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Patient Satisfaction Survey on Comprehensive
Periodontal Treatment Project in Taipei
Periodontal disease,patient satisfaction,quality of medical care services,Comprehensive Periodontal Treatment Project,related factors,
|Publication Year :||2019|
針對牙統照護治療前後，牙周改善狀況評估結果，其中具統計學明顯改善的項目包含牙齦紅腫、刷牙流血的情形 (治療前後平均分數降低1.12(標準差為1.02)，其p值為<.0001)；牙齒鬆動的情形(治療前後平均分數降低0.70 (標準差1.01)，其p值為<.0001)；牙齒冷熱敏感的情形(平均分數降低0.30 (標準差1.01)，其p值為0.0002)；口臭的情形(平均分數降低0.63 (標準差0.85)，其p值為<.0001);牙齦退縮的情形(平均分數降低0.77 (標準差0.88)，其p值為<.0001)。
Background and Objective:
The National Health Insurance began to pay for Comprehensive Periodontal Treatment Project. It is mainly intended to improve the quality of periodontal care through the payment program, increase the fairness of medical treatment and reduce the medical expenses of oral diseases. However, there is still a lack of relevant research on the implementation satisfaction of the dental care treatment plan, the effectiveness of treatment, and the related factors affecting the effectiveness of treatment. Therefore, we hope to achieve the following main objectives through practicum, including (1) understanding the satisfaction of the comprehensive periodontal treatment (2) whether comprehensive periodontal treatment has a significant improvement in periodontal disease and (3) Whether the disease history, living habits and eating habits of patients are important factors affecting the effectiveness of comprehensive periodontal treatment.
In this study, a cross-sectional study was conducted at the Department of Periodontology, National Taiwan University Hospital. The subjects were patients who participated in the comprehensive periodontal treatment project, and data collection and investigation were conducted by questionnaire. The content of the questionnaire is mainly divided into three aspects. The first aspect is to discuss the satisfaction degree of comprehensive periodontal treatment. The second aspect is to explore whether the comprehensive periodontal treatment can significantly improve the periodontal condition. The third aspect is to explore the risk factor affecting the efficacy such as history of dental diseases, living habits and eating habits, the history of dental diseases of patients. The collection process is divided into two periods (from May 15, 2016 to June 15, 2016 and May 20, 2017 to June 20, 2017). During the period, a total of 200 questionnaires were distributed and 192 copies were collected. (The recovery rate is 96%).
Of all 192 patients, 39.3% had a history of periodontal disease in the immediate or collateral family, and 19.4% had a family history of diabetes. 71.2% of the patients had missing teeth, and 65.5% of the patients did not have the habit of regularly cleaning their teeth in the dental clinic for half a year. Most patients did not smoke (84.8%), drink alcohol (82.2%) and chew betel nut (95.3%). 67% of patients prefer hard food, while 28.3% prefer sugary drinks.
For the evaluation of periodontal improvement before and after the treatment of dental care, the items with statistically significant improvement included gingival redness and brushing bleeding (average score before and after treatment decreased by 1.12 (standard deviation was 1.02), and its p value was <. 0001); tooth loosening (average score before and after treatment decreased by 0.70 (standard deviation 1.01), its p value was <.0001); teeth were hot and cold sensitive (average score decreased by 0.30 (standard deviation 1.01), and its p value was 0.0002. In the case of bad breath (the average score decreased by 0.63 (standard deviation 0.85), its p value was <.0001); the case of gingival recession (the average score decreased by 0.77 (standard deviation 0.88), and its p value was <.0001).
According to the satisfaction degree of comprehensive periodontal treatment project, 97.9% of the patients thought that the dentist provided a complete explanation when receiving the dental care treatment; 81.6% of the patients could understand the teeth after receiving the dental treatment. 96.3% of patients had satisfactory/very satisfied on overall satisfaction after receiving dental treatment. 97.9% of patients believe that the dentist has a complete/very complete good oral education when receiving dental treatment. 48.2% of patients felt mild discomfort during the treatment, 15.7% felt moderately uncomfortable, and 13.6% felt very uncomfortable. More than 95% of patients receiving dental care are satisfied with the dentist's clear instructions and good oral education and overall satisfaction. 81.6% of patients were satisfied with the knowledge of periodontal disease after receiving dental treatment.
The dentate care treatment program can effectively improve the periodontal condition of patients, especially in the improvement of gingival swelling and brushing bleeding. The patient had a good satisfaction after receiving the dental care treatment plan. However, the future can be improved on how to relieve pain in the treatment program, and to focus on the impact of specific patient characteristics on the effectiveness of care as a reference for future clinical treatment or policy payments.
|Appears in Collections:||健康政策與管理研究所|
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