Dental pateint relationship and technology
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This document discusses how information technology and informatics can improve the patient-dentist relationship. It first covers the importance of the relationship and problems like poor communication that threaten it. Using communication technologies combined with patient-centered care models can help refocus on patient needs. Specific technologies discussed include web portals, email, personal health records, teledentistry, electronic health records, digital imaging, and practice management systems. When combined with patient-centered approaches, these tools can enhance communication, sharing of information, and patient involvement in decisions about their care.
Dental pateint relationship and technology
- 1. Information Technology and Informatics in the Patient-Dentist Relationship Iyad ABOU-RABII DDS, OMFS, MRes, DU, PhD
- 2. Lecture Plan • Importance of doctor-patient relationship • Problem and solutions • Defining & measuring doctor-patient relationship • Dental CIT applications • Role of dental informatics 2
- 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. Importance • Increased treatment adherence • Reduce malpractice claims • Fewer tests and second opinions • Improved quality of life 4
- 5. Problem • Quality of relationship on the decline • Consumerism • Healthcare system constraints • Poor communication skills 5
- 6. Solution • Refocus on patient centeredness • Communication and information technology • Dental Informatics as a model that integrates CIT with human relationship 6
- 7. Doctor-patient relationship defined • Sustained open trusted conversation • Sharing of information and knowledge • Exemplified in patient-centered care model 7
- 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- Being 8 Prevention and Doctor Realistic Health
- 9. Relationship Building - PCC Hi Quality PCC Doctor-Patient Relationship = Improved Outcomes • PCC - Patient-Centered Care 9
- 10. Personal Relationship Scales • Communication and decision support • Interpersonal caring and social support • Contextual knowledge • Trust 10
- 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. 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. 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. 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. Relationship Building - CIT Hi Quality Improved CIT + PCC Doctor-Patient Relationship = Outcomes • CIT - Communication and Information Technology • PCC - Patient-Centered Care 15
- 16. Communication & Information Technology • What aspects of CIT affect patient-dentist relationship • Use existing models • PCAS for relationship • Schleyer’s taxonomy of dental CIT 16
- 17. Dental CIT • Schleyer’s Categories • Internet • Clinical • Administrative 17
- 19. CIT Clinical & Administrative Devices 19
- 20. Mobile & Wearable Devices 20
- 21. Internet • Office Web portal • Email • Personal Health Record • Teledentistry 21
- 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 images 22
- 23. Email • Service • Secure • Web-based • Triaged • Linked to EOHR • Becomes part of PHR • Relationship Benefit • Ease of access • Open communication • Trust 23
- 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. 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 care 25 • Trust
- 26. Clinical • EOHR • Digital Imaging • Treatment Planning 26
- 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 • Trust 27
- 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. Imaging • Service • Visual record • Treatment planning • Trend analysis • Relationship Benefit • Simulations • Communication • Patient preferences • Control • Trust 29
- 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 • Trust 30
- 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. Administrative: Practice Mgt. • Services • Relationship Benefit • Appointment • Communication scheduling • Access • Patient registration • Confidence • Tailored messages • Convenience • Demographics • Trust • Insurance billing • Claims submission • Recall 32
- 33. Conclusion Hi Quality Improved CIT + PCC Doctor-Patient Relationship = Outcomes DI • PCC - Patient-Centered Care • CIT - Communication and Information Technology • DI - Dental Informatics 33