Involving patients in treatment decisions - a delicate balancing act for Swedish dentists.

Background This study focuses on patients' participation in treatment decisions related to the delivery of oral health care in the social welfare state of Sweden. In 1985, the National Dental Service Act gave dental patients the right to take an active role in decisions regarding their treatment and...

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Publicado en:Health Expectations Vol. 17; no. 4; pp. 500 - 511
Autores principales: Röing, Marta, Holmström, Inger Knutsson
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Aug2014
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Involving patients in treatment decisions - a delicate balancing act for Swedish dentists.
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          Röing, Marta
          Holmström, Inger Knutsson
        affil: Doctor, Department of Public Health and Caring Sciences, Health Services Research, Uppsala University, Sweden
      sug:
        subj:
          Decision Making, Clinical Sweden
          Decision Making, Patient Sweden
          Dentists Sweden
          Sweden
          Human
          Interviews
          Content Analysis
          Dental Care Legislation and Jurisprudence
          Female
          Male
          Adult
          Middle Age
          Aged
          Patient Attitudes
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
          Male
      ab: Background This study focuses on patients' participation in treatment decisions related to the delivery of oral health care in the social welfare state of Sweden. In 1985, the National Dental Service Act gave dental patients the right to take an active role in decisions regarding their treatment and, in doing so, strengthened them as consumers. Little is known how dentists in Sweden have adapted to this change. Objective This study explores how dentists in Sweden perceive and experience involving patients in dental treatment decisions. Design Data were collected from open-ended interviews with nineteen dentists, and an inductive qualitative content analysis was chosen to analyse the transcribed interviews. Findings Involving patients in treatment decisions appeared to be delicate balancing acts between the ideals of patient involvement and the reality of how it is practised in Sweden. These balancing acts in turn revealed obstacles to patient involvement and the role that economy can play on the decisions of some patients regarding their treatment. Conclusions This study has given insight into a relationship in which some dentists in Sweden find it hard to adapt to and change their professional role with patients who appear to act more as consumers. For these dentists, better practice of patient involvement may require adoption of a more consumerist approach. However, in situations where economy influences patients' treatment choices, the ideals of patient involvement may remain unattainable.
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      ougenre: Article
    language: English
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