This study utilised a mixed-methods approach. A 29-item electronic survey was completed by 41 eligible participants. A five-point Likert scale was used to ascertain respondents' level of agreement with a range of statements related to quality of care. Open text fields were used after each group of questions to allow participants to expand on their responses. Quantitative data was analysed using SPSS and qualitative data was coded and content analysed. 100 percent of respondents agreed that they received good periodontal treatment and 81.6 percent agreed that their dental student appeared competent. Participants further elaborated on areas that can be improved such as logistics, standard of care, patient expectation, prior knowledge, communication, physical and emotional care, personnel, technical skills, and physical space. Despite limitations, this study indicated a high level of patient satisfaction with the periodontal treatment provided. Areas of improvement include access to care, informed consent, and communication. The results of this survey reinforce the excellent standard of care provided by students and highlight areas for improvement in future years.

References

Al Ghanem, E.J., Al Ghanem, N.A., Al Faraj, Z.S., Al Shayib, L.Y., Al Ghanem, D.A., Al Qudaihi, W.S., et al. (2023). Patient satisfaction with dental services. Cureus, 15(11), e49223. DOI: https://doi.org/10.7759/cureus.49223

Chang, W.J., Chang, Y.H. (2013). Patient satisfaction analysis: Identifying key drivers and enhancing service quality of dental care. Journal of Dental Sciences, 8(3), 239-247. DOI: https://doi.org/10.1016/j.jds.2012.10.006

Dental Council New Zealand (n.d.). Standards Framework. Retrieved 2 September 2024, from https://dcnz.org.nz/i-practise-in-new-zealand/standards-framework/

Dirham, A.A. (2021). Patient satisfaction towards non-surgical periodontal therapy. EC Dental Science, 20(9), 42-50.

Frencken, J.E., Sharma, P., Stenhouse, L., Green, D., Laverty, D., Dietrich, T. (2017). Global epidemiology of dental caries and severe periodontitis – a comprehensive review. Journal of Clinical Periodontology, 44(S18), S94-105. DOI: https://doi.org/10.1111/jcpe.12677

Gasner, N., Schure, R. (2024). Periodontal disease. Treasure Island (FL): StatPearls Publishing. Retrieved 2 September 2024, from https://pubmed.ncbi.nlm.nih.gov/32119477/

Govere, L., Govere, E.M. (2016). How effective is cultural competence training of healthcare providers on improving patient satisfaction of minority groups? A systematic review of literature. Worldviews on Evidence-Based Nursing, 13(6), 402-410. DOI: https://doi.org/10.1111/wvn.12176

Ilioudi, S., Lazakidou, A., Tsironi, M. (2013). Importance of patient satisfaction measurement and electronic surveys: Methodology and potential benefits. International Journal of Health Research and Innovation, 1(1), 67-87. DOI: https://doi.org/10.4018/ijrqeh.2012010101

Jatrana, S., Crampton, P., Filoche, S. (2009). The case for integrating oral health into primary health care. The New Zealand Medical Journal, 122(1301), 43-52.

Kinane, D.F., Stathopoulou, P.G., Papapanou, P.N. (2017) Periodontal diseases. Nature Reviews Disease Primers, 3(17038). Retrieved 2 September 2024, from https://pubmed.ncbi.nlm.nih.gov/28805207/ DOI: https://doi.org/10.1038/nrdp.2017.38

Klaassen, H., Dukes, K., Marchini, L. (2021). Patient satisfaction with dental treatment at a university dental clinic: A qualitative analysis. Journal of Dental Education, 85(3), 311-321. DOI: https://doi.org/10.1002/jdd.12428

Loh, J.Y., Lim, R., Broadbent, J.M., Duncan, W.J. (2022). Employer and graduate perceptions of the competency of University of Otago dental graduates. New Zealand Dental Journal, 118(2), 51-57.

Luo, J.Y.N., Liu, P.P., Wong, M.C.M. (2018). Patients’ satisfaction with dental care: A qualitative study to develop a satisfaction instrument. BMC Oral Health, 18(15),1-10. DOI: https://doi.org/10.1186/s12903-018-0477-7

Mahrous, M.S., Hifnawy, T. (2012). Patient satisfaction from dental services provided by the College of Dentistry, Taibah University, Saudi Arabia. Journal of Taibah University Medical Sciences, 7(2), 104-109. DOI: https://doi.org/10.1016/j.jtumed.2012.12.002

Marcenes, W., Hernandez, C.R., Bailey, J., Abreu, L.G., Alipour, V., Amini, S., et al. (2017). Global, regional, and national levels and trends in burden of oral conditions from 1990 to 2017: A systematic analysis for the global burden of disease 2017 study. Journal of Dental Research, 99(4), 362-373.

Miller, G. (2020). Wait now two years for dental treatment. Otago Daily Times. Retrieved 8 September 2024, from https://www.odt.co.nz/news/dunedin/wait-now-two-years-dental-treatment

Nono, D., Mwebesa, E., Bagenda, G., Okullo, I., Rwenyonyi, C.M., Williams, S. (2024). Assessment of the knowledge, attitude and practices of the informed consent process in oral healthcare among dental students in Makerere University Dental Hospital, Uganda. BMC Medical Education, 24(1), 516. DOI: https://doi.org/10.1186/s12909-024-05520-0

Pragati, D., Neelam, M. (2020). Periodontal diseases- a brief review. International Journal of Oral Health Dentistry, 6(3), 177-187. DOI: https://doi.org/10.18231/j.ijohd.2020.038

Salhi, L., Albert, A., Seidel, L., Lambert, F. (2020). Respective effects of oral hygiene instructions and periodontal nonsurgical treatment (debridement) on clinical parameters and patient-reported outcome measures with respect to smoking. Journal of Clinical Medicine, 9(8), 1-14. DOI: https://doi.org/10.3390/jcm9082491

Sanz, M., Herrera, D., Kebschull, M., Chapple, I., Jepsen, S., Beglundh, T., et al. (2020). Treatment of stage I-III periodontitis-the EFP S3 level clinical practice guideline. Journal of Clinical Periodontology, 47(22), 4-60. DOI: https://doi.org/10.1111/jcpe.13290

Stats N.Z. (2024). Census population counts (by ethnic group, age, and M?ori descent) and dwelling counts. Retrieved 14 September 2024, from https://www.stats.govt.nz/information-releases/2023-census-population-counts-by-ethnic-group-age-and-maori-descent-and-dwelling-counts/

Stuart K., Gilmour, J., Broadbent, J.M. (2011). Oranga waha – oral health research priorities for M?ori: literature review. Wellington: Te Rõp? Rangahau Hauora a Eru Põmare. Retrieved 17 September 2024, from https://www.otago.ac.nz/__data/assets/pdf_file/0019/332218/download-oranga-waha-oral-health-research-priorities-for-maori-a-literature-review-available-in-pdf-format-only-019588.pdf

Uziel, N., Meyerson, J., Giryes, R., Eli, I. (2019). Empathy in dental care-the role of vicarious trauma. International Dental Journal, 69(5), 348–353. DOI: https://doi.org/10.1111/idj.12487