Amin, N;
Ryan, FS;
Jones, E;
Cunningham, SJ;
(2021)
Investigating perceptions of patient-centred care in orthodontics.
Journal of Orthodontics
(In press).
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Abstract
Objectives: To assess and compare patient and clinician perceptions of patient-centredness for adults about to commence active orthodontic treatment; and to assess if the following variables affected perceptions of patient-centredness: patient gender and age, clinician gender and grade, stage of treatment. / Design: A prospective, cross-sectional questionnaire study. / Setting: Eastman Dental Hospital, UCLH NHS Foundation Trust. / Participants: 112 adult patients and 30 clinicians completed 224 questionnaires (112 patient and 112 clinician questionnaires). / Methods: A validated, dyadic questionnaire, the ‘9-Item Patient Perception of Patient-Centredness’ (PPPC) was used to collect data from both patients and their corresponding clinicians following initial assessment or records/treatment planning consultations. Total PPPC scores (possible score range: 9 to 36) were calculated for each patient and clinician to ascertain the extent to which they perceived they were engaging in patient-centredness, where higher scores corresponded with better performance. / Results: Patients and clinicians perceived high engagement in patient-centredness with median scores of 32 and 29 out of 36, respectively. There was a statistically significant difference between total scores with patients perceiving consultations to be more patient-centred than clinicians (p<0.001). None of the variables (patient gender and age, clinician gender and grade, stage of treatment) were statistically significant. / Conclusions: Patients and clinicians both perceived high engagement in patient-centredness. Patients perceived consultations to be significantly more patient-centred than clinicians (p<0.001).
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