Ho Jasmine Cheuk Ying, Chai Hollis Haotian, Luo Bella Weijia, Lo Edward Chin Man, Huang Michelle Zeping, Chu Chun Hung
Faculty of Dentistry, The University of Hong Kong, Hong Kong SAR 999077, China.
Department of English, The Hang Seng University of Hong Kong, Hong Kong SAR 999077, China.
Dent J (Basel). 2025 Jan 14;13(1):31. doi: 10.3390/dj13010031.
Dentist-patient communication is at the core of providing quality dental care. This study aims to review the importance, challenges, strategies, and training of dentist-patient communication. The World Dental Federation (FDI) emphasizes the importance of effective communication between oral healthcare providers and patients as a critical component of high-quality care. Effective dentist-patient communication allows dentists to accurately and effectively pass on essential medical information to patients. It improves the dentist's efficiency, boosts self-confidence, reduces occupational stress, and minimizes the risks of complaint or litigation. Moreover, it alleviates dental anxiety and fear, helps build trust between dentists and patients, addresses patients' needs and preferences, increases patients' adherence to improved treatment outcomes, and ultimately leads to enhanced patient satisfaction. Nonetheless, it has been widely acknowledged that dentists universally encounter the repercussions arising from suboptimal communication strategies. Time constraints, difficulties in establishing rapport, the oral-health illiteracy of the patients, the poor communication skills of the dentists, dentists' perceptions, and language barriers often hinder dentist-patient communication. Dentists should take the patient-centered approach as a premise and acquire verbal and non-verbal communication skills to overcome these communication barriers. The patient-centered approach comprises the understanding of patients' illness, shared decision-making, and intervention with mindfulness of the patient's own pace. Simple, succinct, and jargon-free language should be used in verbal communication. Proper body postures and gestures are fundamental for showing positive attitudes towards patients. Communication training for dental students should involve a structured pedagogical approach that includes didactic instruction, role-playing exercises, patient interviewing, and ongoing assessments. Key components of effective communication skills training in dental education include motivational interviewing, open-ended questioning, affirmations, reflective listening, and summaries to enhance patient engagement and adherence to treatment plans.
医患沟通是提供优质牙科护理的核心。本研究旨在回顾医患沟通的重要性、挑战、策略及培训。世界牙科联盟(FDI)强调口腔医疗服务提供者与患者之间有效沟通作为高质量护理关键组成部分的重要性。有效的医患沟通使牙医能够准确且有效地向患者传递重要医疗信息。它提高了牙医的工作效率,增强了自信心,减轻了职业压力,并将投诉或诉讼风险降至最低。此外,它减轻了牙科焦虑和恐惧,有助于建立医患之间的信任,满足患者的需求和偏好,提高患者对改善治疗效果的依从性,并最终提高患者满意度。尽管如此,人们普遍认识到牙医普遍会遇到因沟通策略欠佳而产生的后果。时间限制、建立融洽关系的困难、患者的口腔健康知识匮乏、牙医沟通技巧不佳、牙医的认知以及语言障碍常常阻碍医患沟通。牙医应以患者为中心的方法为前提,掌握言语和非言语沟通技巧以克服这些沟通障碍。以患者为中心的方法包括了解患者病情、共同决策以及根据患者自身节奏进行干预。言语沟通应使用简单、简洁且无行话的语言。恰当的身体姿势和手势对于向患者展现积极态度至关重要。牙科学生的沟通培训应采用结构化教学方法,包括理论教学、角色扮演练习、患者访谈及持续评估。牙科教育中有效沟通技能培训的关键组成部分包括动机性访谈、开放式提问、肯定、反思性倾听及总结,以提高患者参与度和对治疗计划的依从性。