What do we know about how dentists make caries-related treatment decisions?

被引:96
作者
Bader, JD
Shugars, DA
机构
[1] School of Dentistry, University of North Carolina, Chapel Hill, NC
[2] Sheps Center, CB#7590, University of North Carolina, Chapel Hill
关键词
dental caries; diagnosis; therapy; decision making; dentists; psychology; observer variation; patient care planning;
D O I
10.1111/j.1600-0528.1997.tb00905.x
中图分类号
R78 [口腔科学];
学科分类号
1003 [口腔医学];
摘要
A conceptual model of dentists' treatment decision-making is discussed. The model suggests that dentists do not use a hypothetico-deductive process for the diagnosis of caries, Rather, caries is identified through a process of pattern recognition that in most instances is inextricably linked to intervention decisions. Individual dentists have inventories of caries scripts that, when matched by a particular clinical presentation, lead to decisions to treat. The scripts comprise salient factors that are dependent on individual dentist's characteristics and biases, and thus vary substantially across dentists. The scripts tend to be complex, highly visual, and difficult to describe. All of these characteristics suggest that efforts to improve dentists' caries-related treatment decisions should acknowledge this knowledge structure and be designed to change the salient factors or interpretations of salient factors within the context of the caries script.
引用
收藏
页码:97 / 103
页数:7
相关论文
共 25 条
[1]
ALANEN P, 1993, COMMUNITY DENT ORAL, V21, P45
[2]
TREATMENT REGIMENS IN PREVENTIVE AND RESTORATIVE DENTISTRY [J].
ANUSAVICE, KJ .
JOURNAL OF THE AMERICAN DENTAL ASSOCIATION, 1995, 126 (06) :727-740
[3]
Bader J D, 1995, J Dent Educ, V59, P61
[4]
Bader J D, 1993, J Dent Educ, V57, P415
[5]
AGREEMENT AMONG DENTISTS RECOMMENDATIONS FOR RESTORATIVE TREATMENT [J].
BADER, JD ;
SHUGARS, DA .
JOURNAL OF DENTAL RESEARCH, 1993, 72 (05) :891-896
[6]
UNDERSTANDING DENTISTS RESTORATIVE TREATMENT DECISIONS [J].
BADER, JD ;
SHUGARS, DA .
JOURNAL OF PUBLIC HEALTH DENTISTRY, 1992, 52 (02) :102-110
[7]
VARIATION IN DENTISTS CLINICAL DECISIONS [J].
BADER, JD ;
SHUGARS, DA .
JOURNAL OF PUBLIC HEALTH DENTISTRY, 1995, 55 (03) :181-188
[8]
RELATIONSHIP BETWEEN EPIDEMIOLOGIC CORONAL CARIES ASSESSMENTS AND PRACTITIONERS TREATMENT RECOMMENDATIONS IN ADULTS [J].
BADER, JD ;
SHUGARS, DA ;
ROZIER, RG .
COMMUNITY DENTISTRY AND ORAL EPIDEMIOLOGY, 1993, 21 (02) :96-101
[9]
DILEMMAS IN CARIES DIAGNOSIS [J].
BADER, JD ;
BROWN, JP .
JOURNAL OF THE AMERICAN DENTAL ASSOCIATION, 1993, 124 (06) :48-50
[10]
Bradley GW., 1993, DIS DIAGNOSIS DECISI