Song YoungHa, Luzzi Liana, Brennan David S
Australian Research Centre for Population Oral Health, Adelaide Dental School, The University of Adelaide, Adelaide, SA, Australia.
Eur J Oral Sci. 2020 Apr;128(2):110-119. doi: 10.1111/eos.12686. Epub 2020 Mar 10.
Trust has a central role in healthcare encounters. This review explored concepts relevant to trust in dentist-patient relationships. The findings were demonstrated by drawing visual system maps for better understanding of the inherent complexity. A pragmatic approach was employed to search for evidence. The approach was initiated with a systematised searching protocol and followed by an iterative process of drawing maps and complementing references. The analysis-synthesis process found relevant key concepts and sub-concepts presented within three frameworks: the continuum of studying trust (utilisation, measurement, and establishment); beneficiaries of trust utilisation (patients, dentists, and oral health system); and a transformational model of trust development (identification-based, knowledge-based, and deterrence/calculus-based trust). Trust in dentist-patient relationships needs to be assessed in a multidisciplinary approach for interconnectedness among relevant concepts. The findings are represented in patient-centred care and quality of care with common underlying values. Despite the centrality of trust in medical/dental contexts, empirical evidence is insufficient beyond normative suggestions from previous studies. Based on the implications of thematic analysis and interpretation of the system maps, this paper can serve as a guide and source of information for further research of trust in dentist-patient relationships.
信任在医疗互动中起着核心作用。本综述探讨了与医患关系中的信任相关的概念。通过绘制视觉系统图来展示研究结果，以便更好地理解其内在复杂性。采用务实的方法来寻找证据。该方法首先采用系统化的搜索协议，然后是绘制地图和补充参考文献的迭代过程。分析 - 综合过程发现了在三个框架中呈现的相关关键概念和子概念：信任研究的连续体（利用、测量和建立）；信任利用的受益者（患者、牙医和口腔卫生系统）；以及信任发展的转型模型（基于认同、基于知识和基于威慑/算计的信任）。医患关系中的信任需要采用多学科方法进行评估，以考量相关概念之间的相互联系。研究结果体现在以患者为中心的护理和具有共同潜在价值观的护理质量中。尽管信任在医疗/牙科环境中具有核心地位，但除了先前研究的规范性建议之外，实证证据并不充分。基于主题分析的启示和系统图的解读，本文可为进一步研究医患关系中的信任提供指导和信息来源。
