초록

Purpose: The aim of this study was to identify what factors contributed to making a ‘good' dentist in terms of interpersonal and communational aspects through exploring patients' expectations from dental service. Methods: The material of study was one hundred fifty seven individual interview records between a dental student and a patient. For this interview, third-year dental students who enrolled a communication skills course at the K University School of Dentistry in Seoul, participated as interviewers during two consecutive years; 67 from 2008 and 72 from 2009. A content analysis as qualitative methods, was conducted; codes,concepts and categories for communication behaviors were extracted. Results: 335 and 377 codes were extracted as 'desirable' and 'undesirable' communication behaviors,respectively. 335 'desirable' behavior codes were converged into 33 concepts and finally categorized into 11. 377 'undesirable' behavior codes were converged into 32 concepts and eleven categories. As results of multiple response analysis, 'explaining' was identified the most important factor for patient-dentist relationship. Patients regarded 'detailed explanation', 'explaining the overall plan and the process for treatment and management', and 'explaining using materials/dental models or examples' as good communication behaviors. In contrast, insufficient or inadequate explanation or difficult explanation to understand, were regarded as bad experience by patients. In addition, 'attitudes towards patients', 'emotional support by dentists', 'expense for service' and 'direct counseling with dentists not by coordinators nor other health care providers' were explored as the factors contributed to good patient-dentist relations. Conclusions: The authors could explore 'desirable' and 'undesirable' communication behaviors which patients expect to be provided from their dentists. More meticulous and large scale study is needed to identify interpersonal and communication behaviors which can contribute to making a 'good' patient-dentist relationship.

키워드

환자-치과의사관계, 의사소통, 내용분석

참고문헌(17)open

  1. [학술지] 강명신 / 2011 / 치과의사-노인환자 커뮤니케이션 / 대한치과의사협회지 49 (10) : 599 ~ 608

  2. [학위논문] 고은숙 / 2008 / 치과의사의 커뮤니케이션 스타일과 환자 성향에 따른 환자 만족도 연구

  3. [단행본] Berelson B / 1952 / Content analysis in communication research / Hafner

  4. [학술지] Buck D / 2000 / What makes a good dentist and do recent trainees makr the grade? The views of vacational trainers / Br Dent J 189 (10) : 563 ~ 6

  5. [학술지] Corah NL / 1988 / The dentist-oatient relationship: perceived dentist behaviors that reduce patient anxiety and increase satisfaction / J Am Dent Assoc 116 (1) : 73 ~ 6

  6. [학술지] Corah NL / 1985 / The dentist-patient relationship: Perceptions by patients of dentist behavior in relation to satisfaction and anxiety / J Am Dent Assoc 111 : 443 ~ 6

  7. [학술지] Corah NL / 1984 / Development of a patient measure of satisfaction with the dentist: the Dental Visit Satisfaction Scale / J Behav Med 7 (4) : 367 ~ 73

  8. [학술지] DiMatteo MR / 1995 / Public attitudes toward dentists: a U.S. household survey / J Am Dent Assoc 126 (11) : 1563 ~ 70

  9. [학술지] Holt VP / 1997 / Factors influencing patient loyalty to dentist and dental practice / Br Dent J 183 (10) : 365 ~ 70

  10. [단행본] Krippendorff K / 2004 / Content analysis: an introduction to its methodology (2nd) / Sage

  11. [학술지] Lahti S / 1996 / Patients' expectations of an ideal dentist and their views concerning the dentist they visited: do the views conform to the expectations and what determines how well they conform / Community Dent Oral Epidemiol 24 (4) : 240 ~ 4

  12. [학술지] Land T / 2000 / What patients think of dental services / Br Dent J 189 (1) : 21 ~ 4

  13. [학술지] Liddell A / Dental visit satisfaction in a group of adults aged 50 years and over / J Behav Med 15 (4) : 415 ~ 27

  14. [학술지] Newsome PR / 1999 / A review of patient satisfaction: 2. Dental patient satisfaction: an appraisal of recent literature / Br Dent J 186 : 166 ~ 70

  15. [학술지] Theaker ED / 2000 / Development and preliminary evaluation of an instrument designed to assess dental students' communication skills / Br Dent J 188 (1) : 40 ~ 4

  16. [인터넷자료] Wolfe M / Communication & practical skills for a dentist

  17. [학술지] Mellor AC / 1995 / Dentists' attitudes toward frustrating patient visits: relationship to satisfaction and malpractice complaints / Community Dent OralEpidemiol 23 (1) : 15 ~ 9