台灣牙醫醫病關係中的醫病溝通之探究

Abstract

改善醫患溝通對於優化治療結果和病患滿意度具有重要意義。過去的研究結果強調了根據病患特徵制定定制溝通策略的必要性。為此，將醫患溝通教育納入台灣的牙科教育體系中成為本研究的目標，以加強以病患為中心的護理並減少衝突。本研究通過訪談和問卷調查以及比較不同國家的課程，對醫患溝通的重要性進行了描述性統計和廣義線性混合效應模型分析，涵蓋了牙醫和病患雙方的觀點。本研究共有超過600名病患參與了問卷調查，並且採訪了4名年齡在20歲以上且具有多年牙科經驗的牙醫師。牙科醫師的訪談結果均強調了醫患溝通的重要性，而病患問卷中呈現其年齡和收入與重視醫患溝通呈正相關，但與牙科助理的溝通呈負相關。這可能是由於病患更關注牙科醫師的專業知識和技能，而較少關注助理的溝通能力。牙醫師們強調了溝通教育的必要性，同時也強調了執行力的重要性。另外，本研究亦發現社會經濟地位較高和年齡較大的病人對牙醫與病患的溝通給予更高的評價，這可能是由於這些個體更加注重自我推銷，此結果進一步凸顯醫患關係的多樣性。根據本研究的調查結果，本研究建議在台灣實施醫患溝通課程，以提升牙科專業人員的溝通能力，從而改善醫療服務質量和病患體驗。基於訪談及問卷的研究結果，並參考美英日等國的牙醫課程，本研究建議在大學學習期間開展牙醫溝通教育，並繼續實踐以應對不斷變化的社會動態。這項研究的結果將有助於提高台灣的牙科教育體系，使其更加關注醫患溝通的重要性。透過專注於溝通技巧和策略的教育課程，牙科專業人員將能夠更好地與病患溝通，確保他們獲得所需的醫療護理並提高滿意度。同時，這也有助於減少衝突和誤解，建立良好的醫患關係，從而提升整體醫療體驗和治療結果。Improving dentist-patient communication is crucial for optimizing treatment outcomes and enhancing patient satisfaction. The research findings emphasize the necessity of developing tailored communication strategies that take into account individual patient characteristics. Thus, the aim of this study was to explore the feasibility of integrating dentist-patient communication education into the dental education system in Taiwan, with the goal of promoting patient-centered care and minimizing conflicts.In order to achieve this, we employed various methods including interviews, surveys, and comparative analysis of curricula from different countries. These approaches allowed us to gain insights into the significance of dentist-patient communication from both dentists' and patients' perspectives. Our survey involved over 600 patients, and we conducted interviews with four experienced dentists aged 20 or above. The dental professionals emphasized the importance of effective communication in thedentist -patient relationship, while we observed a positive correlation between patient age and income with the value placed on doctor-patient communication. However, there was a negative correlation between these factors and communication with dental assistants. This discrepancy may be attributed to patients prioritizing the dentists' expertise and skills over the communication abilities of the assistants. Dentists acknowledged the significance of communication education, underscoring the need for its implementation and effective execution.

Based on our research findings, we recommend incorporating doctor-patient communication education into dental curricula during university studies, while continuously adapting to the ever-changing dynamics of society. Notably, individuals with higher socioeconomic status and older age displayed a greater appreciation for effective dentist-patient communication, potentially due to their inclination towards self-advocacy. This observation highlights the diverse nature of dentist -patient relationships. Taking these factors into account, we propose the implementation of comprehensive doctor-patient communication courses in Taiwan, aimed at enhancing the communication skills of dental professionals and ultimately improving the quality of healthcare services and patient experiences.By heeding the outcomes of this study, Taiwan's dental education system can be further enhanced, placing increased emphasis on the significance of effective doctor patient communication. Through targeted educational programs that focus on developing communication skills and strategies, dental professionals will be better equipped to establish rapport with patients, ensuring that their medical needs are met and bolstering overall satisfaction. Moreover, such initiatives will help to mitigate conflicts and misunderstandings, fostering positive doctor-patient relationships and ultimately enhancing the overall medical experience and treatment outcomes.