Centre Dentaire Jean Talon, 524 Jean Talon W. Suite 1, Montreal, Quebec, H3N 1R5, Canada.
Dental Faculty, Department of Epidemiology and Public Health, Paul Sabatier University, Toulouse, France; Faculty of Dentistry, Division of Oral Health and Society, McGill University, Montreal, Quebec, H3A 1G1, Canada.
Br Dent J. 2020 Jul;229(2):133-137. doi: 10.1038/s41415-020-1650-3.
Introduction In the last decades, health professions have progressively moved towards person-centredness. Dentistry, however, lags behind the other health professions and remains deeply anchored in a biomedical vision.Aims Our objective was thus to better understand how dentists perceived person-centred care (PCC) and identify the challenges they may face in implementing it.Methods We conducted qualitative descriptive research in the province of Quebec, Canada; it was based on in-depth interviews with 11 general dental practitioners working in private clinics.Results Thematic analyses reveal that dentists had little interest in understanding the life and stories of their patients. Furthermore, their openness to share decision-making was limited to procedures that they considered of relatively low value and less for procedures they considered of higher value, such as indirect restorations.Discussion We argue that dentists' reluctance to understanding and shared decision-making is rooted in the old-established identity of dentistry as an art. Dentists indeed considered the dental craft as sacred - an art form with unbreakable axioms that defined quality of care.Conclusion It is time for the dental profession to reflect on its ideological foundations and reconsider its identity. This reflection is crucial to respond to the needs of a changing society that is losing its confidence in the profession.
引言
在过去的几十年中，医疗保健专业人员逐渐朝着以患者为中心的方向发展。然而，牙科仍然落后于其他医疗保健专业，并且深深扎根于生物医学的理念。
目的
我们的目的是更好地了解牙医如何看待以患者为中心的护理（PCC），并确定他们在实施 PCC 时可能面临的挑战。
方法
我们在加拿大魁北克省进行了定性描述性研究；研究基于对 11 名在私人诊所工作的普通牙医的深入访谈。
结果
主题分析表明，牙医对了解患者的生活和故事没有太大兴趣。此外，他们愿意共同做出决策的范围仅限于他们认为价值相对较低的程序，而对于他们认为价值较高的程序则较少，例如间接修复。
讨论
我们认为，牙医不愿意理解和共同决策的根源在于牙科作为一门艺术的既定身份。牙医确实将牙科工艺视为神圣的——一种具有不可打破的公理的艺术形式，这些公理定义了护理质量。
结论
牙科专业需要反思其思想基础，并重新考虑其身份。这种反思对于回应不断变化的社会的需求至关重要，因为社会对该专业的信心正在丧失。
