dental pateint relationship and technology
TRANSCRIPT
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Information Technology
and
Informatics in the
Patient-Dentist Relationship
Iyad ABOU-RABII
DDS, OMFS, MRes, DU, PhD
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Lecture Plan
• Importance of doctor-patient relationship
• Problem and solutions
• Defining & measuring doctor-patient relationship
• Dental CIT applications
• Role of dental informatics
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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.
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Importance
• Increased treatment adherence
• Reduce malpractice claims
• Fewer tests and second opinions
• Improved quality of life
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Problem
• Quality of relationship on the decline
• Consumerism
• Healthcare system constraints
• Poor communication skills
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Solution
• Refocus on patient centeredness
• Communication and information
technology
• Dental Informatics as a model that
integrates CIT with human relationship
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Doctor-patient relationship defined• Sustained open trusted conversation
• Sharing of information and knowledge
• Exemplified in patient-centered care model
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Patient-Centered Care Model
Problems
Goals
Roles
Disease
Illness
Enhancing
the Patient-
Doctor
Relationship
Incorporating
Prevention and
Health
Promotion
Being
Realistic
Context
Illness
Disease
Person
Exploring both
disease & illness
experience
Understanding
the whole person
Finding
common
ground
Mutual
Decision
Patient
Presents
Cues
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Relationship Building - PCC
PCC
Hi Quality Doctor-Patient
Relationship = ImprovedOutcomes
• PCC - Patient-Centered Care
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Personal Relationship Scales
• Communication and decision support
• Interpersonal caring and social support
• Contextual knowledge
• Trust
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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.
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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.
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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.
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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.
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Relationship Building - CIT
• CIT - Communication and Information
Technology
• PCC - Patient-Centered Care
PCCHi Quality
Doctor-Patient Relationship =CIT +
ImprovedOutcomes
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Communication & Information
Technology
• What aspects of CIT affect patient-dentist
relationship
• Use existing models
• PCAS for relationship
• Schleyer’s taxonomy of dental CIT
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Dental CIT
• Schleyer’s Categories
• Internet
• Clinical
• Administrative
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CIT Internet Devices
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CIT Clinical & Administrative
Devices
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Mobile & Wearable Devices
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Internet
• Office Web portal
• Personal Health Record
• Teledentistry
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Web Portal
• Service
• Doctor and Staff info
• Location, hours
• Practice philosophy
• Office policies
• Patient education
• Automated scheduling
• Automated reminders
• Patient testimonials &
images
• Relationship Benefit
• Informed patient
• Match & shared values
• Set expectations
• Sense of control
• Build trust
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• Service
• Secure
• Web-based
• Triaged
• Linked to EOHR
• Becomes part of PHR • Relationship Benefit
• Ease of access
• Open communication
• Trust
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PHR
• Service• Treatment history
• Dental history
• Meds
• Family history
• Radiographs
• Relationship Benefit
• Sharing & participation
• Access & control
• Level power asymmetry
• Trust and confidence
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Teledentsitry
• Service
• Remote care
• Consultations
• X-rays and images
• Teleconference
• Real-time, store and
forward
• Relationship Benefit
• Communication
• Decision support
• Contextual knowledge
• Convenience
• Continuity of care
• Trust
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Clinical
• EOHR
• Digital Imaging
• Treatment Planning
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EOHR
• Service
• Exam
• Charting
• Treatment Planner
• Clinical and
psychosocial data
• Preference data
• History and trends
• Knowledge-based
• Relationship Benefit• Communication
• Contextual knowledge
• Confidence
• Continuity of care
• Trust
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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).
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Imaging
• Service
• Visual record
• Treatment planning
• Trend analysis
• Simulations
• Relationship Benefit
• Communication
• Patient preferences
• Control
• Trust
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Treatment
Planning
• Service
• Values-based options
• Link medical and oral
factors
• Consider patient
preferences
• Decision making aids
• Relationship Benefit• Communication
• Decision support
• Patient preferences
• Control
• Trust
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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.
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Administrative: Practice Mgt.
• Services
• Appointment
scheduling
• Patient registration
• Tailored messages
• Demographics
• Insurance billing
• Claims submission
• Recall
• Relationship Benefit
• Communication
• Access
• Confidence
• Convenience
• Trust
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Conclusion
PCCHi Quality
Doctor-Patient Relationship =CIT
ImprovedOutcomes
DI
+
• PCC - Patient-Centered Care
• CIT - Communication and Information Technology
• DI - Dental Informatics