Modules

Module 5: Patient Appointments and Care
Key Points

  • Populations with low incomes frequently have high rates of oral disease, which means many clinic patients may have urgent or emergent problems.
  • Appointment scheduling depends on the number of chairs and oral health professionals working in a clinic.
  • Missed appointments negatively impact productivity, but the downtime resulting from them can be minimized by maintaining a list of patients who have indicated that they are available on short notice for appointments.
  • Emergencies such as toothaches or broken fillings are common among clinic patients.
  • Once a dentist begins treating a patient, the dentist may not cease providing treatment without potentially incurring liability, except under specific circumstances.
  • Recall appointments are used to foster continuity of care, detect new problems, provide preventive services, and evaluate the effectiveness of previous care.
  • The Joint Commission defines continuum of care as “matching an individual’s ongoing needs with the appropriate level and type of medical, psychological, health, or social care within an organization or across multiple organizations.”
  • Informed consent is a communication process whereby a patient (or, in the case of minors, a parent, guardian, or other adult who has legal authority to provide consent for medical treatment of a minor), with the advice and support of an oral health professional, makes treatment decisions.
  • If a patient refuses recommended treatment, the dentist should make every reasonable effort to document that the patient understands the risks that may arise from such refusal. This is the concept of informed refusal.
  • Unclear instructions following treatment and post-operative complications are two common sources of patient confusion and dissatisfaction.
  • Clinic staff must provide services in a manner that is culturally and linguistically appropriate, which includes providing interpretation services when English is not a patient’s primary language.