Kay E, Nuttall N
Turner Dental School, University Dental Hospital of Manchester.
Br Dent J. 1995 Feb 11;178(3):113-6. doi: 10.1038/sj.bdj.4808664.
Clinical decisions made by dentists can vary considerably. Although there has been a tendency in the media to attribute these differences between practitioners to deliberate unethical practice, as Part I concluded, variations in decision making are a result of the complexity of assessing the risks of different treatment options and evaluating the outcomes of treatment. This article looks at why dentists can make different decisions when faced with identical cases (variation), why sometimes the 'correct' decision is not made (error), and also looks at what other issues affect treatment decision making once disease has been perceived.
牙医做出的临床决策可能有很大差异。尽管媒体倾向于将从业者之间的这些差异归因于蓄意的不道德行为，但正如第一部分所总结的，决策的差异是评估不同治疗方案风险和评估治疗结果的复杂性所致。本文探讨了为什么牙医在面对相同病例时会做出不同的决策（差异），为什么有时没有做出“正确”的决策（错误），并探讨了一旦察觉到疾病，还有哪些其他问题会影响治疗决策。
