환자가 기대하는 좋은 치과의사: 커뮤니케이션 측면을 중심으로
Patients’ Expectations of a Good Dentist: The Views of Communication
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Purpose: The aim of this study was to identify what factors contributed to making a ‘good' dentist in terms of interpersonal and communational aspects through exploring patients' expectations from dental service. Methods: The material of study was one hundred fifty seven individual interview records between a dental student and a patient. For this interview, third-year dental students who enrolled a communication skills course at the K University School of Dentistry in Seoul, participated as interviewers during two consecutive years; 67 from 2008 and 72 from 2009. A content analysis as qualitative methods, was conducted; codes,concepts and categories for communication behaviors were extracted. Results: 335 and 377 codes were extracted as 'desirable' and 'undesirable' communication behaviors,respectively. 335 'desirable' behavior codes were converged into 33 concepts and finally categorized into 11. 377 'undesirable' behavior codes were converged into 32 concepts and eleven categories. As results of multiple response analysis, 'explaining' was identified the most important factor for patient-dentist relationship. Patients regarded 'detailed explanation', 'explaining the overall plan and the process for treatment and management', and 'explaining using materials/dental models or examples' as good communication behaviors. In contrast, insufficient or inadequate explanation or difficult explanation to understand, were regarded as bad experience by patients. In addition, 'attitudes towards patients', 'emotional support by dentists', 'expense for service' and 'direct counseling with dentists not by coordinators nor other health care providers' were explored as the factors contributed to good patient-dentist relations. Conclusions: The authors could explore 'desirable' and 'undesirable' communication behaviors which patients expect to be provided from their dentists. More meticulous and large scale study is needed to identify interpersonal and communication behaviors which can contribute to making a 'good' patient-dentist relationship.
Abstract
Purpose: The aim of this study was to identify what factors contributed to making a ‘good' dentist in terms of interpersonal and communational aspects through exploring patients' expectations from dental service. Methods: The material of study was one hundred fifty seven individual interview records between a dental student and a patient. For this interview, third-year dental students who enrolled a communication skills course at the K University School of Dentistry in Seoul, participated as interviewers during two consecutive years; 67 from 2008 and 72 from 2009. A content analysis as qualitative methods, was conducted; codes,concepts and categories for communication behaviors were extracted. Results: 335 and 377 codes were extracted as 'desirable' and 'undesirable' communication behaviors,respectively. 335 'desirable' behavior codes were converged into 33 concepts and finally categorized into 11. 377 'undesirable' behavior codes were converged into 32 concepts and eleven categories. As results of multiple response analysis, 'explaining' was identified the most important factor for patient-dentist relationship. Patients regarded 'detailed explanation', 'explaining the overall plan and the process for treatment and management', and 'explaining using materials/dental models or examples' as good communication behaviors. In contrast, insufficient or inadequate explanation or difficult explanation to understand, were regarded as bad experience by patients. In addition, 'attitudes towards patients', 'emotional support by dentists', 'expense for service' and 'direct counseling with dentists not by coordinators nor other health care providers' were explored as the factors contributed to good patient-dentist relations. Conclusions: The authors could explore 'desirable' and 'undesirable' communication behaviors which patients expect to be provided from their dentists. More meticulous and large scale study is needed to identify interpersonal and communication behaviors which can contribute to making a 'good' patient-dentist relationship.
참고문헌 (17)
- 강명신, "치과의사-노인환자 커뮤니케이션", 대한치과의사협회지, 49(10), pp.599~608 (2011), 대한치과의사협회
- 고은숙, "치과의사의 커뮤니케이션 스타일과 환자 성향에 따른 환자 만족도 연구", 석사, pp.2008
- Berelson B, "Content analysis in communication research" (1952), Hafner
- Buck D, "What makes a good dentist and do recent trainees makr the grade? The views of vacational trainers", Br Dent J, 189(10), pp.563~6 (2000)
- Corah NL, "The dentist-oatient relationship: perceived dentist behaviors that reduce patient anxiety and increase satisfaction", J Am Dent Assoc, 116(1), pp.73~6 (1988)
- Corah NL, "The dentist-patient relationship: Perceptions by patients of dentist behavior in relation to satisfaction and anxiety", J Am Dent Assoc, 111, pp.443~6 (1985)
- Corah NL, "Development of a patient measure of satisfaction with the dentist: the Dental Visit Satisfaction Scale", J Behav Med, 7(4), pp.367~73 (1984)
- DiMatteo MR, "Public attitudes toward dentists: a U.S. household survey", J Am Dent Assoc, 126(11), pp.1563~70 (1995)
- Holt VP, "Factors influencing patient loyalty to dentist and dental practice", Br Dent J, 183(10), pp.365~70 (1997)
- Krippendorff K, "Content analysis: an introduction to its methodology (2nd)" (2004), Sage
- Lahti S, "Patients' expectations of an ideal dentist and their views concerning the dentist they visited: do the views conform to the expectations and what determines how well they conform", Community Dent Oral Epidemiol, 24(4), pp.240~4 (1996)
- Land T, "What patients think of dental services", Br Dent J, 189(1), pp.21~4 (2000)
- Liddell A, "Dental visit satisfaction in a group of adults aged 50 years and over", J Behav Med, 15(4), pp.415~27
- Newsome PR, "A review of patient satisfaction: 2. Dental patient satisfaction: an appraisal of recent literature", Br Dent J, 186, pp.166~70 (1999)
- Theaker ED, "Development and preliminary evaluation of an instrument designed to assess dental students' communication skills", Br Dent J, 188(1), pp.40~4 (2000)
- "Communication & practical skills for a dentist"[URL]
- Mellor AC, "Dentists' attitudes toward frustrating patient visits: relationship to satisfaction and malpractice complaints", Community Dent OralEpidemiol, 23(1), pp.15~9 (1995)