Dental pateint relationship and technology

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Dental pateint relationship and technology

  1. 1. Information Technology and Informatics in the Patient-Dentist RelationshipIyad ABOU-RABIIDDS, OMFS, MRes, DU, PhD
  2. 2. Lecture Plan • Importance of doctor-patient relationship • Problem and solutions • Defining & measuring doctor-patient relationship • Dental CIT applications • Role of dental informatics2
  3. 3. Introduction• Technology has allowed the patients to regain control of their treatment.• For the modern dentist, it’s important to understand the different systems that are available that can assist you in developing and improving the relationship between Dentists and their patients.
  4. 4. Importance • Increased treatment adherence • Reduce malpractice claims • Fewer tests and second opinions • Improved quality of life4
  5. 5. Problem • Quality of relationship on the decline • Consumerism • Healthcare system constraints • Poor communication skills5
  6. 6. Solution • Refocus on patient centeredness • Communication and information technology • Dental Informatics as a model that integrates CIT with human relationship6
  7. 7. Doctor-patient relationship defined • Sustained open trusted conversation • Sharing of information and knowledge • Exemplified in patient-centered care model7
  8. 8. Patient-Centered Care Model Exploring both Understanding Finding disease & illness the whole person common experience ground Context Problems Patient Disease Person Presents Illness Mutual Goals Cues Decision Disease Illness Roles Enhancing Incorporating the Patient- Being8 Prevention and Doctor Realistic Health
  9. 9. Relationship Building - PCC Hi QualityPCC Doctor-Patient Relationship = Improved Outcomes• PCC - Patient-Centered Care 9
  10. 10. Personal Relationship Scales • Communication and decision support • Interpersonal caring and social support • Contextual knowledge • Trust10
  11. 11. Personal Relationship Scales • Communication and decision support • Thoroughness of questions about symptoms, attention to what patients say, clarity of explanations, instructions, and advice and help in making decisions.11
  12. 12. Personal Relationship Scales  Communication and decision support  Interpersonal caring and support  Patience, friendliness, caring, respect, and time spent with the patient. Sharing power and enhancing self- awareness.12
  13. 13. Personal Relationship Scales • Communication and decision support • Interpersonal caring and support • Contextual knowledge of the patient • Knowledge of the patient’s life history, medical history, responsibilities at work, home or school, principal health concerns, values, and beliefs.13
  14. 14. Personal Relationship Scales  Communication and decision support  Interpersonal caring and support  Contextual knowledge of the patient  Trust  Integrity, honesty, competence, and role as the patient’s agent. Expressing a sense of security and well-being.14
  15. 15. Relationship Building - CIT Hi Quality ImprovedCIT + PCC Doctor-Patient Relationship = Outcomes • CIT - Communication and Information Technology • PCC - Patient-Centered Care 15
  16. 16. Communication & Information Technology • What aspects of CIT affect patient-dentist relationship • Use existing models • PCAS for relationship • Schleyer’s taxonomy of dental CIT16
  17. 17. Dental CIT • Schleyer’s Categories • Internet • Clinical • Administrative17
  18. 18. CIT Internet Devices18
  19. 19. CIT Clinical & Administrative Devices19
  20. 20. Mobile & Wearable Devices20
  21. 21. Internet • Office Web portal • Email • Personal Health Record • Teledentistry21
  22. 22. Web Portal• Service • Doctor and Staff info • Location, hours • Practice philosophy • Relationship Benefit • Office policies • Informed patient • Patient education • Match & shared values • Automated scheduling • Set expectations • Automated reminders • Sense of control • Patient testimonials & • Build trust images22
  23. 23. Email • Service • Secure • Web-based • Triaged • Linked to EOHR • Becomes part of PHR • Relationship Benefit • Ease of access • Open communication • Trust23
  24. 24. PHR• Service • Treatment history • Dental history • Meds • Relationship Benefit • Family history • Sharing & participation • Radiographs • Access & control • Level power asymmetry • Trust and confidence 24
  25. 25. Teledentsitry • Service • Remote care • Consultations • X-rays and images • Relationship Benefit • Teleconference • Communication • Real-time, store and • Decision support forward • Contextual knowledge • Convenience • Continuity of care25 • Trust
  26. 26. Clinical • EOHR • Digital Imaging • Treatment Planning26
  27. 27. EOHR • Service • Exam • Charting • Treatment Planner • Clinical and • Relationship Benefit psychosocial data • Communication • Preference data • Contextual knowledge • History and trends • Confidence • Knowledge-based • Continuity of care • Trust27
  28. 28. Imaging • Our patients want to be able to see what we see and to understand why we make the treatment recommendations that we make. • Co-diagnosis ( to involve the patient in the diagnostic process).28
  29. 29. Imaging • Service • Visual record • Treatment planning • Trend analysis • Relationship Benefit • Simulations • Communication • Patient preferences • Control • Trust29
  30. 30. Treatment Planning• Service • Values-based options • Link medical and oral • Relationship Benefit factors • Communication • Consider patient • Decision support preferences • Patient preferences • Decision making aids • Control • Trust30
  31. 31. Administrative: Practice Mgt.• Using the phone and paper-based systems is • time-consuming, • expensive, • No interaction from patients.• Newer electronic systems involve the patient in the process.
  32. 32. Administrative: Practice Mgt. • Services • Relationship Benefit • Appointment • Communication scheduling • Access • Patient registration • Confidence • Tailored messages • Convenience • Demographics • Trust • Insurance billing • Claims submission • Recall32
  33. 33. Conclusion Hi Quality ImprovedCIT + PCC Doctor-Patient Relationship = OutcomesDI • PCC - Patient-Centered Care • CIT - Communication and Information Technology • DI - Dental Informatics 33

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