Raja Sheela, Shah Raveena, Hamad Judy, Van Kanegan Mona, Kupershmidt Alexandra, Kruthoff Mariela
Dr. Raja is Assistant Professor, Department of Pediatric Dentistry, College of Dentistry, University of Illinois at Chicago; Ms. Shah is an undergraduate student, University of Illinois at Chicago; Ms. Hamad is an undergraduate student, University of Illinois at Chicago; Dr. Van Kanegan is Codirector, Chicago Community Oral Health Forum; Ms. Kupershmidt is an undergraduate student, University of Illinois at Chicago; and Ms. Kruthoff is a dental student, College of Dentistry, Marquette University.
J Dent Educ. 2015 Oct;79(10):1201-7.
Although the importance of empathy, rapport, and anxiety/pain awareness in dentist-patient relations has been well documented, these factors continue to be an issue with patients in many dental school clinics. The aim of this study was to develop an in-depth understanding of how patients at an urban, university-affiliated medical center and its dental school's clinic experienced oral health care and to generate ideas for improving the dental school's clinical curriculum and management of the clinic. Although patient satisfaction surveys are common, in-depth patient narratives are an underutilized resource for improving dental education. In-depth qualitative interviews were conducted with 20 uninsured or underinsured dental patients at these sites, and the results were analyzed using content analysis. Major phenomena that participants discussed were the importance of empathy and good rapport with their oral health providers and provider awareness of dental pain and anxiety. Many patients also discussed feeling dehumanized during dental visits. Based on their positive and negative experiences, the participants made suggestions for how oral health professionals can successfully engage patients in treatment.
尽管共情、融洽关系以及对焦虑/疼痛的认知在医患关系中的重要性已有充分记录，但在许多牙科学校诊所中，这些因素仍是影响患者的问题。本研究的目的是深入了解城市中一所大学附属医院及其牙科学校诊所的患者如何体验口腔医疗保健，并为改进牙科学校的临床课程和诊所管理提出建议。虽然患者满意度调查很常见，但深入的患者叙述是改善牙科教育的未充分利用的资源。对这些场所的20名未参保或参保不足的牙科患者进行了深入的定性访谈，并使用内容分析法对结果进行了分析。参与者讨论的主要现象是与口腔健康提供者共情和建立良好融洽关系的重要性，以及提供者对牙齿疼痛和焦虑的认知。许多患者还谈到在看牙过程中感到自己被不当人对待。基于他们的正面和负面经历，参与者就口腔健康专业人员如何成功促使患者参与治疗提出了建议。
