在扩展和根源规划方面共同做出决策
José Verdugo1, Lory Laughter1, David W Chambers1
1The University of the Pacific, Arthur A. Dugoni School of Dentistry, San Francisco, California, USA.
概括
牙科卫生师经常使用父权主义或知情同意的方法,而不是共享决策,当参与患者的牙科护理决策. 高的患者脱离率表明,偏好的决策风格可能不匹配.
科学领域:
- 牙卫生 牙卫生
- 患者参与 患者参与
- 共享决策 - - 分享决策
背景情况:
- 扩大规模和根植规划涉及患者对治疗和家庭护理的决定.
- 了解牙科卫生师如何让患者参与这些决策对于有效的护理至关重要.
研究的目的:
- 估计牙科卫生师在缩放和根植过程中使用的各种患者参与方法的比例.
- 根据程序组件,卫生师经验和患者遵守情况来比较这些方法.
主要方法:
- 一项调查对毕业生和学士学位牙卫生课程的学生进行了调查.
主要成果:
- 亲权主义和知情同意是共享决策或脱离参与的四倍.
- 这种模式在治疗选择,辅助,家庭护理和财务讨论中持续存在.
- 一个高的患者没有显示率 (20%) 表明显著的脱离.
结论:
- 牙科卫生师报告说,他们更喜欢更受控的患者参与方法.
- 患者可能更喜欢共享决策,如果不满足他们的偏好,则选择退出 (例如,不出现).
- 当前报告可能会低估患者的不合规性,因为未表达的决策偏好.
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