{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T19:38:43Z","timestamp":1791920323549,"version":"4.3.4"},"reference-count":43,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T00:00:00Z","timestamp":1764633600000},"content-version":"unspecified","delay-in-days":335,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1463423625100637_as1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Rehabilitation with removable complete dentures (RCDs) involves navigating public dental systems that often present barriers like long wait times and limited access. While clinical outcomes are often known, patient experiences with service delivery remain underexplored. Understanding these experiences is key to improving denture care in public settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423625100637_as2\">\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>This study aimed to explore and gain a comprehensive understanding of the service delivery experiences of patients rehabilitated with RCDs through the public dental health system in the State of Tasmania\u00a0in Australia with the goal of informing improvements to the patient journey and overall service quality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423625100637_as3\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A qualitative study using a Constructivist Grounded Theory (CGT) approach was undertaken. Twenty-five adult participants who received RCDs between 2017 and 2022 were purposively selected from public dental clinics. Data were collected through in-depth, semi-structured, face-to-face interviews. Analysis followed CGT principles, including iterative coding, constant comparison, memo writing, and the co-construction of meaning with participants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423625100637_as4\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Participants reported emotional distress linked to prolonged waiting times and limited continuity of care. Despite valuing the professionalism and empathy of individual practitioners, many expressed a need for improved communication, more coordinated interdisciplinary care, and greater system responsiveness. Good service was characterised by accessibility, affordability, approachability, friendly staff, and high-quality care. Suggestions for improvement included moving services close to patients, better integration with other health sectors, and the use of visual aids to support understanding and self-management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1463423625100637_as6\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Patient narratives reveal a pressing need to address delays, communication gaps, and fragmented care in the public denture service pathway. System-level changes adopting a more holistic approach such as patient-centred approach, improving interprofessional collaboration, decentralising service provision, and enhancing health communication may significantly improve the denture rehabilitation experience and patient outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1463423625100637","type":"journal-article","created":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T02:38:38Z","timestamp":1764643118000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["Improving oral health service delivery: the patient perspective"],"prefix":"10.1017","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5103-8186","authenticated-orcid":false,"given":"Shamiso","family":"Chakaipa","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01nfmeh72","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Tasmania"},{"name":"Oral Health Services Tasmania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pieter J.","family":"Van Dam","sequence":"additional","affiliation":[{"name":"University of Tasmania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5782-9141","authenticated-orcid":false,"given":"Sarah J.","family":"Prior","sequence":"additional","affiliation":[{"name":"University of Tasmania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,12,2]]},"reference":[{"key":"S1463423625100637_ref6","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-018-0784-z"},{"key":"S1463423625100637_ref29","doi-asserted-by":"publisher","DOI":"10.1177\/1077558714541480"},{"key":"S1463423625100637_ref41","doi-asserted-by":"publisher","DOI":"10.1590\/1981-863720170002000093257"},{"key":"S1463423625100637_ref13","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11060797"},{"key":"S1463423625100637_ref4","volume-title":"National Safety and Quality Health Service Standards","year":"2021"},{"key":"S1463423625100637_ref3","volume-title":"NSQHS Standards Guide for Dental Practices and Services","year":"2015"},{"key":"S1463423625100637_ref39","doi-asserted-by":"publisher","DOI":"10.35680\/2372-0247.1806"},{"key":"S1463423625100637_ref9","unstructured":"Dudko, Y (2019) Public Dental Waiting List in Australia: A Detailed Analysis and Discussion of Management Options. Doctor of Philosophy The University of Western Australia."},{"key":"S1463423625100637_ref1","doi-asserted-by":"publisher","DOI":"10.31546\/JBRCI.1004"},{"key":"S1463423625100637_ref19","doi-asserted-by":"publisher","DOI":"10.1071\/PY14063"},{"key":"S1463423625100637_ref16","volume-title":"Crossing the Quality Chasm: A New Health System for the 21st Century","year":"2001"},{"key":"S1463423625100637_ref24","doi-asserted-by":"publisher","DOI":"10.1071\/AH19290"},{"key":"S1463423625100637_ref26","doi-asserted-by":"publisher","DOI":"10.1177\/23743735221125439"},{"key":"S1463423625100637_ref42","volume-title":"Constructing Grounded Theory: A Practical Guide through Qualitative Analysis","author":"Charmaz","year":"2006"},{"key":"S1463423625100637_ref18","doi-asserted-by":"publisher","DOI":"10.17294\/2330-0698.1416"},{"key":"S1463423625100637_ref5","doi-asserted-by":"publisher","DOI":"10.1093\/bmb\/ldad026"},{"key":"S1463423625100637_ref37","doi-asserted-by":"publisher","DOI":"10.1111\/jopr.12703"},{"key":"S1463423625100637_ref30","doi-asserted-by":"publisher","DOI":"10.34172\/ijhpm.2023.8266"},{"key":"S1463423625100637_ref25","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16183318"},{"key":"S1463423625100637_ref43","doi-asserted-by":"publisher","DOI":"10.1016\/0147-1767(85)90062-8"},{"key":"S1463423625100637_ref32","doi-asserted-by":"publisher","DOI":"10.3109\/00016357.2011.575079"},{"key":"S1463423625100637_ref17","unstructured":"KPMG (2024) Improving the Patient Experience: Insights for Healthcare Professionals from the KPMG US Customer Experience Excellence Report 2023\u20132024. KPMG https:\/\/kpmg.com\/us\/en\/articles\/2024\/improving-patient-experience.html (accessed 20 July 2025)."},{"key":"S1463423625100637_ref22","doi-asserted-by":"publisher","DOI":"10.21037\/jhmhp-23-98"},{"key":"S1463423625100637_ref28","volume-title":"Partnering with Consumers","year":"2017"},{"key":"S1463423625100637_ref36","volume-title":"National Partnership Agreements (NPAs) on Public Dental Services","year":"2012"},{"key":"S1463423625100637_ref31","doi-asserted-by":"publisher","DOI":"10.3126\/jmmihs.v7i1.43146"},{"key":"S1463423625100637_ref20","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.12575"},{"key":"S1463423625100637_ref35","doi-asserted-by":"crossref","first-page":"2264579","DOI":"10.1080\/23311975.2023.2264579","article-title":"Assessment of healthcare service quality effect on patient satisfaction and care outcomes: a case study in India","volume":"10","author":"Swathi","year":"2023","journal-title":"Cogent Business, Management"},{"key":"S1463423625100637_ref8","doi-asserted-by":"publisher","DOI":"10.3390\/oral3040041"},{"key":"S1463423625100637_ref33","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2023-013317"},{"key":"S1463423625100637_ref38","doi-asserted-by":"publisher","DOI":"10.31486\/toj.22.0111"},{"key":"S1463423625100637_ref34","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-023-09695-y"},{"key":"S1463423625100637_ref2","volume-title":"Access to Oral Health Services","year":"2024"},{"key":"S1463423625100637_ref10","unstructured":"Duckett, S , Cowgill, M and Swerissen, H (2019) Filling the Gap. A Universal Dental Scheme for Australia. Melbourne: Granttan Institute."},{"key":"S1463423625100637_ref27","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(03)02166-9"},{"key":"S1463423625100637_ref40","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-020-05383-3"},{"key":"S1463423625100637_ref11","doi-asserted-by":"publisher","DOI":"10.1071\/AH15025"},{"key":"S1463423625100637_ref12","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11050639"},{"key":"S1463423625100637_ref14","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13241"},{"key":"S1463423625100637_ref23","doi-asserted-by":"publisher","DOI":"10.35680\/2372-0247.1149"},{"key":"S1463423625100637_ref15","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-011907"},{"key":"S1463423625100637_ref7","doi-asserted-by":"publisher","DOI":"10.35680\/2372-0247.1656"},{"key":"S1463423625100637_ref21","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-020-05633-4"}],"container-title":["Primary Health Care Research &amp; Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1463423625100637","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T02:38:40Z","timestamp":1764643120000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1463423625100637\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":43,"alternative-id":["S1463423625100637"],"URL":"https:\/\/doi.org\/10.1017\/s1463423625100637","relation":{},"ISSN":["1463-4236","1477-1128"],"issn-type":[{"value":"1463-4236","type":"print"},{"value":"1477-1128","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e97"}}