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Evaluation of the orthodontic component of the hypodontia care pathway

Cunningham, SJ; O'Keeffe, M; Collins, JM; (2016) Evaluation of the orthodontic component of the hypodontia care pathway. Journal of Orthodontics , 43 (4) pp. 268-275. 10.1080/14653125.2016.1226052. Green open access

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Abstract

INTRODUCTION: This study evaluated patients’ experiences of the Hypodontia Care Pathway at a large teaching hospital at key stages: specifically patient expectations/experience following the diagnosis of hypodontia and then patient satisfaction with the orthodontic care received and the outcome at the end of active orthodontic treatment. METHODOLOGY: In-depth, semi-structured interviews were conducted with twenty hypodontia patients following completion of orthodontic treatment but prior to any planned prosthodontic treatment commencing. Interviews were analysed qualitatively, using a framework approach. RESULTS: The framework analysis identified four main themes: perceptions of treatment, impact of the original malocclusion and the treatment process, the care team and communication. The themes were then further divided into subthemes. DISCUSSION: There was a large amount of positive feedback and the importance of the patient-clinician relationship was evident throughout. Where negative feedback was provided it mainly related to communication and areas were identified where change could take place in the future. CONCLUSIONS: Positive feedback was received and the importance of patient-clinician rapport was highlighted in all interviews. The main areas for improvement related to the importance of ensuring optimum communication, particularly with a cohort of patients who are often undergoing complex multidisciplinary treatment. Recommendations for the service have been made.

Type: Article
Title: Evaluation of the orthodontic component of the hypodontia care pathway
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/14653125.2016.1226052
Publisher version: http://dx.doi.org/10.1080/14653125.2016.1226052
Language: English
Additional information: This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Orthodontics on 01/12/2016, available online: http://www.tandfonline.com/10.1080/14653125.2016.1226052
Keywords: Hypodontia, qualitative research, care pathway, patient satisfaction, impact
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Eastman Dental Institute
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Eastman Dental Institute > EDI Craniofacial and Development Sci
URI: https://discovery.ucl.ac.uk/id/eprint/1514447
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