What about the dentist–patient relationship in dental tourism?

Conti, Adelaide; Delbon, Paola; Laffranchi, Laura; Paganelli, Corrado

doi:10.1136/medethics-2013-101415

Cited by 12 publications

(11 citation statements)

References 5 publications

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“…Recently, there has been a growing body of literature documenting the increasing trend of dental tourism globally. Reasons often cited for traveling abroad for dental treatment include reduced costs, previous negative dental experiences, and easy access to quality dental care [ 31 – 33 ]. We could not identify any study that addressed the potential impact of dental tourism on children’s dental utilization.…”

Section: Discussionmentioning

confidence: 99%

Oral Health Disparities and Unmet Dental Needs among Preschool Children in Chelsea, Massachusetts: Exploring Mechanisms, Defining Solutions

et al. 2014

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Background Significant disparities exist in children’s receipt of preventive dental care (PDC) in the United States. Many of the children at greatest risk of dental disease do not receive timely PDC; when they do receive dental care, it is often more for relief of dental pain. Chelsea is a low-income, diverse Massachusetts community with high rates of untreated childhood caries. There are various dental resources available in Chelsea, yet many children do not access dental care at levels equivalent to their needs. Objective Using Chelsea as a case-study, to explore factors contributing to forgone PDC (including the age 1 dental visit) in an in-depth way. Methods We used a qualitative study design that included semi-structured interviews with parents of preschool children residing in Chelsea, and Chelsea-based providers including pediatricians, dentists, a dental hygienist and early childhood care providers. We examined: a) parents’ dental attitudes and oral health cultural beliefs; b) parents’ and providers’ perspectives on facilitators and barriers to PDC, reasons for unmet needs, and proposed solutions to address the problem. We recorded, transcribed and independently coded all interviews. Using rigorous, iterative qualitative data analyses procedures, we identified emergent themes. Results Factors perceived to facilitate receipt of PDC included Head-Start oral health policies, strong pediatric primary care/dental linkages, community outreach and advertising, and parents’ own oral health experiences. Most parents and providers perceived there to be an adequate number of accessible dental services and resources in Chelsea, including for Medicaid enrollees. However, several barriers impeded children from receiving timely PDC, the most frequently cited being insurance related problems for children and adults. Other barriers included limited dental services for children <2 years, perceived poor quality of some dental practices, lack of emphasis on prevention-based dental care, poor care-coordination, and insufficient culturally-appropriate care. Important family-level barriers included parental oral health literacy, cultural factors, limited English proficiency and competing priorities. Several solutions were proposed to address identified barriers. Conclusion Even in a community with a considerable number of dental resources, various factors may preclude access to these services by preschool-aged children. Opportunities exist to address modifiable factors through strategic oral health policies, community outreach and improved care coordination between physicians, dentists and early childhood care providers.

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Section: Discussionmentioning

confidence: 99%

Oral Health Disparities and Unmet Dental Needs among Preschool Children in Chelsea, Massachusetts: Exploring Mechanisms, Defining Solutions

et al. 2014

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“…This is carried out by patient satisfaction surveys which role is to measure and monitor patient satisfaction with dental services in primary care institutions, which was first introduced in Serbia in 2010 by distributing a questionnaire that evaluates whether a dentist provides clear explanations of procedures, among other factors contributing to providing quality health care [19]. This is in accordance with the fact that being able to provide proper and comprehensive information is of utter importance in doctor/ dentist-patient relationship [35].…”

Section: Communication In Dental Medicinementioning

confidence: 98%

“…Therefore, communication has been incorporated in the curricula of dental schools worldwide [33]. This comes as no surprise taking into account the fact that the Code of Ethics for Dentists in the European Union has stressed the role of communication by describing it as "fundamental to the dentist-patient relationship" [35,36]. A model that is widely used by dental school to teach communication in health care is the Calgary-Cambridge model as it offers step-bystep descriptions of different stages of clinician-patient encounter [33].…”

Section: Communication In Dental Medicinementioning

confidence: 99%

Doctor-patient communication in medicine and dental medicine

2020

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Doctor-patient communication is a type of institutional communication which distinct linguistic features can significantly affect patient satisfaction and treatment outcome. A medical encounter has a clearly defined structure that has been shifting from clinician-centred to patient-centred. Therefore, it is of utter importance for prospective doctors and dentists to be aware of the role of language when communicating with their patients. Given the fact that working in a medical/dental practice has become increasingly international, the paper focuses on the role of the English language. New communicative models and environments such as Computer-Mediated Medical Communication (CMMC) and Video Interaction Guidance (VIG) are also presented.

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“…Aspects of our contemporary world, such as globalisation, internet connectivity, commercial innovation and individual concern for well‐being and cosmetics, converge to drive such an industry. The issues that accompany dental tourism are mainly discussed idealistically and axiomatically by commentators . However, treating it in this way fails to allow the profession to engage deeply with clashes of values or challenge stances about the very foundations of patient care and responsibility.…”

Section: Introduction: What Is Supercomplexity?mentioning

confidence: 99%

“…The issues that accompany dental tourism are mainly discussed idealistically and axiomatically by commentators. 18 However, treating it in this way fails to allow the profession to engage deeply with clashes of values or challenge stances about the very foundations of patient care and responsibility. Dislike and distrust of dentists and dentistry is a supercomplex situation.…”

mentioning

confidence: 99%

Are dental students ready for supercomplex dental practice?

Leadbeatter

Peck

2017

Eur J Dental Education

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Contemporary dental practice requires practitioners who are able to draw upon varying interconnected knowledge and skills, in order to make judgments and take action when faced with multiple, often contradictory, ways of interpreting a situation. However, the curricula that prepare students for dental practice are traditionally based on the theoretical knowledge and technical skills to be gained by students. This is despite evidence in the dental literature of a collective desire for graduates to have more range and depth in their repertoire. Examination of contemporary dental practice through the lens of supercomplexity (Higher Education, 40, 409 and 2000) provides contextual understanding and a platform to explore the types of learning and curriculum approaches that can best prepare students for professional practice. From the insights offered by examples from other professional fields, we, as dental educators, can begin to conceptualise learning dentistry as much more than competency frameworks or descriptions of what students need to know and be able to do. Rather, to equip graduates for contemporary dental practice, the dental curriculum needs to become a vehicle for students to develop personally and professionally as well as teaching the theoretical and technical aspects of dentistry.

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What about the dentist–patient relationship in dental tourism?

Cited by 12 publications

References 5 publications

Oral Health Disparities and Unmet Dental Needs among Preschool Children in Chelsea, Massachusetts: Exploring Mechanisms, Defining Solutions

Oral Health Disparities and Unmet Dental Needs among Preschool Children in Chelsea, Massachusetts: Exploring Mechanisms, Defining Solutions

Doctor-patient communication in medicine and dental medicine

Are dental students ready for supercomplex dental practice?

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