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牙医对以患者为中心的护理实用模式的看法:在牙科咨询中提供信息和选择。

Dentists' perceptions of a practical model of patient-centred care: providing information and choice in a dental consultation.

机构信息

a King's College London, Dental Institute, Division of Population and Patient Health, Social and Behavioural Sciences Group , Guy's Hospital , London , UK.

出版信息

Psychol Health Med. 2019 Oct;24(9):1090-1099. doi: 10.1080/13548506.2019.1595682. Epub 2019 Mar 22.

Abstract

Adopting a patient-centred approach when engaging with patients has been linked to positive outcomes in medicine. However, in the field of dentistry, patient-centred care (PCC) has been understudied. The aim of this study was to explore dentists' opinions about the usefulness of a theoretical model of PCC and its applicability to a dental setting. Twenty semi-structured interviews were conducted with dentists working at a major university hospital in south London. The interviews were audiotaped and analysed using thematic analysis. The analysis showed that dentists found the PCC model to be useful for practical application but mostly for 'other' dentists. They viewed the lowest and highest levels of PCC that the model advocates as 'out-dated' and 'ideal', respectively. Dentists felt that giving patients full choice and control over their treatment was not applicable to everyday clinical practice. They expressed that a tool developed on the basis of this hierarchy of PCC could be useful for self-assessment purposes, although with some reservations. In conclusion, dentists seemed to embrace the practice of PCC and felt that their provision of PCC was at an acceptable standard. They believed that a moderate level of information and choice was most suitable for patients.

摘要

当与患者接触时采取以患者为中心的方法与医学上的积极结果有关。然而,在牙科领域,以患者为中心的护理(PCC)的研究还不够充分。本研究旨在探讨牙医对 PCC 理论模型的有用性及其在牙科环境中的适用性的看法。在伦敦南部的一家主要大学医院工作的牙医进行了 20 次半结构化访谈。采访内容被录音并使用主题分析进行分析。分析表明,牙医发现 PCC 模型对于实际应用很有用,但主要是对“其他”牙医有用。他们认为该模型提倡的 PCC 的最低和最高水平分别是“过时”和“理想”的。牙医认为,让患者完全选择和控制自己的治疗并不适用于日常临床实践。他们表示,基于这种 PCC 层次结构开发的工具可能有助于自我评估,但也有一些保留意见。总之,牙医似乎接受了以患者为中心的实践,并认为他们提供的以患者为中心的护理达到了可以接受的标准。他们认为,患者最适合获得适度的信息和选择。

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