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提供人文关怀:贫困地区牙医的体验。

Providing humanistic care: dentists' experiences in deprived areas.

机构信息

Department of Family Medicine, Faculty of Medicine, Université de Sherbrooke, Complexe St-Charles, 1111, rue St-Charles Ouest, Tour Est, Suite 354, Longueuil, Québec, Canada, J4K 5G4.

出版信息

J Dent Res. 2010 Sep;89(9):991-5. doi: 10.1177/0022034510370822. Epub 2010 Jun 4.

Abstract

Communication barriers severely reduce the effectiveness of oral health care provision to people living in poverty. Our objective was to identify specific approaches and skills developed by dentists for more effective treatment of people living in poverty and addressing their needs. We conducted qualitative research based on in-depth interviews with eight dentists practicing in disadvantaged communities of Montreal, Canada. Analyses consisted of interview debriefing, transcript coding, and data interpretation. Results revealed that, over years of practice, these dentists had developed a five-faceted socio-humanistic approach that involved: (1) understanding patients' social context; (2) taking time and showing empathy; (3) avoiding moralistic attitudes; (4) overcoming social distances; and (5) favoring direct contact with patients. This approach is original, and, even though participants found it successful, it should be evaluated in terms of its impact for access to services and patients' experience of care.

摘要

沟通障碍严重降低了向贫困人群提供口腔卫生保健服务的效果。我们的目的是确定牙医为更有效地治疗贫困人群并满足他们的需求而开发的具体方法和技能。我们在加拿大蒙特利尔的贫困社区进行了基于对 8 名牙医的深入访谈的定性研究。分析包括访谈汇报、转录编码和数据解释。研究结果表明,多年来,这些牙医已经开发出一种五方面的社会人文方法,包括:(1)了解患者的社会背景;(2)花时间并表示同理心;(3)避免道德主义态度;(4)克服社会距离;(5)提倡与患者直接接触。这种方法是原创的,尽管参与者认为它很成功,但应该根据其对服务可及性和患者护理体验的影响进行评估。

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