与有特殊医疗需求的患者沟通。

Communicating with Patients with Special Health Care Needs.

作者信息

Espinoza Kimberly M, Heaton Lisa J

机构信息

Dental Education in the Care of Persons with Disabilities Program, Department of Oral Medicine, University of Washington School of Dentistry, 1959 Northeast Pacific Street, Seattle, WA 98195, USA.

Department of Oral Health Sciences, University of Washington School of Dentistry, 1959 Northeast Pacific Street, Seattle, WA 98195, USA.

出版信息

Dent Clin North Am. 2016 Jul;60(3):693-705. doi: 10.1016/j.cden.2016.02.004. Epub 2016 Mar 21.

DOI:10.1016/j.cden.2016.02.004

PMID:27264858

Abstract

People with special health care needs (PSHCN) often have difficulty communicating with providers in health care settings, including dental practices. This difficulty can affect access to care as well as the quality of care received. This article provides practical tips and tools dental professionals can use to facilitate communication for a diverse population of PSHCNs. The article discusses communication needs of patients with communication disorders; augmentative and alternative communication; and communication for patients with intellectual disability, psychiatric conditions; and dental fears. Examples are given of communication breakdowns, and descriptions of how communication challenges can be resolved.

摘要

有特殊医疗需求的人群（PSHCN）在医疗环境中，包括牙科诊所，往往难以与医护人员进行沟通。这种困难会影响到获得医疗服务的机会以及所接受医疗服务的质量。本文提供了实用的技巧和工具，牙科专业人员可用于促进与不同类型的有特殊医疗需求人群的沟通。文章讨论了有沟通障碍患者的沟通需求；辅助和替代沟通方式；以及为智障、精神疾病患者和有牙科恐惧患者的沟通。文中给出了沟通障碍的示例，以及如何解决沟通挑战的描述。