Patient-centred care in general dental practice - a systematic review of the literature

BMC Oral Health

Elizabeth Kay⁴  David R Moles⁵  Chris Cooper¹  Julia Frost²  Ian Mills³ 

[1] Peninsula Technology Assessment Group, University of Exeter Medical School, Exeter, UK;Institute of Health Research, University of Exeter Medical School, Exeter, UK;Plymouth University Peninsula Schools of Medicine & Dentistry, The John Bull Building, Research Way, Tamar Science Park, Plymouth PL6 8BU, UK;Peninsula Dental School and Dental Public Health, Plymouth University Peninsula Schools of Medicine & Dentistry, Plymouth, UK;Oral Health Services Research and Education and Research, Plymouth University Peninsula Schools of Medicine & Dentistry, Plymouth, UK

关键词: Systematic review;    Quality;    General dental practice;    Dentistry;    Patient-centred care;   

Others  :  848372
DOI  :  10.1186/1472-6831-14-64

 received in 2014-01-26, accepted in 2014-05-21,  发布年份 2014

【 摘 要 】

Background

Delivering improvements in quality is a key objective within most healthcare systems, and a view which has been widely embraced within the NHS in the United Kingdom. Within the NHS, quality is evaluated across three key dimensions: clinical effectiveness, safety and patient experience, with the latter modelled on the Picker Principles of Patient-Centred Care (PCC). Quality improvement is an important feature of the current dental contract reforms in England, with “patient experience” likely to have a central role in the evaluation of quality. An understanding and appreciation of the evidence underpinning PCC within dentistry is highly relevant if we are to use this as a measure of quality in general dental practice.

Methods

A systematic review of the literature was undertaken to identify the features of PCC relevant to dentistry and ascertain the current research evidence base underpinning its use as a measure of quality within general dental practice.

Results

Three papers were identified which met the inclusion criteria and demonstrated the use of primary research to provide an understanding of the key features of PCC within dentistry. None of the papers identified were based in general dental practice and none of the three studies sought the views of patients. Some distinct differences were noted between the key features of PCC reported within the dental literature and those developed within the NHS Patient Experience Framework.

Conclusions

This systematic review reveals a lack of understanding of PCC within dentistry, and in particular general dental practice. There is currently a poor evidence base to support the use of the current patient reported outcome measures as indicators of patient-centredness. Further research is necessary to understand the important features of PCC in dentistry and patients’ views should be central to this research.

【 授权许可】

   
2014 Mills et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Institute of Medicine: Crossing the Quality Chasm: Crossing the Quality Chasm: A new health system for the 21st century. In Book Crossing the Quality Chasm: A new health system for the 21st century. City: Institute of Medicine; 2001.
• [2]Australian Commission on Safety and Qaulity in Healthcare: Patient-Centred Care: Improving Quality and Safety by Focusing Care on Patients and Consumers. In Book Patient-Centred Care: Improving Quality and Safety by Focusing Care on Patients and Consumers. City: ACSQHC; 2010.
• [3]Goodrich J, Cornwell J: Seeing the Person in the Patient. The Point of Care Review Paper. London: King’s Fund; 2008.
• [4]Agency for Healthcare Research and Quality (AHRQ): National Healthcare Quality Report. In Book National Healthcare Quality Report. City: AHRQ; 2003.
• [5]Eight picker principles of patient-centered care http://pickerinstitute.org/about/picker-principles/ webcite
• [6]Saha S, Beach MC, Cooper LA: Patient centeredness, cultural competence and healthcare quality. J Natl Med Assoc 2008, 100:1275-1285.
• [7]Epstein RM, Mauksch L, Carroll J, Jaén CR: Have you really addressed your patient’s concerns? Fam Pract Manag 2008, 15:35-40.
• [8]Stewart M, Brown JB, Donner A, McWhinney IR, Oates J, Weston WW, Jordan J: The impact of patient-centered care on outcomes. J Fam Pract 2000, 49:796-804.
• [9]Bertakis KD, Azari R: Patient-centered care is associated with decreased health care utilization. J Am Board Fam Med 2011, 24:229-239.
• [10]Bertakis K KD, Rahman A: Determinants and outcomes of patient-centered care. Patient Educ Couns 2011, 85.1:46-52.
• [11]Irwin RS, Richardson ND: Patient-focused care: using the right tools. Chest 2006, 130:73S-82S.
• [12]Professor the Lord Darzi of Denham K: High Quality Care For All. NHS Next Stage Review Final Report. In Book High Quality Care For All. NHS Next Stage Review Final Report. London: The Stationary Office; 2008.
• [13]Information Centre: High Quality Care for All. Measuring for Quality Improvement. In Book High Quality Care for All. Measuring for Quality Improvement. London: The Stationary Office; 2009.
• [14]Greenhalgh J: The applications of PROs in clinical practice: what are they, do they work, and why? Qual Life Res 2009, 18:115-123.
• [15]Palfreyman S: Patient-reported outcome measures and how they are used. Nurs Older People 2011, 23:31-36.
• [16]European Regional Organisation of the Federation Dentaire Internationale: WG Quality in Dentistry Report 2007–2010. In Book WG Quality in Dentistry Report 2007–2010. City: FDI World Dental Federation; 2010.
• [17]Dental Quality Alliance: Quality Measurement in Dentistry: A Guidebook. In Book Quality Measurement in Dentistry: A Guidebook. City: American Dental Association; 2012.
• [18]Milsom KM, Threlfall A, Pine K, Tickle M, Blinkhorn AS, Kearney-Mitchell P: The introduction of the new dental contract in England – a baseline qualitative assessment. Br Dent J 2008, 204:59-62.
• [19]Chestnutt IG, Davies L, Thomas DR: Practitioners’ perspectives and experiences of the new National Health Service dental contract. Br Dent J 2009, 206:E18.
• [20]Committee THoCHS: Report on Dental Services. Fifth Report of Session 2007–2008. In Book Report on dental services. Fifth Report of Session 2007–2008. City: The Stationary Office; 2008.
• [21]Davies BJB, Macfarlane F: Clinical decision making by dentists working in the NHS General Dental Services since April 2006. Br Dent J 2010, 209:E17-E17.
• [22]NHS ENGLAND: Dental Care and Oral Health - call to action [Online]. London: NHS England; 2014. Available: http://www.england.nhs.uk/ourwork/qual-clin-lead/calltoaction/dental-call-to-action/ webcite [Accessed 1st May 2014]
• [23]Department of Health: Dental Quality and Outcomes Framework. In Book Dental Quality and Outcomes Framework. City: The Stationary Office; 2011.
• [24]Little P, Everitt H, Williamson I, Warner G, Moore M, Gould C, Ferrier K, Payne S: Preferences of patients for patient centred approach to consultation in primary care: observational study. BMJ 2001, 322:468.
• [25]Mead N, Bower P: Patient-centredness: a conceptual framework and review of the empirical literature. Soc Sci Med 2000, 51:1087-1110.
• [26]Robinson JH, Callister LC, Berry JA, Dearing KA: Patient-centered care and adherence: definitions and applications to improve outcomes. J Am Acad Nurse Pract 2008, 20:600-607.
• [27]Stewart M: Towards a global definition of patient centred care. BMJ 2001, 322:444-445.
• [28]Planetree Foundation: The planetree model, [Online]. 2011. Available: http://planetree.org/about-planetree/ webcite [Accessed 27th May 2014]
• [29]Little P, Everitt H, Williamson I, Warner G, Moore M, Gould C, Ferrier K, Payne S: Observational study of effect of patient centredness and positive approach on outcomes of general practice consultations. BMJ 2001, 323:908-911.
• [30]Mead N, Bower P: Patient-centred consultations and outcomes in primary care: a review of the literature. Patient Educ Couns 2002, 48:51-61.
• [31]Stewart M, Brown JB, Weston WW, McWhinney IR, McWilliam C, Freeman T: Patient-Centered Medicine: Transforming the Clinical Method. London: Sage; 1995.
• [32]NHS patient experience framework http://www.dh.gov.uk/health/2012/02/patient-experience-framework/ webcite
• [33]Khan KS, Ter Riet G, Glanville J, Sowden A, Kleijnen J: Undertaking Systematic Reviews of Research on Effectiveness: CRD’s Guidance for Carrying out or Commissioning Reviews. No. 4. 2nd edition. York: NHS Centre for Reviews and Dissemination; 2001.
• [34]Papaioannou D, Sutton A, Carroll C, Booth A, Wong R: Literature searching for social science systematic reviews: consideration of a range of search techniques. Health Info Libr J 2010, 27:114-122.
• [35]Greenhalgh T, Peacock R: Effectiveness and efficiency of search methods in systematic reviews of complex evidence: audit of primary sources. BMJ 2005, 331:1064-1065.
• [36]Balint E: The possibilities of patient-centered medicine. J R Coll Gen Pract 1969, 17:269-276.
• [37]Irving MJ, Tong A, Jan S, Cass A, Rose J, Chadban S, Allen RD, Craig JC, Wong G, Howard K: Factors that influence the decision to be an organ donor: a systematic review of the qualitative literature. Nephrol Dial Transplant 2012, 27:2526-2533.
• [38]CASP: An appraisal tool for qualitative research. http://wwwphrunhsuk/casp/qualitativepdf webcite (Last accessed 2 September 2013)
• [39]Masood M, Thaliath ET, Bower EJ, Newton JT: An appraisal of the quality of published qualitative dental research. Community Dent Oral Epidemiol 2011, 39:193-203.
• [40]Tong A, Sainsbury P, Craig J: Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care 2007, 19:349-357.
• [41]Gerteis M, Edgeman-Levitan S, Daley J, Delbanco TL: Through the Patient’s Eyes. San Francisco: John Wiley & Sons; 1993.
• [42]Kulich KR, Berggren U, Hallberg LR: A qualitative analysis of patient-centered dentistry in consultations with dental phobic patients. J Health Commun 2003, 8:171-187.
• [43]Loignon C, Allison P, Landry A, Richard L, Brodeur JM, Bedos C: Providing humanistic care: dentists’ experiences in deprived areas. J Dent Res 2010, 89:991-995.
• [44]Scambler SL, Emma Z, Liana G, Jennifer E: Professional attitudes towards disability in special care dentistry. J Disabil Oral Health 2011, 12:51-58.
• [45]Roskell CW: Deborah; Bonner, Cathy; Fairchild, Roseanne [Commentary on] Developing patient-centred care in health professionals: reflections on introducing service-learning into the curriculum. Int J Therapy Rehabil 2012, 19:448-457.
• [46]McNair A, Gardiner P, Sandy JR, Williams AC: A qualitative study to develop a tool to examine patients’ perceptions of NHS orthodontic treatment. J Orthod 2006, 33:97-106.
• [47]Chapple H, Shah S, Caress AL, Kay EJ: Exploring dental patients’ preferred roles in treatment decision-making - a novel approach. Br Dent J 2003, 194:321-327.
• [48]Bauer J, Spackman S, Chiappelli F, Prolo P: Interdisciplinary resources optimize evidence-based dental practice. J Evid Based Dent Pract 2005, 5:67-73.
• [49]Brennan M, Houston F, O’Sullivan M, O’Connell B: Patient satisfaction and oral health-related quality of life outcomes of implant overdentures and fixed complete dentures. Int J Oral Maxillofac Implants 2010, 25:791-800.
• [50]Gartlehner G, Maria F: Is the cochrane collaboration prepared for the era of patient-centred outcomes research? Cochrane Database Syst Rev 2013, 3:ED000054.
• [51]Kitson A, Marshall A, Bassett K, Zeitz K: What are the core elements of patient-centred care? A narrative review and synthesis of the literature from health policy, medicine and nursing. J Adv Nurs 2013, 69:4-15.
• [52]Cronin C: Patient-Centered Care: An Overview of Definitions and Concepts. In Book Patient-Centered Care: An Overview of Definitions and Concepts. City: National Health Council; 2004.
• [53]Burke L, Croucher R: Criteria of good dental practice generated by general dental practitioners and patients. Int Dent J 1996, 46:3-9.
• [54]Holt VP, McHugh K: Factors influencing patient loyalty to dentist and dental practice. Br Dent J 1997, 183:365-370.
• [55]Li RW, Chow TW: The specialty of family dentistry: a future for general dental practitioners? Dent Update 2004, 31:6-7.
• [56]Newsome PR, McGrath C: Patient-centred measures in dental practice: 3. Patient satisfaction. Dent Update 2007, 34:87-90.
• [57]Sbaraini A, Carter SM, Evans RW, Blinkhorn A: Experiences of dental care: what do patients value? BMC Health Serv Res 2012, 12:177-177. BioMed Central Full Text