Torper Jorun, Ansteinsson Vibeke, Lundeby Tonje
Oral Health Centre of Expertise (OHCE) in Eastern Norway, Oslo, Norway.
Faculty of Dentistry, University of Oslo, Oslo, Norway.
Eur J Dent Educ. 2019 May;23(2):220-229. doi: 10.1111/eje.12421. Epub 2019 Mar 25.
A consultation model for dentistry is presented, with communication skills in a didactic and structural format, applicable for most types of visits, patients and problems. A characteristic of the dental visit is its division into dialogue phases and clinical phases, which makes verbal exchange especially challenging. The original Four Habits Model (4H) has been adapted from medicine to the specific structure and content of a dental visit, and a modified model is proposed. The dental model consists of a structural core framework relevant for all dental consultations, and additional extensions applicable to commonly occurring issues. Facilitate Perceived Control has been added to the model, due to its crucial importance in dental visits, and we suggest naming the model "The Four + One Habits Model for Dental Visits (4 + 1HD)." The proposed model should have clinical relevance for improving patient care and patient experience, as well as easing the busy everyday life for dentists in a variety of clinical settings. It is also likely to be a flexible framework for communication skills training at all levels of dental education. More research is needed to validate and test the model in various clinical and educational settings.
本文提出了一种牙科诊疗咨询模式，其沟通技巧采用教学和结构化形式，适用于大多数类型的就诊、患者及问题。牙科就诊的一个特点是分为对话阶段和临床阶段，这使得言语交流极具挑战性。最初的“四习惯模型”（4H）已从医学领域改编而来，以适应牙科就诊的特定结构和内容，并提出了一个改进模型。牙科模型包括适用于所有牙科咨询的结构化核心框架，以及适用于常见问题的附加扩展内容。由于“促进感知控制”在牙科就诊中至关重要，因此已将其添加到模型中，我们建议将该模型命名为“牙科就诊四加一习惯模型（4 + 1HD）”。所提出的模型应在改善患者护理和患者体验方面具有临床相关性，同时也能减轻牙医在各种临床环境中的日常工作负担。它还可能成为牙科教育各级沟通技巧培训的灵活框架。需要更多研究在各种临床和教育环境中验证和测试该模型。
