Aims: The aim of this survey was to study patients' satisfaction with the d
ental service of a university in Hong Kong under a recently introduced item
-based fee-paying system and reasons for non-attendance at the clinic; and
to compare results of the present survey with that of a similar survey of t
he same dental service under a time-based fee-paying system in 1996. Method
: A modified Dental Satisfaction Questionnaire was distributed to a random
sample of students (n=194) in their lecture rooms and they were asked to co
mplete the questionnaire on the spot. The same questionnaire was sent to a
random sample of staff and their spouses (n=207) by mail. Results: Dental S
atisfaction Index (DSI) scores calculated from the returned questionnaires
were 66 for students and 70 for staff and their spouses. Compared to the sc
ores in 1996, there was no significant difference for that of the students
(DSI=65 in 1996) but there was a significant improvement in that of the sta
ff and their spouses (DSI=66 in 1996). Moreover, in the present survey, "bu
sy/no time" and "no perceived dental problem" were the major reasons for no
n-attendance, in contrast to "long waiting time for an appointment" in the
1996 survey, were the major reasons for non-attendance. Conclusion: The rec
ent attempts by the University Dental Clinic to shorten patient waiting tim
e and the change in fee-paying system might have improved the patients' sat
isfaction with the service.