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Abstract: This article focuses on those aspects of patient-centred care which are relevant to dentistry. Understanding motivating factors and patient expectations of treatment are fundamental in the provision of high quality care. Ensuring that patients have realistic expectations can be enhanced by providing good information and communicating well at all stages of treatment –factors which also enhance the overall patient experience.
A wide range of factors contribute to patient satisfaction with treatment, alongside meeting expectations and ensuring that the treatment experience is positive, but some of these factors are still not fully understood and more work is required to understand, for example, how patients' psychological traits may influence satisfaction.
It is essential that clinicians consider these factors when providing care for their patients and this paper discusses current evidence relating to patient expectations, patient experience, effectiveness of treatment (primarily quality of life) and also those factors which may impact on patient satisfaction with treatment.
CPD/Clinical Relevance: Patient-centred care involves being proactive about getting patients involved in decision-making and building good professional relationships with which to enhance communication and trust.
Article
Clinicians are required to consider the quality of care provided for patients, both in terms of the process of providing that care and the outcomes of the treatment.
In dentistry, outcomes of treatment have traditionally been assessed in terms of clinician-focused measures; for example, survival rates of restorations.1, 2, 3 However, recent years have seen a move to incorporate patient-centred measures alongside these clinician-derived measures. The Darzi report in 2008, High Quality Care for All,4 played a major part in implementing plans for an NHS which works in partnership with patients to deliver the best quality care possible and this report emphasized that most people want a greater degree of control and influence over their own health and healthcare.
Lord Darzi's summary letter stated that ‘High quality care should be as safe and effective as possible, with patients treated with compassion, dignity and respect. As well as clinical quality and safety, quality means care that is personal to each individual’. The document Liberating the NHS: No decision about me without me5 further reinforced the need to increase opportunities for patients, and their representatives, to have more involvement in decisions about their care all along the patient pathway. It is on this basis that modern healthcare is delivered.
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