Factors patients consider when accessing oral health care
Van Anh Trinh A , Peter Lee A , Jonathan Robson A , Emma Yu A , Victoria Jung A , Yoonju Heo A , Santosh Kumar Tadakamadla A B C * and Jane L. Evans A *A School of Medicine and Dentistry, Griffith University, Gold Coast, Qld 4222, Australia.
B Menzies Health Institute Queensland, Griffith University, Gold Coast, Qld 4222, Australia.
C Corresponding author. Email: santoshkumar.tadakamadla@griffithuni.edu.au
Australian Journal of Primary Health 27(6) 503-508 https://doi.org/10.1071/PY20205
Submitted: 24 September 2020 Accepted: 25 June 2021 Published: 23 November 2021
Abstract
The aim of this cross-sectional study was to understand patients’ perceived importance of clinic- and clinician-related factors and contextual characteristics that shape the importance ratings for factors patients consider when accessing oral health care. This study was conducted at Griffith University Dental Clinic, Gold Coast, Australia. Patients answered a self-administered questionnaire on demographics and perceived need for attendance, which constituted the explanatory variables. In the second part of the questionnaire, patients were asked to rate the importance of 17 items related to the provision and quality of oral health services using a five-point scale. Exploratory factor analysis (EFA) was conducted to determine the dimensionality of the questionnaire. The questionnaire was completed by 298 patients. The importance of some of the clinician-related factors, such as ‘concern for patients’ and ‘access to specialist care’, were associated with sex, age and employment status. EFA revealed a two-factor structure, which consisted of items related to clinician characteristics and clinic environment characteristics. Female participants had higher importance scores for clinic environment characteristics (mean (±s.d.) 38.00 ± 4.86 vs 35.45 ± 6.30; P < 0.05) and clinician characteristics (32.39 ± 2.85 vs 31.33 ± 3.39; P < 0.05) than male participants. In conclusion, various clinician- and clinic-related aspects were considered important for the provision and quality of oral health services, with the importance of these factors associated with some contextual characteristics. Application of Andersen’s behavioural model of health services use provided a framework that offers important insights into patient beliefs and perceptions towards oral health services and can serve as a baseline for future studies in dental clinics across Australia.
Keywords: patient, perception, dental clinic, access, oral health, attendance, clinician, quality of health care.
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