title: Temporomandibular disorder patients' journey through care.
abstract: Temporomandibular disorders (TMDs) are a common group of chronic disorders (illnesses) that health care providers can find difficult to diagnose and explain. Similar difficulties in the diagnosis of other chronic conditions have been shown to have a negative impact on health. An understanding of TMD patients' experiences and journey through care could indicate time points and strategies to help patients.
  
  
  OBJECTIVE
  To develop a robust empirically derived map of TMD sufferers' journey through care.
  
  
  METHODS
  A qualitative study using semi-structured interviews was undertaken using a purposive sample of patients with TMDs. Analysis followed the principles of the constant comparative method where data collection and thematic analysis occurred concurrently and continued until data saturation (n = 29).
  
  
  RESULTS
  The experiences of patients could be grouped into three key stages: genesis of problem, seeking help in primary care and secondary care intervention. A wide variety of negative effects were described throughout these stages. An empirically derived map of the patients' reported journey through care emerged.
  
  
  CONCLUSIONS
  The experiences of patients with TMDs mirror experiences of other types of chronic illness. Mapping the journey through care for TMDs highlights the potential for interaction between the stages of the journey and the individual's illness. It may be possible to target interventions at specific stages on the map to help minimize the psychosocial effects of TMDs.
authors.affiliation: School of Dental Sciences and Institute of Health and Society, Newcastle University, Newcastle, UK. j.a.durham@ncl.ac.uk
authors.forename: Justin
authors.initials: J
authors.lastname: Durham
authors.forename: Jimmy
authors.initials: J
authors.lastname: Steele
authors.forename: M Adel
authors.initials: MA
authors.lastname: Moufti
authors.forename: Robert
authors.initials: R
authors.lastname: Wassell
authors.forename: Peter
authors.initials: P
authors.lastname: Robinson
authors.forename: Catherine
authors.initials: C
authors.lastname: Exley
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D012737:Sex Factors; D013705:Temporomandibular Joint Disorders / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D006113:United Kingdom; D055815:Young Adult