Doyle Y G, Fenlon M R
J R Coll Gen Pract. 1989 Oct;39(327):415-7.
Communication between medical and dental practitioners about patients they have in common enhances total patient care, but such communication rarely occurs. This may be due to lack of appreciation by doctors of the medical risks to certain patients undergoing dental treatment. To ascertain a relevant medical history, prospective medical screening was performed on 1500 new patients attending a general dental practice using a standard health questionnaire followed by an interview between the patient and dentist. There were 382 (25.5%) patients with a current or past medical history of relevance to dentistry, 90 (6.0%) were taking medication of potential importance and 105 (7.0%) considered they had an intolerance to certain drugs. The screening provided a patient data base for medical and medico-legal purposes. A total of 376 (25.1%) questionnaires were filled out incorrectly and 63 of these (16.8%) had major misinformation about medical history. A small but important group deliberately misled the dentist either from fear of refusal of treatment or embarrassment about their medical history. Therefore interviews are an essential adjunct to written health questionnaires in eliciting accurate information. Formal screening of new patients is essential in general dental practice. Furthermore, general medical practitioners need to become aware of the common risks to patients undergoing dentistry. Better formal and informal communication between general medical and dental practitioners is recommended for the benefit of their mutual patients.
医学从业者和牙科从业者就他们共同诊治的患者进行沟通，有助于提高对患者的整体护理水平，但这种沟通很少发生。这可能是由于医生没有认识到某些接受牙科治疗的患者存在的医疗风险。为了确定相关的病史，对一家普通牙科诊所的1500名新患者进行了前瞻性医学筛查，使用标准健康问卷，随后患者与牙医进行面谈。有382名（25.5%）患者目前或过去有与牙科相关的病史，90名（6.0%）正在服用具有潜在重要性的药物，105名（7.0%）认为自己对某些药物不耐受。此次筛查为医疗和医疗法律目的提供了患者数据库。共有376份（25.1%）问卷填写错误，其中63份（16.8%）在病史方面有重大错误信息。一小部分但很重要的人群故意误导牙医，要么是因为担心治疗被拒绝，要么是对自己的病史感到尴尬。因此，在获取准确信息方面，面谈是书面健康问卷的重要辅助手段。在普通牙科诊所，对新患者进行正式筛查至关重要。此外，全科医生需要意识到患者在接受牙科治疗时面临的常见风险。建议普通医学从业者和牙科从业者之间加强正式和非正式的沟通，以造福他们共同的患者。
