Patient-centered outcomes in surgical and orthodontic treatment.
Patient-centered outcomes in surgical and orthodontic treatment.
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DOI：
10.1016/s1073-8746(99)80016-4
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发表时间：
1999-12-01
影响因子：
4.2
通讯作者：
Phillips, C
中科院分区：
文献类型：
--
作者：
Phillips, C
以病人为中心的医疗保健有两个特点：它与病人的愿望、需要和偏好密切一致，并对病人的愿望、需要和偏好作出反应;它除了考虑病人的身体状况外，还考虑病人的心理、社会、文化和经济方面。患者的最终受益一直是临床医生提供协调的正畸和正颌外科治疗的主要关注点。然而，在过去的10年里，医学和牙科都更加强调患者作为决策和治疗过程的共同参与者。此外，人们已经认识到，治疗的成功不仅必须根据临床医生的客观发现来定义，而且还必须根据患者对所取得成果的看法来定义。本文讨论了新强调以患者为中心的护理对正畸学和正颌外科临床实践和研究的影响，并提供了两个以患者为中心的结果如何评估和用于提高这些患者的护理质量的例子。
Patient-centered health care has two characteristics: it is closely congruent with and responsive to the patient's wants, needs, and preferences, and it considers the psychological, social, cultural, and economic dimensions of the patient in addition to physical findings. The ultimate benefit to the patient has always been a primary concern of clinicians providing coordinated orthodontic and orthognathic surgical treatment. However, in the past 10 years, a much greater emphasis has been placed in both medicine and dentistry on the patient as a coparticipant in decision making and the process of treatment. In addition, it has been realized the success of treatment must be defined not just in terms of the objective findings of clinicians, but also in the context of the patient's perceptions of what was achieved. This article discusses the impact of the new emphasis on patient-centered care on clinical practice and research in orthodontics and orthognathic surgery and provides two examples of how patient-centered outcomes can be assessed and used to improve the quality of care in these patients.