Seiten: 16-20, Sprache: EnglischWilson jr., Thomas G. / Higginbottom, Frank L. / Valderrama, Pilar / Pope, Jeffrey D.
Changes in the economics and delivery of dentistry have resulted in suggestions for significant changes in the delivery of care. These guidelines emphasize increased patient involvement in the treatment of chronic diseases such as dental caries and periodontitis. This approach, which is termed patient-centered care (PCC), also emphasizes the direct participation of the patient in formulating treatment plans. This approach requires understanding the patient's goals and involving them in therapeutic decisions, as well as an emphasis on long-term behavioral changes needed to control these diseases, and monitoring therapeutic outcomes in a formal way. This approach is currently applied in very few private practices and is poorly understood by the average practitioner. In the past, similar approaches have yielded equivocal results. If these concepts are routinely practiced they will increase the economic burden on private practices and increase the use of third-party involvement for these services.
Schlagwörter: Patient-centered care, dental caries, periodontitis, behavior modification, dental maintenance