title: Comparison of patient centeredness of visits to emergency departments, physicians, and dentists for dental problems and injuries.
abstract: BACKGROUND
  Patient-centered care has a positive impact on patient health status. This report compares patient assessments of patient centeredness during treatment in hospital emergency departments (EDs) and physician and dentist offices for dental problems and injuries.
  
  
  METHODS
  Participants included low-income White, Black, and Hispanic adults who had experienced a dental problem or injury during the previous 12 months and who visited an emergency department, physician, or dentist for treatment. A stratified random sample of Maryland households participated in a cross-sectional telephone survey. Interviews were completed with 94.8% (401/423) of eligible individuals. Multivariable logistic regression analyses were performed.
  
  
  RESULTS
  The measure of predictive power, the pseudo-R2s, calculated for the logistic regression models ranged from 12% to 18% for the analyses of responses to the measures of patient centeredness (satisfaction with treatment, careful listening, thorough explaining, spending enough time, and treated with courtesy and respect). EDs were less likely than dentists to treat patients with great courtesy and respect.
  
  
  CONCLUSIONS
  Further research is needed to identify factors that support patient-centered care.
authors.affiliation: Department of Health Promotion and Policy, University of Maryland Dental School, USA. lacohen@umaryland.edu
authors.forename: Leonard A
authors.initials: LA
authors.lastname: Cohen
authors.forename: Arthur J
authors.initials: AJ
authors.lastname: Bonito
authors.forename: Celia
authors.initials: C
authors.lastname: Eicheldinger
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Manski
authors.forename: Mark D
authors.initials: MD
authors.lastname: Macek
authors.forename: Robert R
authors.initials: RR
authors.lastname: Edwards
authors.forename: Niharika
authors.initials: N
authors.lastname: Khanna
mesh_terms: D000328:Adult; D000368:Aged; D016009:Chi-Square Distribution; D003812:Dentist-Patient Relations; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005157:Facial Pain / Q000628:therapy; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D016015:Logistic Models; D008297:Male; D008396:Maryland; D008875:Middle Aged; D008913:Minority Groups; D009059:Mouth Diseases / Q000628:therapy*; D017060:Patient Satisfaction; D018802:Patient-Centered Care / Q000706:statistics & numerical data*; D010817:Physician-Patient Relations; D011203:Poverty; D012494:Sampling Studies; D014076:Tooth Diseases / Q000628:therapy*; D055815:Young Adult