A conceptual construction of patient-centered dental care for primary care dentists in Thailand

Main Article Content

Yutthana Khamnil
Surasak Kao-iean
Pagaporn Pantuwadee Pisarnturakit

Abstract

The objective of this qualitative study was to develop a conceptual construct of patient-centered dental care for primary care dentists in Thailand. The study was divided into 2 steps, with the first step comprising a review of publications in dentistry as well as related medical and nursing care concerning patient-centered treatment. The second step involved in-depth interviews with participants using a semi-structured, open-ended interview form. The participants comprised 3 groups including 5 experts in patient-centered care, 7 dental practitioners, and 8 dental patients at community hospitals. The participants were recruited by purposive sampling. Interviews were transcribed and extracted conceptual constructs by using the thematic analysis method. Nine common attributes were extracted from 9 relevant articles, which could be used to create a patient-centered dental care model. These common attributes included communication, disease diagnostic and illness, whole person, shared information and decision-making, dentist-patient relationship, empathy, comprehensive care, continuing care, and coordinated care. In the second step, 12 attributes were obtained from the interview transcripts. The results found 3 different attributes including accessibility and the dentist’s self-awareness, and pain and anxiety management, and. The 12 attributes can be formed into 2 specific domains covering 1) patient-centered interpersonal care, consisting of 8 attributes, and 2) patient-centered integrated care, consisting of 4 attributes. Additionally, this notion could be expanded to further research focused on creating a measurement to assess the proficiency of patient-centered dental care for primary care dentists.

Downloads

Download data is not yet available.

Article Details

How to Cite
1.
Khamnil Y, Kao-iean S, Pantuwadee Pisarnturakit P. A conceptual construction of patient-centered dental care for primary care dentists in Thailand. Th Dent PH J [Internet]. 2023 Jun. 9 [cited 2024 May 23];28:14-31. Available from: https://he02.tci-thaijo.org/index.php/ThDPHJo/article/view/259404
Section
Original Article

References

Bal A, Mohanty R, Satpathy A, Nayak R, Das AC, Panda S, et al. Patient centered care: A paradigm shift in the delivery of oral health care. Indian J Public Health Res Dev 2019; 10(11): 793-7. doi:10.5958/0976-5506.2019.03582.4.

Balint E. The possibilities of patient-centered medicine. J R Coll Gen Pract 1969; 17(82): 269-76.

Håkansson Eklund J, Holmström IK, Kumlin T, Kaminsky E, Skoglund K, Höglander J, et al. “Same same or different?” A review of reviews of person-centered and patient-centered care. Patient Educ Couns 2019; 102(1): 3-11. doi:10.1016/j.pec.2018.08.029.

Laine C. Patient-centered medicine. JAMA 1996; 275(2): 152-6. doi:10.1001/jama.1996. 03530260066035.

Institute of Medicine. Crossing the quality chasm: A new health system for the 21st Century. Washington (DC): National Academy Press; 2001.

Rathert C, Wyrwich MD, Boren SA. Patient-centered care and outcomes: A systematic review of the literature. Med Care Res Rev 2013; 70(4): 351-79. doi:10.1177/107755871 2465774.

Stewart M, Brown JB, Donner A, McWhinney IR, Oates J, Weston WW, et al. The impact of patient-centered care on outcomes. J Fam Pract 2000; 49(9): 796-804.

Xu RH, Cheung AWL, Wong ELY. The relationship between patient engagement and health-related quality of life in patients: A cross-sectional study in general outpatient clinic in Hong Kong SAR, China. Patient Preference and Adher 2019; 13: 1451-62. doi:10.2147/PPA.S216891.

Biglu M, Nateqv F, Ghojazadeh M, Asgharzadeh A. Communication skills of physicians and patients' satisfaction. Materia Socio Medica 2017; 29(3): 192-5. doi:10.5455 /msm.2017.29.192-195.

Haskard Zolnierek KB, Dimatteo MR. Physician communication and patient adherence to treatment: A meta-analysis. Med Care 2009; 47(8): 826-34. doi:10.1097/ MLR.0b013e31819a5acc.

Kuipers SJ, Cramm JM, Nieboer AP. The importance of patient-centered care and co-creation of care for satisfaction with care and physical and social well-being of patients with multi-morbidity in the primary care setting. BMC Health Serv Res 2019; 19(13): 2-9. doi:10.1186/s12913-018-3818-y.

Bertakis KD, Azari R. Patient-centered care is associated with decreased health care utilization. J Am Board Fam Med 2011; 24(3): 229-39. doi:10.3122/jabfm.2011.03.100170.

Epstein RM, Fiscella K, Lesser CS, Stange KC. Analysis & commentary: Why the nation needs a policy push on patient-centered health care. Health Aff (Millwood) 2010; 29(8): 1489-95. doi:10.1377/hlthaff.2009.0888.

Kressin NR, Chapman SE, Magnani JW. A tale of two patients: patient-centered approaches to adherence as a gateway to reducing disparities. Circulation 2016; 133(24): 2583-92. doi:10.1161/CIRCULATION AHA.116.015361.

Kulich KR, Berggren U, Hallberg LRM. A qualitative analysis of patient-centered dentistry in consultations with dental phobic patients. J Health Commun 2003; 8(2): 171-87. doi:10.1080/10810730305694.

Lawford BJ, Delany C, Bennell KL, Bills C, Gale J, Hinman RS. Training physical therapists in person-centered practice for people with osteoarthritis: a qualitative case study. Arthritis Care Res (Hoboken) 2018; 70(4): 558-70. doi:10.1002/acr.23314.

Lewis N, Shimp L, Rockafellow S, Tingen J, Choe HM, Marcelino M. The role of the pharmacist in patient-centered medical home practices: current perspectives. Integr pharm res pract 2014; 3: 29-38. doi:10.2147/I prp.s62670.

McCormack B, McCance TV. Development of a framework for person-centred nursing. J Adv Nurs 2006; 56(5): 472-9. doi:10.1111/j. 1365-2648.2006.04042.x.

Mead N, Bower P. Patient-centredness: A conceptual framework and review of the empirical literature. Soc Sci Med 2000; 51(7): 1087-110. doi:10.1016/S0277-9536(00)00098-8.

Marei HF. Medical litigation in oral surgery practice: Lessons learned from 20 lawsuits. J Forensic Leg Med 2013; 20(4): 223-5. doi:10.1016/j.jflm.2012.09.025.

Narang R, Mittal L, Saha S, Aggarwal V, Sood P, Mehra S. Empathy among dental students: A systematic review of literature. J Indian Soc Pedod Prev Dent 2019; 37(4): 316-26. doi:10.4103/JISPPD.JISPPD_72_19.

Newsome PRH, Wright GH. A review of patient satisfaction: 2. Dental patient satisfaction: an appraisal of recent literature. Br Dent J 1999; 186(4): 166-70. doi:10.1038/s j.bdj.4800053.

Damiano P, Reynolds J, Herndon JB, McKernan S, Kuthy R. The patient-centered dental home: A standardized definition for quality assessment, improvement, and integration. Health Serv Res 2019; 54(2): 446-54. doi:10.1111/1475-6773.13067.

Lee H, Chalmers NI, Brow A, Boynes S, Monopoli M, Doherty M, et al. Person-centered care model in dentistry. BMC Oral Health 2018; 18. doi:10.1186/s12903-018-0661-9.

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(9): 991-5. doi:10.1177/ 0022034510370822.

Mills I, Frost J, Kay E, Moles DR. Person-centred care in dentistry - The patients' perspective. Br Dent J 2015; 218(7): 407-13. doi:10.1038/sj.bdj.2015.248.

Noushi N, Bedos C. Developing person-centred dental care: The perspectives of people living in poverty. Dent J 2020; 8(3): 2-9. doi:10.3390/DJ8030082.

Scambler S, Gupta A, Asimakopoulou K. Patient-centred care - what is it and how is it practised in the dental surgery?. Health Expect 2015; 18(6): 2549-58. doi:10.1111/he x.12223.

Hunsrisakhun J. Holistic care in dentistry concept towards clinical practices. J Dent Assoc Thai 2010; 60(4): 293-304. (in Thai).

Apelian N, Vergnes J-N, Bedos C. Humanizing clinical dentistry through a person-centred model. Int J Whole Pers Care 2014; 1(2): 30-50. doi:10.26443/ijwpc.v1i2.2.

American Dental Education Association. ADEA competencies for the new general dentist. J Dent Educ 2016; 80(7): 825-8. doi:10.1002/j.0022-0337.2016.80.7.tb06153.x.

Atisak C. Humanized dentistry. J Dent Assoc Thai 2009; 59(1): 63-73. (in Thai).

Owittayakul D, Saenghuttawattana P, Chuengpattanawadee A. Concepts of health and humanized health care in comprehensive dental care. CM Dent J 2017; 38(2): 53-63. (in Thai).

Faculty of dentistry. Doctor of dental surgery program (revised 2020). Konkaen, Thailand: Konkaen University; 2020. (in Thai).

Faculty of dentistry. Doctor of dental surgery program (revised program 2016). Bangkok, Thailand: Chulalongkorn University; 2016. (in Thai).

Faculty of dentistry. Doctor of dental surgery program (revised program 2018). Songkla, Thailand: Prince of Songkla University; 2018. (in Thai).

Tangcharoensathien V, Witthayapipopsakul W, Panichkriangkrai W, Patcharanarumol W, Mills A. Health systems development in Thailand: a solid platform for successful implementation of universal health coverage. Lancet 2018; 391(10126): 1205-23. doi:10.1016/s0140-6736(18)30198-3.

Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006; 3(2): 77-101. doi:10.1191/1478088706qp063oa.

Barbara. S. Is primary care essential? [primary care tomorrow]. Lancet 1994; 344(8930): 1129-33.

Institute of Medicine. Primary care: America's health in a new era. Washington, D.C.: National Academy Press; 1996.

Apelian N, Vergnes JN, Hovey R, Bedos C. How can we provide person-centred dental care? Br Dent J 2017; 223(6): 419-24.

Scambler S, Asimakopoulou K. A model of patient-centred care-turning good care into patient-centred care. Br Dent J 2014; 217(5): 225-8. doi:10.1038/sj.bdj.2014.755.

Stewart M. The patient-centered clinical method: a family medicine perspective. Turk klin aile hekim özel derg 2013; 17(2): 73-85. doi:10.2399/tahd.13.00073.

The British Association of Social Workers. Person-centred care in Europe: a cross-country comparison of health system performance, strategies and structures. [online] 16 February 2016 [cited 2022 Jul 3]; Available from: URL:https://www.basw.co.uk/resources/person-centred-care-europe-cross-country-comparison-health-system-performance-strategies

The Health Foundation. Measuring what really matters: Towards a coherent measurement system to support person-centred care. [online] April 2014 [cited 2022 May 16]; Available from: URL:https://www.health.org.uk/publications/measuring-what-really-matters-towards-a-coherent-measurement-system-to-support-person-centred-care

University of Iowa Public Policy Center. The need for defining a patient-centered dental home model in the era of the affordable care act background report. [online] August 2015 [cited 2021 Nov 12]; Available from: URL:https://iro.uiowa.edu/esploro/outputs/report/9983557185702771#details

Bedos C, Apelian N, Vergnes JN. Towards a biopsychosocial approach in dentistry: the Montreal-Toulouse Model. Br Dent J 2020; 228(6): 465-8. doi:10.1038/s41415-020-1368-2.

The Royal Thai Government Gazette. Primary care act, B.E. 2562 (2019). [online] 30 April 2019 [cited 2022 Jun 20]; Available from: URL:https://ratchakitcha.soc.go.th/documents/17087273.pdf (in Thai)