Investigating perceptions of patient-centred care in orthodontics. (December 2020)

• Record Type: Journal Article
• Authors: Amin, Nima; Cunningham, Susan J; Jones, Elinor M; Ryan, Fiona S
• Is Part Of: Journal of orthodontics. Volume 47:Number 4(2020)
• Page Start: 320
• Page End: 329
• Publication Date: 2020-12
• Subjects: psychological aspects of orthodontics -- health services and quality of life aspects -- quality of life and orthodontics -- risk/benefit assessment -- patient-centred care -- patient involvement and patient-clinician communication; Orthodontics -- Periodicals; 617.643005
• DOI: 10.1177/1465312520952802
• Languages: English
• ISSNs: 1465-3125

Abstract

Objectives: To assess and compare patient and clinician perceptions of patient-centredness for adults about to commence active orthodontic treatment, and to assess whether the following variables affected perceptions of patient-centredness: patient gender and age; clinician gender and grade; and stage of treatment. Design: A prospective, cross-sectional questionnaire study. Setting: Eastman Dental Hospital, UCLH NHS Foundation Trust. Participants: A total of 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 after initial assessment or records/treatment planning consultations. Total PPPC scores (possible score range = 9–36) 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 32/36 and 29/36, 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. Conclusion: Patients and clinicians both perceived high engagement in patient-centredness. Patients perceived consultations to be significantly more patient-centred than clinicians ( P < 0.001).