Decision for Dental Disease Treatment and Social Backgrounds

牙科疾病治疗的决定和社会背景

基本信息

批准号：
05045048
负责人：
MAEDA Yoshinobu
金额：
$ 2.88万
依托单位：
Osaka University
依托单位国家：
日本
项目类别：
Grant-in-Aid for international Scientific Research
财政年份：
1993
资助国家：
日本
起止时间：
1993 至 1995
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-05045048/
关键词：
decsion dental disease treatment needs interview social backgrounds patients dentists 必要性 Decision Dental Disease Treatment Social Backgrounds

项目摘要

The objective of this project is to analyze the influence of educational, social, and cultural background of dentists on examining patients, diagnosing, and deciding treatment needs, and establishing treatment plan. We compared Japanese dentists with Canadian dentists using same patient models with by the role playing interview method.In this report we made the assumption that Canadian patients visited the Japanese and Canadian general practitioner where dentists had to do the diagnosis and treatment plan based on the prepared information related to those patients, including intora-and extra oralinformation. From transcriptions of recorded conversation between subjects an examiner, we made two types of flow charts. With these flow charts, result were analyzed and compared among subjects.Significant difference was not found in established treatment plan among subjects in terms of final goal of treatment for each patient. With this, we can speculate that decisions standardfor need and go … More al of treatment in both group were almost the same. This implies that dentists in both countries share the common professional knowledge, technigues and materials. Individual difference among subjects regarding these items which could reflects ones clinical experience was significant. Difference among Japanese and Canadian dentist as the group was not found except for the referral to specialists. This difference comes from the fact that referral system has not been common so far in Japan.Some tries to establish the diagnosis in the early stage than to find out additional evidences to support his decision somewhat like so-called inductive method. Other went through all the date before reaching the finial diagnosis where we can describe as deductive method. Regarding presentation of treatment plans to patients showed the difference among Japanese and Canadian dentist as the group. We can speculate that these differences arose from the health insurance system difference between two countries. Less

该项目的目的是分析牙医的教育、社会和文化背景对检查患者、诊断和决定治疗需求以及制定治疗计划的影响。我们使用相同的患者模型对日本牙医和加拿大牙医进行了比较。角色扮演访谈法。在本报告中，我们假设加拿大患者拜访了日本和加拿大的全科医生，牙医必须根据准备好的与患者相关的信息（包括口腔内和口腔外信息）制定诊断和治疗计划。受试者之间录音对话的转录我们制作了两种流程图，对受试者之间的结果进行分析和比较。就每个患者的最终治疗目标而言，受试者之间制定的治疗计划没有发现显着差异。可以推测，两组的治疗决策标准几乎相同，这意味着两国牙医在这些项目上拥有共同的专业知识、技术和材料，这可以反映他们的临床情况。日本人的经验差异显着。和加拿大牙医一样，除了转诊给专家之外，没有找到该小组。这种差异来自于转诊制度在日本迄今为止尚未普及。有些人试图在早期阶段确定诊断，而不是寻找额外的证据。为了支持他的决定，有些类似于所谓的归纳法。我们可以推测这些差异源于医疗保险制度两国之间的差距较小。