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牙科的以患者为中心的护理模式。

Person-centered care model in dentistry.

机构信息

DentaQuest Institute, 10320 Little Patuxent Pkwy., Suite 200, Columbia, MD, 21044, USA.

AcademyHealth, 1666 K Street NW, Suite 1100, Washington, DC, 20006, USA.

出版信息

BMC Oral Health. 2018 Nov 29;18(1):198. doi: 10.1186/s12903-018-0661-9.

Abstract

BACKGROUND

To achieve optimal health and oral health, the system of care must place a person and their social well-being at the center of decision making and understand factors spent outside the clinical settings, including individual behavior, context and lifestyle.

MAIN TEXT

Person-centered care offers a unique and compelling opportunity for dentistry, and its practitioners, to improve quality of care and overall health outcomes. For decades, the dominant treatment modalities within dentistry primarily focused on a surgical, treatment-oriented approach as opposed to health promotion and improvement. However, new business and care models are disrupting the dental care system, and transforming it into one that is focused on disease management and prevention-oriented primary care that considers overall health and well-being. We proposed a person-centered care model to improve oral health as an integral part of overall health. The model identified three key players who act as change agents with their respective roles and responsibilities: Person, provider, and health care system designer.

CONCLUSIONS

While previous person-centered models in dentistry focused on the role of providers within the clinical setting, this work emphasizes the role of the care designer in creating an environment where both person and provider are able to communicate effectively and achieve improved health outcomes.

摘要

背景

为了实现最佳的健康和口腔健康,医疗体系必须将个人及其社会福祉置于决策的中心,并理解临床环境之外的因素,包括个人行为、环境和生活方式。

主要内容

以人为本的护理为牙科及其从业者提供了一个独特而引人注目的机会,以提高护理质量和整体健康结果。几十年来,牙科领域的主要治疗模式主要侧重于手术、以治疗为导向的方法,而不是促进和改善健康。然而,新的商业模式和护理模式正在打破牙科护理体系,将其转变为以疾病管理和预防为导向的初级保健为重点的体系,同时考虑整体健康和福祉。我们提出了以人为本的护理模式,将改善口腔健康作为整体健康的一个组成部分。该模型确定了三个关键角色,他们作为变革推动者发挥各自的作用和责任:个人、提供者和医疗保健系统设计者。

结论

虽然以前的牙科以人为本的模式侧重于临床环境中提供者的作用,但这项工作强调了护理设计者在创造一个环境中的作用,在这个环境中,个人和提供者都能够进行有效的沟通,并实现改善的健康结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99d1/6267887/7504e1e469c1/12903_2018_661_Fig1_HTML.jpg

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