Physician and Patient Dissatisfaction with Outpatient Pre-Screening Triage in Public Dental Hospitals: Scope and Strategies for Improvement

  • Siwei Ma
  • , Li Zhang
  • , Wenzhi Du
  • , Gaofeng Fang
  • , Peng Zhang
  • , Fangfang Xu
  • , Xingke Hao
  • , Xiaojing Fan
  • , Ang Li

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: While pre-screening triage (PST) enhances healthcare efficiency in emergency and pediatric settings, its application in dental healthcare remains undervalued. This novel study implemented PST in dental services, identifying determinants of physician–patient dissatisfaction to optimize triage systems and promote dental health outcomes. Methods: A cross-sectional survey (July–September 2024) recruited 113 physicians and 206 patients via convenience sampling. Dissatisfaction levels were quantified using validated questionnaires and analyzed through t-tests, ANOVA, and regression models. Results: In total, 37.17% of physicians with prior PST experience demonstrated significantly higher dissatisfaction scores (37.67 ± 9.08 vs. 32.51 ± 10.08, p = 0.006). Multivariate analysis revealed that experienced physicians rated PST services 5.63 points higher than less experienced counterparts (95% CI: 0.75–10.51). Dental patients expressed dissatisfaction with nurse attitudes (β = 1.04, 95% CI: 0.07–2.01) and triage process inefficiencies. Conclusions: Key dissatisfaction drivers include a lack of physician PST exposure and nurse–patient interaction quality in dental settings. These findings advocate for the development of a specialized triage system to enhance clinical workflow efficiency and service effectiveness in dental healthcare.

Original languageEnglish
Article number1672
JournalHealthcare (Switzerland)
Volume13
Issue number14
DOIs
StatePublished - Jul 2025

Keywords

  • dissatisfaction
  • physician and patient perspectives
  • pre-screening triage
  • public hospital

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