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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

本研究的目的是分析牙医的教育、社会及文化背景对检查病人、诊断、决定治疗需求及制定治疗计划的影响。本研究采用角色扮演访谈法，以加拿大和日本的牙科医生为研究对象，采用相同的患者模型，假设加拿大患者在日本和加拿大的全科医生处就诊，牙科医生根据患者的口腔内和口腔外信息进行诊断和治疗。根据被试与考官的对话录音，我们制作了两种类型的流程图.根据这些流程图，对结果进行分析和受试者之间的比较，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显著差异。有了这个，我们可以推测，决策标准的需要和去 ...更多信息两组治疗总有效率基本相同。这意味着两国的牙医共享共同的专业知识，技术和材料。个体间在这些能反映临床经验的项目上差异显著。除了转诊到专科医生外，日本和加拿大牙医之间的差异并没有发现。这种差异是因为转诊制度在日本还不普遍，有些人试图在早期就做出诊断，而不是寻找更多的证据来支持他的决定，有点像所谓的归纳法。另一些人则在得出最终诊断之前经历了所有的日期，我们可以将其描述为演绎法。关于向患者介绍治疗计划，日本和加拿大牙医之间存在差异。我们可以推测，这些差异源于两国医疗保险制度的差异。少