Patient expectations of emergency dental services: a qualitative interview study.

Abstract:

OBJECTIVE:To describe the expectations of walk-in patients seeking emergency dental care out-of-hours. BASIC DESIGN:Consecutive patients attending two emergency dental clinics at weekends were interviewed prior to seeing the dentist. The audio-recorded interview transcripts were analysed using the "framework" method of applied qualitative data analysis. SUBJECTS AND SETTING:Forty-four walk-in emergency dental patients at a community-based dental clinic and a dental hospital emergency clinic at the weekend. RESULTS:In addition to symptom relief, the main desired outcome for emergency dental patients may be informational and psychological--especially reassurance that the problem is not serious, and reduced uncertainty about the cause of the pain. In general, patients' stated expectations for specific treatments (such as antibiotics, or tooth extraction) were not absolute: rather, they implied these expectations were conditional upon the dentist deciding they were necessary. CONCLUSIONS:Emergency dental services, some of which are still dominantly treatment-focused, should reflect that many emergency dental attenders want advice and reassurance as much as relief from symptoms. This reinforces the importance of effective and sympathetic dentist-patient communication within emergency or out-of-hours consultations. It also implies that dentists' skills in listening, explaining and reassuring should be captured in any patient satisfaction or outcome measure designed for this patient group.

journal_name

Br Dent J

journal_title

British dental journal

authors

Anderson R

doi

10.1038/sj.bdj.4811652

subject

Has Abstract

pub_date

2004-09-25 00:00:00

pages

331-4; discussion 323

issue

6

eissn

0007-0610

issn

1476-5373

pii

4811652

journal_volume

197

pub_type

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