Evaluation of Patient-Centered Communication in the Dental Practice of Kazakhstan

Anara Zhumadilova, Aizhan Kozhakhmetova, Ardak Yeslyamgaliyeva, Madina Kazhen, Artyom Sergazinov, Brett Janson Craig

2020

Full text Open access: Gold Metadata (CSL-JSON)
DOI 10.21203/rs.3.rs-41307/v1
Data confidence 70 medium
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Abstract

Abstract Background: The number of patients’ complaints based on dissatisfaction with dental care in the Republic of Kazakhstan remains high and is steadily increasing [1,2,3,4,5]. This study aims to evaluate the level of perception of patient-centered care among participants and find possible contributing factors that result in the high dissatisfaction among the patients.Methods: The cross-sectional study of 400 dentists and 400 patients from private dental clinics in the city of Nur-Sultan was conducted using a survey which contained PPOS by age and sex, dentists’ job satisfaction, job effort, job reward levels, and scales measuring the patients’ life satisfaction and communication assessment. The number of all respondents were 400 of dentists and 400 of patients ,correspondingly with an overall response rate of 80%. The middle-age (31-50 years) people have composed the major part of all the respondents, or 66.3% of the total.Results: According to the study, the patient-centered orientation of patients negatively correlated with life satisfaction (R=-0.201, P=0.000050) and communication assessment (P=0.230), while negatively correlated with age (P=0.379). Meanwhile, for dentists, or care providers, the patient-centered orientation also negatively correlated with life satisfaction (R=-0.204, P=0.000038). Conclusions: It was revealed that the majority of dentists and patients are doctor oriented. This study showed that all respondents associate the patient-centered approach with life satisfaction levels. Age is another important factor: the older proportion of the respondents mostly prefer doctor-centered attitudes.