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以患者为中心的护理:牙科手术中的障碍与机遇

Patient-centred care: barriers and opportunities in the dental surgery.

作者信息

Asimakopoulou Koula, Gupta Adyya, Scambler Sasha

机构信息

Unit of Social and Behavioural Sciences, Dental Institute King's College London, London, UK.

出版信息

Community Dent Oral Epidemiol. 2014 Dec;42(6):603-10. doi: 10.1111/cdoe.12120. Epub 2014 Jul 12.

Abstract

OBJECTIVES

This paper explores the practice of patient-centred care (PCC) within dentistry. The aim of this research was to explore the barriers and opportunities dentists face in practicing PCC.

METHODS

The results of N = 20 thematically analysed, in-depth semi-structured qualitative interviews with a range of dentists working across clinical and teaching positions within a large UK dental school are presented.

RESULTS

PCC was generally considered a positive, to be embraced concept which dentists believe they practice daily in the absence of any formal training. PCC presented dentists with opportunities to deliver treatment to highly compliant patients. The main barriers revolved around patients (e.g. disengaged or overly inquisitive) and practice factors (e.g. time and funding).

CONCLUSIONS

PCC is a concept that is generally seen as important in the dental surgery, presenting dentists with opportunities for compliance-enhanced practice. Significant work is needed if dentists are going to be supported in overcoming self-identified barriers to their delivery of PCC as per UK General Dental Council guidelines.

摘要

目的

本文探讨牙科领域以患者为中心的护理(PCC)实践。本研究的目的是探究牙医在实施PCC时面临的障碍和机遇。

方法

呈现了对英国一所大型牙科学院中从事临床和教学工作的一系列牙医进行的N = 20次主题分析、深入的半结构化定性访谈结果。

结果

PCC通常被认为是一个积极的、值得采纳的概念,牙医们认为他们在没有任何正规培训的情况下每天都在践行。PCC为牙医提供了为高度依从的患者提供治疗的机会。主要障碍围绕患者(如不参与或过于好奇)和实践因素(如时间和资金)。

结论

PCC是一个在牙科手术中普遍被视为重要的概念,为牙医提供了提高依从性实践的机会。如果要按照英国牙科总会的指导方针支持牙医克服他们在实施PCC时自我认定的障碍,还需要开展大量工作。

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