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http://www.jstor.org/discover/10.2307/3763271?uid=3738920&uid=2&uid=4&sid=21102404753477

Sociobehavioral Determinants of Compliance with Health and Medical Care Recommendations

Marshall H. Becker and Lois A. Maiman

Medical Care

Vol. 13, No. 1 (Jan., 1975), pp. 10-24

Abstract:

Over the past two decades, hundreds of articles, editorials, and commentaries have been published

describing the considerable disruptive effects on quality of care of individual noncompliance with health

and medical advice. While much research has been directed at determining factors responsible for poor

compliance, past studies have tended to focus upon easily measured characteristics of the patient,regimen, or illness which, unfortunately, are usually neither predictive nor alterable. This paper

systematically reviews the literature on patient acceptance of recommended health behaviors,

attempting to find social-psychological and related variables which have proven to be consistent

predictors of compliance. The review suggests that certain health beliefs (especially personal estimates

of vulnerability to, and seriousness of, the disease, and faith in the efficacy of care), health-related

motivations, perceptions of psychological and other costs of the recommended action, various aspects

of the doctor-patient relationship, and social influence are the most productive dimensions for present

intervention and further exploration. Building upon an earlier formulation, an hypothesized model is

presented which combines these elements for explaining and predicting compliance behavior. Further

research should, with standardized questionnaires and analysis techniques, employ prospective,experimental designs for a variety of population groups, settings, and regimens, to evaluate the ability

of practical attempts to modify the model variables and thus enhance compliance.
http://www.jstor.org/discover/10.2307/3763271?uid=3738920&uid=2&uid=4&sid=21102404753477http://www.jstor.org/discover/10.2307/3763271?uid=3738920&uid=2&uid=4&sid=21102404753477http://www.jstor.org/discover/10.2307/3763271?uid=3738920&uid=2&uid=4&sid=21102404753477

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http://adajournal.com/content/99/2/181.short

The Journal of the American Dental Association (August 1, 1979) 99, 181-184

August 1, 1979 American Dental Association

Physical evaluation system to determine medical risk and indicated dental therapy modifications

FM McCarthy and

SF Malamed

Abstract

The physical evaluation system allows the practitioner to rapidly classify each patient according to

medical risk and thus to provide dental treatment comfortably and safely. The evaluation system serves

as a guide to the level of dental therapy, deisions of management, and modification of treatment for the

medically compromised patient. Extensive use of the ADA physical status classification system in

dentistry would allow meaningful studies of morbidity and mortality that are related to various

management protocols and could conceivably have an impact on insurance schedules associated with

psychosedation modalities and general anethesia on an out patient basis. A physical evaluation system

cannot substitute for knowledge and good judgment. Recommended categories of physical status and

modification of treatment should not be considered as absolutes, but as guides. Wheras the guidelines

may appear to be inflexible, they should not be considered as such. Deviation from recommendations is

often justified and is expected.

1979 American Dental Association
http://adajournal.com/content/99/2/181.shorthttp://adajournal.com/content/99/2/181.shorthttp://adajournal.com/content/99/2/181.short

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http://www.nia.nih.gov/health/publication/choosing-doctor

AgePage

Choosing A Doctor

Mrs. Wiley had a big surprise the other day when she called her doctor's office to make an appointment.

The receptionist told her that Dr. Horowitz was retiring at the end of the year. After all these years of

care, Mrs. Wiley felt like she was losing a trusted friend. Dr. Horowitz had treated her strep throat,

bladder infections, and that nasty sprained wrist. He even helped her through menopause. Mrs. Wiley

worried that she wouldn't be able to find a new doctor she'd like.

There are many reasons why you might be looking for a new doctor. Maybe you've moved to another

city or perhaps your doctor is retiring. If you need a new doctor, the following ideas can help you find

one who is right for you.

Types Of Primary Care Doctors

Your primary care doctor is the doctor you usually see for general health problems. When choosing a

new doctor, you need to decide if you want this doctor to be a general or family practitioner, an

internist, or a geriatrician.

General practitioners treat a wide range of medical problems in people of all ages.

Family practitioners are similar to general practitioners, but have extra training to care for all family

members, young or old.

Internists are doctors for adults. Some internists take additional training to become specialists. For

example, a cardiologist is an internist who specializes in heart disease.

Geriatricians care for older adults. A geriatrician is trained in family practice or internal medicine and

has additional training in caring for older people.

Asking For Help With Your Search
http://www.nia.nih.gov/health/publication/choosing-doctorhttp://www.nia.nih.gov/health/publication/choosing-doctorhttp://www.nia.nih.gov/health/publication/choosing-doctor

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Once you have a sense of what kind of doctor is best for you, ask people you trust, for example, friends,

family, and coworkers, about doctors they use and like. You might ask questions such as:

Do you know a good doctor?

Would you recommend your doctor?

What do you like about your doctor?

How long does it take to get an appointment? If you need to, can you usually see your doctor right

awayon the same day if you get sick?

In addition to talking to friends, family, and coworkers, you can talk with other health professionals you

see, for example, your heart doctor or the doctor you see for your lung problems, and ask forrecommendations. If your doctor is retiring or leaving the practice, you might ask if he or she has picked

a replacement. You can check with your insurance plan for a list of doctors in your area. Another idea is

to contact a local hospital, medical center, medical society, physician referral service, or nearby medical

school. Online resources, like the website www.healthfinder.gov, may be useful too.

After talking with people, checking with local resources, and looking online, you may find a few names

keep coming up. These might be the doctors you want to consider. Make a list of several names of

doctors in case your first choice is not taking new patients or does not participate in your health

insurance plan.

Medicare Coverage

If you belong to a managed care plan, like a Medicare Advantage Plan, your choice of doctors may be

limited to those who participate in your plan. If you choose a doctor outside your health insurance plan,

you will have to pay a bigger share of your medical costs. Your plan's membership services office can

give you a list of available doctors. For information about Medicare benefits, you can call the toll-free

Medicare hotline at 1-800-633-4227 (1-800-MEDICARE). Information about Medicare plans, who is

eligible, how to enroll, and more is available online at www.medicare.gov

Calling the Doctors on Your List

After you pick two or three doctors, call their offices. The office staff can give you information about the

doctor's education and training. They can also tell you about office policies, what insurance they take, if

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they file the insurance claims for you, what types of payment they accept, and the hospitals where the

doctor sends patients.

You might say, "Before I make an appointment, I have some questions about the office and the

practice." Some questions you might want to ask are:

What type of health insurance does the office take? You want to find out if the doctor accepts

Medicare or any other health insurance you have.

Where is the doctor's office located? Is there parking? You want to make sure that it will be easy for

you to get there.

How long is the usual office visit? You want a doctor who will take time to listen carefully to your

concerns, answer your questions, and explain things clearly and fully in a way that you can understand.

Good doctor-patient communication is important for developing treatment plans that address your

specific health needs.

Is the doctor part of a group practice? If the doctor is part of a group, you may want to find out who

the other doctors are and their specialties.

Who sees patients if the doctor is out of town or not available? If the doctor is not part of a group

practice, you want to make sure that the doctor has a plan when he or she is not there.

Can I get lab work or x-rays done in the office or nearby? You want to find out if you will need to go to

another location for tests or if most lab tests are done in the doctor's office.

Is the doctor board certified? Board-certified doctors have extra training and pass special exams after

medical school to become specialists in a field of medicine such as family practice, internal medicine, or

geriatrics.

Other Helpful Questions

It might be helpful to learn about the doctor's experience treating older patients or people with a

medical history similar to yours. Here are more questions you might want to ask the office staff:

Does the doctor see many older patients?

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Does the doctor treat many patients with the same chronic health problem that I have (for example,

diabetes or heart problems)?

If I have to go to the hospital, will the doctor take care of me, or will a hospital doctor care for me?

The First Appointment

After choosing a doctor, make your first appointment. This visit is a time for you to get to know the

doctor and for the doctor to get to know you.

You will probably be asked to fill out a new-patient form. To help you, bring a list of your past medical

problems and all the medicines you take. Include both prescription and over-the-counter drugs, evenvitamins, supplements, and eye drops. Write down the dosage you take, such as 20 mg once a day. You

might even put all your drugs in a bag and bring them with you to the appointment. Also, write down

any drug allergies or serious drug reactions you've had. You will need to give all your drug information to

the doctor to include in your medical record.

During the visit, take time to ask the doctor any questions you have about your health. You might want

to write these questions down before your visit so you don't forget them. Some questions you may want

to ask include:

Will you give me written instructions about my care?

May I bring a family member (spouse, daughter, or son) to my office visits?

Are you willing to talk with my family about my condition if I give my permission?

During your first appointment, the doctor or nurse is likely to ask you questions about your current

health and the medical history of your family. This information will also be added to your medical

record.

After your first visit, think about if you felt comfortable and confident with this doctor. For example,

were you at ease asking questions? Did the doctor clearly answer your questions? Were you treated

with respect? Did you feel that your questions were considered thoughtfully? Did you feel the doctor

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Access to Dental Care

How can I find out about charitable or low-cost dental care for persons in need?

Where can people with special needs obtain dental care?

Choosing a Dentist

How do I find a dentist?

Also See: Oral Health Topics: Tips for Choosing a Dentist

What should I look for when choosing a dentist?

What is the difference between a DDS and a DMD?

Your Relationship with your Dentist

What does this treatment recommendation mean?

Are other treatment options available?

Among the dentist's recommendations, which treatments are absolutely necessary?

How much will this cost, and when and how are you expected to pay?

Should I comparison shop?

How do I resolve disputes or complaints?

Can I get a copy of my dental records?

What if I want a second opinion?

What happens if I miss a dental appointment?

Access to Dental Care

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How can I find out about charitable or low-cost dental care for persons in need?

Assistance programs vary from state to state, so you may want to contact your state dental society to

see if there are programs in your area.

Another possible source of lower-cost dental care is a dental school clinic. Generally, dental costs in

school clinics are reduced and may include only partial payment for professional services covering the

cost of materials and equipment. Your state dental society can tell you if there is a dental school clinic in

your area, or you can search our list.

For more resources, please visit the National Institute of Health's Web site.

Return to Top

Where can people with special needs obtain dental care?

The ADA Council on Access, Prevention and Interprofessional Relations suggests the following tips:

Inform the dentist about your special health or financial conditions.

Ask if the dentist has training and/or experience in treating patients with your specific condition.

Ask if the dentist has an interest in treating patients with your specific condition.

Find out if the dentist participates in your dental benefit plan (dental insurance program.)

Ask if the dental facility is accessible to the disabled.

In addition, the Council suggests that patients with special needs:

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Call or write the dental director at your state department of public health.

Contact the nearest dental school clinic or hospital dental department, especially if it is affiliated with

a major university.

Contact the Special Care Dentistry (Formerly Federation of Special Care Organizations in Dentistry, the

Academy of General Dentistry and the American Academy of Pediatric Dentistry for a referral.

Also, the National Oral Health Information Clearinghouse may have useful information.

Contact the National Foundation of Dentistry for the Handicapped (NFDH), a charitable affiliate of the

American Dental Association since 1988. The NFDH, via several programs, facilitates the provision of

comprehensive dental care for needy disabled, elderly, and medically compromised individuals.

Dentists and dental institutions organizing or participating in voluntary projects that care for

uninsured and underserved patients will find information, and grant opportunities through Volunteers in

Health Care (VIH). VIH Program staff are available to assist you at the toll-free number 1-877-844-8442.

http://www.ada.org/2626.aspx#findadentist

Choosing a Dentist

How do I find a dentist?

The American Dental Association offers these suggestions:

Ask family, friends, neighbors or co-workers for recommendations.

Ask your family physician or local pharmacist.

If you're moving, your current dentist may be able to make a recommendation.

Call or write your local or state dental society. Your local and state dental societies also may be listed

in the telephone directory under "dentists" or "associations."

Use ADA.org's ADA Member Directory to search for dentists in your area.

Oral Health Topics: Tips for Choosing a Dentist
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You may want to call or visit more than one dentist before making your decision. Dental care is a very

personalized service that requires a good relationship between the dentist and the patient.

What should I look for when choosing a dentist?

You may wish to consider several dentists before making your decision. During your first visit, you

should be able to determine if this is the right dentist for you. Consider the following:

Is the appointment schedule convenient for you?

Is the office easy to get to from your home or job?

Does the office appear to be clean, neat and orderly?

Was your medical and dental history recorded and placed in a permanent file?

Does the dentist explain techniques that will help you prevent dental health problems? Is dental

health instruction provided?

Are special arrangements made for handling emergencies outside of office hours? (Most dentists

make arrangements with a colleague or emergency referral service if they are unable to tend to

emergencies.)

Is information provided about fees and payment plans before treatment is scheduled?

Is your dentist a member of the ADA? All ADA member dentists voluntarily agree to abide by the high

ethical standards reflected in the ADA Principles of Ethics and Code of Professional Conduct as a

condition of their membership.

You and your dentist are partners in maintaining your oral health. Take time to ask questions and take

notes if that will help you remember your dentist's advice.

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http://www.ncbi.nlm.nih.gov/pubmed/23513347

J Mass Dent Soc. 2012 Summer;61(2):20-1.

Building lifelong patient relationships.

de St Georges J.

Abstract

In theory there is really only one reason why a dentist should lose a patient--and that is when the

patient dies. I appreciate that this is a little simplistic. Of course, there are other reasons for a patient to

leave a practice. In the majority of cases, the reason patients choose to leave a dentist/practice is

because they experienced something that upset them. In my seminars, I ask attendees to raise their

hands if they have patients coming in from other parts of the state, the country and/or the world. It is

genuinely thrilling to see that so many practices draw their patient base from such a wide area, so when

I hear a staff member say that they lose patients because patients tell them, "I'm moving a few exits

further down the highway from your office, so please forward my X-rays to my new dentist, who is

closer to my new home," I know that reason is most likely an excuse.
http://www.ncbi.nlm.nih.gov/pubmed/23513347http://www.ncbi.nlm.nih.gov/pubmed/23513347http://www.ncbi.nlm.nih.gov/pubmed/23513347

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Todays FDA. 2012 Nov-Dec;24(7):60-3.

Helping patients understand and accept the best treatment plans.

Christensen GJ.

Source

CR Foundation, Provo, Utah 84604, USA.

Abstract

The global recession has brought a significant reduction in the number of patients seeking dental

treatment. Dentists have reported anecdotally that many patients are not accepting treatment plans in

spite of needing or wanting the treatment and being able to afford it. With proper education, patients

who can afford treatment can be motivated to accept it. Education generally is necessary to stimulate

behavior change, which in the context of this article is acceptance of treatment plans. Avoiding patient

education leads only to patients' requests for minimal, urgent treatment. In-depth patient education

usually leads to acceptance of at least a portion of the proposed treatment plan. It is suggested that

dentists and their staff members plan and carry out diagnostic data collection together; that dentists

present honest, thorough treatment plans or, if necessary, develop sequential treatment plans; and

importantly, that dentists charge moderate, reasonable fees that they would pay themselves for the

suggested treatment. Such activities will increase treatment plan acceptance, motivate new patients to

stay in practices and help ensure a practice's financial viability and success.

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BMC Health Serv Res. 2012 Jun 24;12:177. doi: 10.1186/1472-6963-12-177.

Experiences of dental care: what do patients value?

Sbaraini A, Carter SM, Evans RW, Blinkhorn A.

Source

Centre for Values, Ethics and the Law in Medicine, University of Sydney, Sydney, NSW, Australia.

[email protected]

Abstract

BACKGROUND:

Dentistry in Australia combines business and health care service, that is, the majority of patients pay

money for tangible dental procedures such as fluoride applications, dental radiographs, dental fillings,

crowns, and dentures among others. There is evidence that patients question dentists' behaviours and

attitudes during a dental visit when those highly technical procedures are performed. However, little is

known about how patients' experience dental care as a whole. This paper illustrates the findings from a

qualitative study recently undertaken in general dental practice in Australia. It focuses on patients'

experiences of dental care, particularly on the relationship between patients and dentists during the

provision of preventive care and advice in general dental practices.

METHODS:

Seventeen patients were interviewed. Data analysis consisted of transcript coding, detailed memo

writing, and data interpretation.

RESULTS:

Patients described their experiences when visiting dental practices with and without a structured

preventive approach in place, together with the historical, biological, financial, psychosocial and habitual

dimensions of their experience. Potential barriers that could hinder preventive activities as well as

facilitators for prevention were also described. The offer of preventive dental care and advice was an

amazing revelation for this group of patients as they realized that dentists could practice dentistry

without having to "drill and fill" their teeth. All patients, regardless of the practice they came from or

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their level of clinical risk of developing dental caries, valued having a caring dentist who respected them

and listened to their concerns without "blaming" them for their oral health status. These patients

complied with and supported the preventive care options because they were being "treated as a person

not as a patient" by their dentists. Patients valued dentists who made them aware of existing preventive

options, educated them about how to maintain a healthy mouth and teeth, and supported and

reassured them frequently during visits.

CONCLUSIONS:

Patients valued having a supportive and caring dentist and a dedicated dental team. The experience of

having a dedicated, supportive and caring dentist helped patients to take control of their own oral

health. These dentists and dental teams produced profound changes in not just the oral health care

routines of patients, but in the way patients thought about their own oral health and the role of dental

professionals.


community Dent Oral Epidemiol. 1995 Dec;23(6):374-8.

Comparison of ideal and actual behavior of patients and dentists during dental treatment.

Lahti S, Tuutti H, Hausen H, Kriinen R.

Source

Department of Community Dentistry, University of Kuopio, Kuopio, Finland.

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Abstract

The ideal behavior of dentists and patients has seldom been studied with the aim of determining

whether it is similar to the actual behavior of the two groups. Thus, the purpose of this study was to

compare whether the ideal behavior of dentists and patients differed from their actual behavior. Thirty-

three volunteering dentists and 271 of their patients from the public and private sectors in different

parts of Finland participated in the study. The dentists first filled out a questionnaire with 5-scale Likert-

type statements about the ideal patient and questions concerning their own background variables. In

connection with normal dental practice their dental nurses selected 10 patients, who before treatment

filled out a questionnaire containing statements about the desired behavior of an ideal dentist and their

own background variables. Immediately after the treatment, both dentists and patients filled out

another questionnaire containing similar statements, which this time indicated whether the

dentist/patient actually behaved according to the ideal. Differences between each individual and the

independent ideal and actual scores were compared by cross-tabulation and percentage agreement.

With regard to the ideal behavior that was directly related to the treatment procedure, the expectations

of both dentists and patients were usually met. In general, the patients did not disrupt the procedures

and the dentists were able to concentrate on the treatment. The discrepancies most often found

between the ideal and the actual behavior concerned the level of communication. The patients often

would like to have been talked to more and wanted to be encouraged. The dentists were not sure

whether their patients were interested in or motivated about the treatment or whether they followed

the home care instructions. In general, there evidently is a clear gap in communication between dentists

and patients, which may lead to frustration on both sides. It is thus suggested that when dentists are

trained, more emphasis be placed on communication skills.


Community Dent Oral Epidemiol. 1996 Aug;24(4):240-4.

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?

Lahti S, Tuutti H, Hausen H, Krlnen R.

Source

Department of Community Dentistry, University of Kuopio, Finland.

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Abstract

A convenience sample of patients (n = 271) from community health centres and private clinics in

different parts of Finland were recruited for this study through their dental clinic. Equal numbers of

regular and irregular clients were invited to participate. Before the treatment procedure, each patient

filled out a questionnaire with forty Likertian statements dealing with their expectations of an ideal

dentist, and nine about their own background, i.e., age, sex, regularity of dental visits. basic and

professional education, and occupation. After the treatment subjects described their treating dentists'

behaviour using similar statements. In the analyses two approaches were applied. First, factor analyses

with orthogonal varimax rotation were conducted with the data about the ideal and actual dentist. For

the ideal dentist, five factors were extracted: 1) mutual communication, 2) fair support, 3) personal

appearance, 4) preferred type of practice, and 5) blaming; and for the actual dentist 5 factors were

extracted: 1) mutual communication, 2) pain control, 3) fair support, 4) personal appearance, and 5)

preferred type of practice. The factor structures were found to be similar when they were compared

with transformation analysis. This justified the second analysis where the differences between the ideal

and the actual factor scores were compared. The expectations of the patients were met on all the other

dentist characteristics except mutual communication and fair support. There were not many differences

between subgroups of patients. In further studies, other background variables, such as previous

experiences of the patients, should be considered in order to obtain a more complete explanation of the

variation in satisfaction. More attention should be paid to the communication skills of the dentists.


Opinions of different subgroups of dentists and patients about the ideal dentist and the ideal patient.

Lahti S, Tuutti H, Hausen H, Kriinen R.

Source

Faculty of Dentistry, Department of Community Dentistry, University of Kuopio, Finland.

Abstract

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The aim was to study whether subgroups of lay people and dentists differ in their opinions about the

ideal dentist and the ideal patient. This was done by analyzing further a data set containing responses

on single statements regarding different aspects of dentist-patient relationship that have been reported

previously. A questionnaire containing 124 five-class Likert scale statements and questions about thebackground of the respondents was sent in November 1988 to a representative sample of lay people

and to all dentists in Kuopio and North Karelia Provinces in Finland. To extract areas of interdependence

for both dentists and patients, factor analyses were applied to the data and factor scores were

calculated for further analyses. Differences in the opinions were studied between dentists and patients

as well as among subgroups of patients and dentists. The power of the selected factors in discriminating

between dentists and patients, and different subgroups of dentists and patients was evaluated by

means of logistic regression analyses. The expectations of dentists and patients were similar about the

ideal patient. About the ideal dentist, dentists and patients agreed only on one of the five factors, i.e.

communicativeness and informativeness. Differences, especially in the opinions about the ideal patient,

were found between following subgroups of patients: non-regular and regular attenders, males andfemales, old and young, patients with low and high education and different occupational status; and

between private practitioners and community dentists.

Blog - cum imi aleg medicul stomatolog?

Cum imi aleg medicul stomatolog ?

Fara indoiala, alegerea unui medic dentist bun este o chestiune destul de dificila. De ce? Simplu: pentru

ca rezultatele muncii noastre de cele mai multe ori nu se vad imediat, ci in timp. Nu exista reteta

perfecta pentru alegerea unui medic stomatolog bun, dar exista indicii . Nu exista garantii, exista poate

doar sanse mai mari.

Lucruri de care ar trebui tinut cont:

- timpul de sedere in sala de asteptare trebuie sa fie scurt iar sala de asteptare nu trebuie sa geama de

pacienti. Asta inseamna ca medicul iti respecta programarea la ora stabilita, iti respecta timpul TAU, si se

respecta pe sine printr-o buna organizare si timp suficient dedicat fiecarui pacient, in asa fel incit

serviciul oferit sa fie de calitate, atit la nivel profesional cit si la nivel de relationare umana medic-

pacient. Bineinteles, si pacientul trebuie sa respecte timpul medicului si sa vina la ora la care s-a

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programat (o intirziere de "doar" 15 minute poate da totul peste cap). Sint pacienti care cred ca daca

sala de asteptare nu este plina ochi inseamna ca medicul respectiv nu este bun. Total gresit. Oricarui

pacient ii place ca medicul la care se trateaza sa-i acorde atentie, ori asta e cam greu cind "afara" mai

asteapta inca 5 pacienti.

- timpul pe care vi-l acorda medicul atunci cind doriti sa-i puneti intrebari. Pentru mine, ca medic, e

oarecum de neinteles faptul ca atit de multi pacienti pun intrebari pe diverse forumuri, in loc sa-si

intrebe direct propriul medic. Pe de alta parte, ma bucura sa vad ca sint multi pacienti care doresc sa fie

BINE informati inainte de a lua o decizie in ceea ce priveste un tratament stomatologic.

- timpul pe care medicul il acorda pentru a va explica cum se foloseste ata dentara, cum se face un periaj

corect al dintilor, cum se foloseste apa de gura, irigatorul (dusul) bucal si de ce este importanta igiena

orala atit inainte de efectuarea tratamentelor stomatologice cit si dupa. Degeaba medicul pune oplomba perfecta, daca pacientul in continuare nu se spala (corect) pe dinti. Rezultatul pe termen lung va

fi unul nefavorabil.

- igiena din cabinet. Din pacate, un pacient nu are cum sa verifice daca sterilizarea s-a facut cum trebuie,

daca se respecta masurile de prevenire a infectiei incrucisate (adica sa nu ia ceva boala de la pacientul

care a fost tratat inaintea lui). Dar poate sa vada aspectul general al cabinetului (curatenia din cabinet,

din sala de asteptare, si de ce nu, din toaleta), minimele masuri de protectie: medicul sa poarte manusi

noi la fiecare pacient, masca si halat (obligatorii), trusele de lucru ambalate si sterilizate in pungi care se

desfac in fata lui.

- confortul la dentist. Sint putini pacientii carora nu le e frica de dentist. Nu toti, dar o mare majoritate

au frica de dentist din cauza ca in trecut li s-a lucrat la dinti fara anestezie. Astazi, cind avem acces

neingradit la anestezice si acestea sint de buna calitate, practic aproape orice manopera ar trebui sa fie

insotita de anestezie si deci nedureroasa. Cu anestezia facuta, pacientul va simti ca orice medic are

"mina usoara" si ca stomatologia fara durere nu e doar un mit, ci e realitate pura.

- tratamentul facut trebuie sa fie de durata. O plomba bine pusa nu pica dupa citeva zile/saptamini/luni.

Din pacate, asta e un lucru pe care pacientul nu are cum sa-l afle inainte de a se trata, decit daca

medicul respectiv i-a fost recomandat de alti pacienti care se trateaza acolo de mai multi ani si sint

multumiti de rezultatele obtinute pe termen lung. O plomba (alba, material compozit) corecta se pune in

cam minim 45 minute.

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Si nu in ultimul rind, un medic bine pregatit ar trebui sa aiba o pondere mai mare in alegere decit un

cabinet frumos si modern amenajat (nu ca aspectul nu ar conta, caci conteaza, bineinteles, si inca foarte

mult). Eu cred in zicala "omul sfinteste locul".

http://www.gandul.info/stiri/jumatate-dintre-romani-nu-stiu-ca-pot-merge-gratis-la-dentist-96-

considera-ca-tratamentele-dentare-sunt-scumpe-8031589

Aproape jumtate dintre romni merg la dentist doar o dat pe an, dei unul din patru recunoate c areo igien oral deficitar. Acestea sunt principalele concluzii ale unui sondaj IRES, comandat de Colegiul

Medicilor Dentiti din Cluj.

Alegerea medicului stomatolog. 39 la sut din respondeni i-au ales dentistul la recomandarea unui

prieten; 22 la sut au inut cont de sfatul unei rude; pentru 13 la sut a contat distana de cabinet, n

timp ce 10 la sut i-au ales medicul stomatolog la ntmplare. La rndul lor, 84% din cei care merg la

dentist l-au recomandat i altora.

Utilizarea serviciilor stomatologice. 48% dintre romni declar c merg la dentist o dat pe an sau mai

rar, iar 12% nu merg deloc la stomatolog. De asemenea, 37% merg la dentist doar cnd au dureri, n

timp ce 45% amn vizita la dentist din motive economice.

Preurile serviciilor dentare. Trei din patru pacieni le consider marisau foarte mari. Numrul celor

care cred c dentitii sunt ieftini este egal cu numrul celor care cred c sunt inaccesibili (4%).

Raportndu-se la salariu, jumtate dintre romni declar c i pot permite fr probleme tratamentele

stomatologice, n timp ce 31% afirm c nu le pot susine sub nicio form.

Igiena dentar la romni. Peste jumtate dintre romni spun despre ei c au o stare dentar bun i

foarte bun (55%), dar 26% recunosc c igiena lor oral las de dorit.

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Cum aleg romnii pasta dedini. Calitile de curare a dinilor i a gurii (61 la sut) i proprietile de

albire a dinilor (41 la sut) cntresc cel mai mult n alegerea unei paste de dini. Gustul (39%), mirosul

(35%), preul (26%) i ofertele promoionale ale pastei de dini (24%) sunt alte aspecte care le

influeneaz alegerea consumatorilor romni.

Romnii nu tiu c i pot deconta vizitele la dentist

http://www.dentotalclinic.ro/articol-1/

Alegerea unui dentist bun, de ncredere, este o investiie foarte important n sntatea ta. Vrei un

zmbet impecabil, iar cnd apar probleme un profesionist adevrat care s te ajute. Iat 10 aspecte

importante n selecia unui medic stomatolog bun.

Experiena i specializarea

Verific dac dentistul are specializrile necesare pentru a acoperi toate procedurile din planul de

tratament. De regul o clinic stomatologic acoper toate specialitile folosind mai muli doctori cu

experien (util i dac vrei s vii cu familia, caz n care poate fi necesar s apelezi la ortodonie,

protetic i stomatologie pediatric). ntreab dac medicul a mai efectuat proceduri similare i la ce

trebuie s te atepi pe parcursul tratamentului.

Echipamentele cu care lucreaz

Clinica Dentotal folosete cele mai noi echipamente stomatologice fiind susinut de cel mai mare

importator din Romnia de aparatur stomatologic Dentotal Protect. Echipamentele sunt deosebit de

importante, influennd calitatea actului stomatologic i susinnd miestria medicului prin tehnologia

de vrf.

Materialele stomatologice folosite

Avansul tehnologic n domeniul materialelor stomatologice permite progrese vizibile de la an la an.

Tratamentul dureaz mai puin, procedurile sunt mai precise iar aspectul i durabilitatea cresc. i doreti

un medic stomatolog cu acces la ultimele materiale i cu training si experien n folosirea lor.

Igienaproceduri i echipamente de sterilizare
http://www.dentotalclinic.ro/articol-1/http://www.dentotalclinic.ro/articol-1/http://www.dentotalclinic.ro/articol-1/

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n ceea ce privete procedurile de sterilizare i igien, nu face niciun compromis. ntreab direct medicul

dentist asupra procedurilor i sterilizrii instrumentarului folosit i dac ezit sau se simte inconfortabil

s-i rspund, renun rapid i alege un alt cabinet. De exemplu, ntreab ce clas este autoclavul n

care se sterilizeaz instrumentele (clasa B este cea mai performant, permite sterilizarea materialelorsolide, poroase i goale. Autoclavele clasa N i S au limitri serioase).

Locaia i accesibilitatea

Locaia ideal ar trebui s fie situat aproape de cas sau de servici sau pe drumul ntre cele dou. Dei

pare printre ultimele lucruri la care s te gndeti, verific dac exist locuri de parcare libere (n

Bucureti parcarea e o problem i nu vrei s pierzi jumtate de or cutnd un loc liber sau s riti s-i

ridice maina parcat incorect) i accesibilitatea cu alte mijloace de transport.

Timpul economisit

Ct trebuie satepi orele programate se respect? Are clinica sau cabinetul dotrile necesare pentru

a nu pierde timp cu drumuri inutile (de exemplu radiologie). Exist flexibilitate privind reprogramarea

unei edine de tratament?

Relaia cu pacientul

De multe ori sun ca un clieu, ns relaia medic-pacient este la fel de important precum celelalte

aspecte. Medicul este amabil, calm? Are rbdare s i explice pas cu pas planul i opiunile de

tratament? Care sunt alternativele, ce este obligatoriu i ce este opional? Vizita la dentist nu este un

motiv de stress i emoii dac personalul medical i auxiliar este amabil i empatic. De la prima

consultaie i poi da seama de calitatea comunicrii cu medicul stomatolog.

Pre corect

Preul trebuie s reflecte corect celelalte aspecte de calitate ale actului stomatologic (experiena,materiale, echipamente, locaie). n sine preul nu trebuie s fie primul criteriu de alegere deoarece un

pre foarte mic poate ascunde lipsuri importante. n plus, ferete-te de promoii foarte agresive, preuri

ce par incredibile. De regul sunt costuri ascunse ce apar ulterior i riti s te pcleti. Medicul

stomatolog trebuie s i explice de la nceput toate costurile asociate cu planul de tratament i diferitele

opiuni de pre, funcie de materialele folosite. n plus, intereseaz-te de modalitile de plat opionale

(card bancar, OP) i de termenele de plat.

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Referine

De regul alegi un medic recomandat de familie, prieteni, cunotine. ntreab-i despre aspectele

prezentate mai sus (experien, comunicare, materiale i echipamente, pre, locaie) nu te mulumi cu o

simpla recomandare. Dincolo de recomandare, caut i pe Internet s vezi preri despre medic i

cabinetul stomatologic. Viziteaz site-ul cabinetului-clinicii stomatologice deoarece multe dintre

aspectele de interes probabil sunt acoperite. O sesiune de informare bun te poate ajuta sa alegi rapid

un dentist pe care s poi conta.

Prevenie

Prevenia este mai bun dect tratamentul. Este un adevr acceptat, dar uneori ignorat. Este dentistul

tu interesat de sntatea danturii tale dincolo de tratamentul specific? Un medic bun i va explica ce

plan de prevenie-ntreinere trebuie s urmezi, i va reaminti de procedurile periodice astfel nct s i

pstrezizmbetul impecabil. Gsete un partener pe termen lung al sntii danturii tale.

http://www.neoclinique.ro/ro/informatie/101/cum-ne-alegem-medicul-dentist/

Acest tip de alegere pare aparent uor, ns n esen se pot comite greeli irepetabile, pacienii fiind

dezorientai i intrnd n primul cabinet care le iese n drum. O alt posibil capcan poate fi firma

luminoas cu un irag de titluri, ce nu se regsescn practic, pacientul nebeneficiind de fapt de serviciireale, consecinele acestora fiind grave de multe ori. Ce trebuie s cutm, de fapt:

- Competena real a echipei creia ne adresm, a cror CV-uri i cazuri rezolvate se gsesc de cele mai

multe ori pe site-ul cabinetului;

- Decizii terapeutice corecte;

- Biomateriale compatibile;

-nalt profesionalism n domenii de avangard tip implantologie oral.

Este necesar, n calitate de pacieni, s fim supui unui examen clinic atent, nsoit de examene

radiologice minim invazive, ce ofer informaii utile despre structura osoas, despre tratamentele pe

canal efectuate. Este foarte important s fim informai despre starea de sntate oral n momentul

prezentrii la cabinetul de medicin dentar, precum i despre posibilitile terapeutice de soluionare.
http://www.neoclinique.ro/ro/informatie/101/cum-ne-alegem-medicul-dentist/http://www.neoclinique.ro/ro/informatie/101/cum-ne-alegem-medicul-dentist/http://www.neoclinique.ro/ro/informatie/101/cum-ne-alegem-medicul-dentist/

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Sunt situaii clinice n care dorina pacientului trebuie analizat atent, nefiind n acord cu decizia

terapeutica corect. Pacientul i poate dori faete integral ceramice, fiind cucerit de aceastvariant de

tratament vzut pe site, ns faptul c este diagnosticat cu bruxism poate contraindica aceast alegere.

Este foarte important s vorbim de o terapie individualizat. Pacienii trebuie s fie informai, scunoasc metodele i tehnicile actuale, ns fiecare variant terapeutic trebuie particularizat fiecrui

caz clinic n parte.

De multe ori criteriul socio-economic constituie un obstacol ce ne deviaz de la soluia terapeutic

ideal. Niciun tratament stomatologic nu poate fi realizat dect n contextul interdisciplinaritii,

deosebit de important fiind evaluarea strii generale i alegerea tratamentului stomatologic adecvat,

n acord cu ateptrile pacientului, dar i cu posibilitile i limitele generate de starea local.

Idealul unui tratament stomatologic const n mbinarea funcionalitii cu elementele de estetic

dento-facial, n vederea atingerii acestui deziderat pacientului trebuind s i se explice ntreaga palet

de restaurri odontale sau protetice prin intermediul crora sunt restabilii parametrii afectai de

prezena cariei sau a pierderii dinilor.

Pe lng profesionalism, trebuie s regsim n cabinetul de medicin dentar atmosfera cald,

prietenoas, favorabil unei relaii de colaborare medic-pacient eficient, n contextul unei dotri

corespunztoare i a utilizrii unor metode de sterilizare sigure.

14 06 2013

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