ABSTRACT
The provision of dental care services, related to the quality requirements of health policies and patient satisfaction rates, increasingly requires the creation of qualitative indicators, instruments and criteria based on specific objectives, to validate the quality of the services provided. objective: the aim of this study is to determine the main dimensions of the dentist-patient relationship associated with patient satisfaction in a clinical context, with emphasis on the needs and expectations of patients themselves. method: a sample of 88 adults who attend primary care units at public emergency services in the central area of Chile were studied using a qualitative approach based on the social psychology of health and on grounded theory. from these, categories emerged that identify processes, attitudes and behaviors that define the assessment of care providers based on their practices. results: in an interactional context characterized by the patient's expectation regarding the provision of care and anxiety due to potential pain, two already recognized main axes emerged, namely: the capacity to generate trust through interpersonal and communicative good treatment strategies, and the capacity or technical skills of the professional care provider. conclusion: this study proposes a protocol of good care practices, which takes into account the needs and expectations of patients regarding the role of the dentist.
Subject(s)
Humans , Male , Female , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Young Adult , Physician-Patient Relations , Patient Satisfaction , Dental Service, Hospital , Emergency Service, Hospital , Quality Assurance, Health Care , Health Centers , Chile , Surveys and QuestionnairesABSTRACT
La población de adultos mayores ha aumentado en los últimos años y se hace imprescindible determinar su estado de salud oral con el objetivo de orientar la atención de salud con base científica epidemiológica para brindarles una mejor calidad de vida. El objetivo de este trabajo fue evaluar el estado de la salud oral de los pacientes adultos mayores postrados. Se realizó un estudio descriptivo de corte transversal no probabilístico. Los datos fueron obtenidos del universo de pacientes inscritos en el programa de Atención Domiciliaria del Paciente Postrado de un centro de atención primaria. La tasa de respuesta obtenida fue 90%. El sexo predominante fue femenino; la media de edad fue 80 años; 60,9% sólo tuvo acceso a la educación primaria. La prevalencia de caries fue 100% y COPD de 25,6. El 40,6% se encontraba completamente edentulo y el 54,7% era portador de prótesis dental. El 32,8% presentaba restos radiculares. El 64,7% era capaz de cepillar sus dientes por sí mismo. El 79,4% consideraba tener una pobre salud oral. El cuidador resultó ser la hija, de aproximadamente 53 años, con nivel educacional bajo. Los adultos mayores son un grupo con gran daño odontológico, con escasos dientes remanentes y deficientes prácticas de higiene oral. Son cuidados por familiares con bajo nivel educacional.
The elderly population is on an increase and it is important for us to know the status of their oral health in order to direct our attention to epidemiological aspects on a scientific basis to provide a better quality of life. The purpose of this study was to evaluate the status of oral health of the homebound elderly. A Cross sectional study was conducted using a non-probability sampling method. The data was collected from bedridden patients enrolled in a Patient Home Care in a Primary Care Center. The response rate obtained was 90%. The majority of patients were female; their average age was 80. Only 60.9% of those surveyed had access to primary education. The prevalence of caries was 100% and the DMFT index was 25.6; 40.6% were edentulous and 54.7% had dentures. The 32.8% had root fragments; 82.8% were able to brush their teeth by themselves. 79.4% were observed to have poor oral health. In almost all cases, the caretaker was a daughter around 53 years of age, with low education level. The group surveyed had significant dental damage, had only a few remaining teeth and observed poor oral hygiene practices. Their care was also almost exclusively in the hands of family members who had a low education level.