Special Concern: Clinical decision making in evaluating patients: a process study
Identifieur interne : 007112 ( Istex/Curation ); précédent : 007111; suivant : 007113Special Concern: Clinical decision making in evaluating patients: a process study
Auteurs : Ronald L. Ettinger ; James D. Beck [États-Unis] ; Wendy E. Martin [États-Unis]Source :
- Special Care in Dentistry [ 0275-1879 ] ; 1990-05.
Descripteurs français
- Wicri :
- topic : Dentiste, Santé publique.
English descriptors
- KwdEn :
- Blood pressure, Bruxism problem, Care model, Caries, Cleft palate, Clinical decision, Clinical decisions, Clinical experience, Clinical judgment, Clinical techniques, Coronal caries, Decision analysis, Dent, Dent educ, Dental research, Dental treatment, Dentist, Dentist practice, Dentist response, Dentistry, Denture, Drug history, Elderly patients, Geriatric, Geriatric care, Geriatric dentistry, Geriatric patients, Human services, Mandibular, Mandibular teeth, Maxillary, Merck sharpe dohme, Much occlusion, Older adults, Oral health, Patient assessment model, Patient factors, Patient management problems, Porcelain teeth, Preferred treatment plan, Previous experience, Process model, Public health, Rational treatment plan, Several questions, Spec care dentist, Special care, Treatment decisions, Treatment plan, Treatment planning, Treatment planning decisions, Treatment plans, Vertical dimension, Volunteer patient, Wide range.
- Teeft :
- Blood pressure, Bruxism problem, Care model, Caries, Cleft palate, Clinical decision, Clinical decisions, Clinical experience, Clinical judgment, Clinical techniques, Coronal caries, Decision analysis, Dent, Dent educ, Dental research, Dental treatment, Dentist, Dentist practice, Dentist response, Dentistry, Denture, Drug history, Elderly patients, Geriatric, Geriatric care, Geriatric dentistry, Geriatric patients, Human services, Mandibular, Mandibular teeth, Maxillary, Merck sharpe dohme, Much occlusion, Older adults, Oral health, Patient assessment model, Patient factors, Patient management problems, Porcelain teeth, Preferred treatment plan, Previous experience, Process model, Public health, Rational treatment plan, Several questions, Spec care dentist, Special care, Treatment decisions, Treatment plan, Treatment planning, Treatment planning decisions, Treatment plans, Vertical dimension, Volunteer patient, Wide range.
Abstract
A volunteer patient was examined by five dentists experienced in caring for geriatric patients. The patient and dentist interaction was videotaped and reviewed to evaluate a previously generated hypothesis regarding the diagnosis process. This descriptive study suggests that dentists experienced in geriatric care did assess and evaluate a wide range of patient characteristics. However, they did not follow the previously hypothesized process in arriving at an appropriate treatment plan. Instead, they relied heavily on past experiences with similar situations. The possible implications of this process for treatment planning and teaching of geriatric dentistry are discussed.
Url:
DOI: 10.1111/j.1754-4505.1990.tb00762.x
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Ronald L. Ettinger<affiliation><mods:affiliation>Correspondence address: Address requests for reprints to Dr. Ettinger</mods:affiliation>
<wicri:noCountry code="no comma">Correspondence address: Address requests for reprints to Dr. Ettinger</wicri:noCountry>
</affiliation>
Le document en format XML
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<term>Bruxism problem</term>
<term>Care model</term>
<term>Caries</term>
<term>Cleft palate</term>
<term>Clinical decision</term>
<term>Clinical decisions</term>
<term>Clinical experience</term>
<term>Clinical judgment</term>
<term>Clinical techniques</term>
<term>Coronal caries</term>
<term>Decision analysis</term>
<term>Dent</term>
<term>Dent educ</term>
<term>Dental research</term>
<term>Dental treatment</term>
<term>Dentist</term>
<term>Dentist practice</term>
<term>Dentist response</term>
<term>Dentistry</term>
<term>Denture</term>
<term>Drug history</term>
<term>Elderly patients</term>
<term>Geriatric</term>
<term>Geriatric care</term>
<term>Geriatric dentistry</term>
<term>Geriatric patients</term>
<term>Human services</term>
<term>Mandibular</term>
<term>Mandibular teeth</term>
<term>Maxillary</term>
<term>Merck sharpe dohme</term>
<term>Much occlusion</term>
<term>Older adults</term>
<term>Oral health</term>
<term>Patient assessment model</term>
<term>Patient factors</term>
<term>Patient management problems</term>
<term>Porcelain teeth</term>
<term>Preferred treatment plan</term>
<term>Previous experience</term>
<term>Process model</term>
<term>Public health</term>
<term>Rational treatment plan</term>
<term>Several questions</term>
<term>Spec care dentist</term>
<term>Special care</term>
<term>Treatment decisions</term>
<term>Treatment plan</term>
<term>Treatment planning</term>
<term>Treatment planning decisions</term>
<term>Treatment plans</term>
<term>Vertical dimension</term>
<term>Volunteer patient</term>
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<term>Bruxism problem</term>
<term>Care model</term>
<term>Caries</term>
<term>Cleft palate</term>
<term>Clinical decision</term>
<term>Clinical decisions</term>
<term>Clinical experience</term>
<term>Clinical judgment</term>
<term>Clinical techniques</term>
<term>Coronal caries</term>
<term>Decision analysis</term>
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<term>Dent educ</term>
<term>Dental research</term>
<term>Dental treatment</term>
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<term>Dentist practice</term>
<term>Dentist response</term>
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<term>Drug history</term>
<term>Elderly patients</term>
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<term>Geriatric care</term>
<term>Geriatric dentistry</term>
<term>Geriatric patients</term>
<term>Human services</term>
<term>Mandibular</term>
<term>Mandibular teeth</term>
<term>Maxillary</term>
<term>Merck sharpe dohme</term>
<term>Much occlusion</term>
<term>Older adults</term>
<term>Oral health</term>
<term>Patient assessment model</term>
<term>Patient factors</term>
<term>Patient management problems</term>
<term>Porcelain teeth</term>
<term>Preferred treatment plan</term>
<term>Previous experience</term>
<term>Process model</term>
<term>Public health</term>
<term>Rational treatment plan</term>
<term>Several questions</term>
<term>Spec care dentist</term>
<term>Special care</term>
<term>Treatment decisions</term>
<term>Treatment plan</term>
<term>Treatment planning</term>
<term>Treatment planning decisions</term>
<term>Treatment plans</term>
<term>Vertical dimension</term>
<term>Volunteer patient</term>
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<front><div type="abstract" xml:lang="en">A volunteer patient was examined by five dentists experienced in caring for geriatric patients. The patient and dentist interaction was videotaped and reviewed to evaluate a previously generated hypothesis regarding the diagnosis process. This descriptive study suggests that dentists experienced in geriatric care did assess and evaluate a wide range of patient characteristics. However, they did not follow the previously hypothesized process in arriving at an appropriate treatment plan. Instead, they relied heavily on past experiences with similar situations. The possible implications of this process for treatment planning and teaching of geriatric dentistry are discussed.</div>
</front>
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