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Qualitative focus group interview study of communication between patients, dentists and physicians for efficient osteonecrosis of the jaw practices

OBJECTIVES: To investigate problems and the current status of existing methods of communication between patients, dentists and physicians for the prevention and treatment of medication-related osteonecrosis of the jaw (MRONJ). DESIGN: A focus group interview study with a descriptive design using qua...

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Autores principales: Choi, Yiseul, Park, Heajeong, Hong, Namki, Rhee, Yumie, Park, Wonse
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8943776/
https://www.ncbi.nlm.nih.gov/pubmed/35318228
http://dx.doi.org/10.1136/bmjopen-2021-051054
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author Choi, Yiseul
Park, Heajeong
Hong, Namki
Rhee, Yumie
Park, Wonse
author_facet Choi, Yiseul
Park, Heajeong
Hong, Namki
Rhee, Yumie
Park, Wonse
author_sort Choi, Yiseul
collection PubMed
description OBJECTIVES: To investigate problems and the current status of existing methods of communication between patients, dentists and physicians for the prevention and treatment of medication-related osteonecrosis of the jaw (MRONJ). DESIGN: A focus group interview study with a descriptive design using qualitative content analysis of transcripts. SETTING: Secondary care in Korea. PARTICIPANTS: 3 patient groups and 4 health professional groups in a total of 32 participants including patients with osteoporosis or bone metastasis, dentists and physicians. RESULTS: This study revealed that patients lacked medical knowledge of osteoporosis drugs, whereas dentists and physicians lacked each other’s expertise. All patients reported undergoing dental treatments during the osteoporosis drug treatment, but dentists and physicians had different MRONJ experiences depending on their work setting in primary or secondary care. Patients expressed dissatisfaction with the current system of communication with health professionals via letter as they found this to be a slow process. Dentists and physicians reported the need for effective communication because they felt defensive when sending and receiving medical consults. CONCLUSIONS: Despite the low incidence of MRONJ among patients with osteoporosis, it is difficult to treat; thus, it is necessary to inform dentists, physicians and patients about the importance of MRONJ prevention. To this end, close communication among all involved stakeholders about osteoporosis drugs is required.
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spelling pubmed-89437762022-04-08 Qualitative focus group interview study of communication between patients, dentists and physicians for efficient osteonecrosis of the jaw practices Choi, Yiseul Park, Heajeong Hong, Namki Rhee, Yumie Park, Wonse BMJ Open Qualitative Research OBJECTIVES: To investigate problems and the current status of existing methods of communication between patients, dentists and physicians for the prevention and treatment of medication-related osteonecrosis of the jaw (MRONJ). DESIGN: A focus group interview study with a descriptive design using qualitative content analysis of transcripts. SETTING: Secondary care in Korea. PARTICIPANTS: 3 patient groups and 4 health professional groups in a total of 32 participants including patients with osteoporosis or bone metastasis, dentists and physicians. RESULTS: This study revealed that patients lacked medical knowledge of osteoporosis drugs, whereas dentists and physicians lacked each other’s expertise. All patients reported undergoing dental treatments during the osteoporosis drug treatment, but dentists and physicians had different MRONJ experiences depending on their work setting in primary or secondary care. Patients expressed dissatisfaction with the current system of communication with health professionals via letter as they found this to be a slow process. Dentists and physicians reported the need for effective communication because they felt defensive when sending and receiving medical consults. CONCLUSIONS: Despite the low incidence of MRONJ among patients with osteoporosis, it is difficult to treat; thus, it is necessary to inform dentists, physicians and patients about the importance of MRONJ prevention. To this end, close communication among all involved stakeholders about osteoporosis drugs is required. BMJ Publishing Group 2022-03-22 /pmc/articles/PMC8943776/ /pubmed/35318228 http://dx.doi.org/10.1136/bmjopen-2021-051054 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Qualitative Research
Choi, Yiseul
Park, Heajeong
Hong, Namki
Rhee, Yumie
Park, Wonse
Qualitative focus group interview study of communication between patients, dentists and physicians for efficient osteonecrosis of the jaw practices
title Qualitative focus group interview study of communication between patients, dentists and physicians for efficient osteonecrosis of the jaw practices
title_full Qualitative focus group interview study of communication between patients, dentists and physicians for efficient osteonecrosis of the jaw practices
title_fullStr Qualitative focus group interview study of communication between patients, dentists and physicians for efficient osteonecrosis of the jaw practices
title_full_unstemmed Qualitative focus group interview study of communication between patients, dentists and physicians for efficient osteonecrosis of the jaw practices
title_short Qualitative focus group interview study of communication between patients, dentists and physicians for efficient osteonecrosis of the jaw practices
title_sort qualitative focus group interview study of communication between patients, dentists and physicians for efficient osteonecrosis of the jaw practices
topic Qualitative Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8943776/
https://www.ncbi.nlm.nih.gov/pubmed/35318228
http://dx.doi.org/10.1136/bmjopen-2021-051054
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