Decision for Dental Disease Treatment and Social Backgrounds

本项目的目的是分析牙科医生的教育、社会和文化背景对检查患者、诊断和决定治疗需求以及制定治疗计划的影响。我们使用相同的患者模型和角色扮演访谈法对日本牙医和加拿大牙医进行了比较。在这份报告中，我们假设加拿大患者拜访了日本和加拿大的全科医生，在那里牙医必须根据准备好的与这些患者相关的信息来制定诊断和治疗计划，包括Intora和额外的口腔信息。根据受试者与考官之间的对话录音，我们制作了两种类型的流程图.用这些流程图对结果进行分析比较，发现受试者之间制定的治疗计划对每个患者的最终治疗目标没有显著差异。有了这一点，我们可以推测，需要和去…的决策标准两组更多的治疗方案基本相同。这意味着两国牙医拥有共同的专业知识、技术和材料。受试者在这些能反映个人临床经验的项目上存在显著的个体差异。日本和加拿大牙医之间的差异，因为除了转诊给专家外，没有发现这一组。这种差异来自于转诊制度到目前为止在日本并不普遍。有些人试图在早期阶段确定诊断，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。另一些则在最终诊断前通过了所有的数据，我们可以用演绎的方法来描述。在向患者介绍治疗计划方面，显示了日本牙医和加拿大牙医作为一组的差异。我们可以推测，这些差异源于两国医疗保险制度的差异。较少

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