An Early Bite with Dr. John Paul: “Why Are You Sending Me to a Specialist?”

By Dr. John Paul, FDA Editor

We’ve all had the patient who does most of what we suggest but never wants to leave our office. What do you say when your patient asks, “Why do I have to go to a specialist? I’m so comfortable here.”

“Mrs. Gruntbuns, I have a friend down the street who is an expert in the treatment you need. It’s all she does, and she is faster, better and cheaper than I could possibly be for you. What she can do in 45 minutes would take me three hours and two visits. For this procedure, my service isn’t the best and I want the best for you. When she’s done with your procedure, she will send you right back to me and I will take care of the other things you need.”

Maybe your patient needs more than one specialist. “Mrs. Gruntbuns, your condition is complicated and will need a team of dentists to restore your mouth the way you want it to be. We’ll work with specialists for those things because they do much better than I could, but I’ll always be the ‘general manager’ of your care. You may ask me questions anytime about the care I provide directly or the services our specialists are providing.”

Have a question you have a tough time answering? Send it to Dr. Paul at jpaul@bot.floridadental.org.

An Early Bite with Dr. John Paul: “Are You on My Insurance?”

By Dr. John Paul, FDA Editor

What do you want your staff to say when a patient asks some variation of, “Why aren’t you on my insurance plan?” This is usually asked with the hidden threat or just basic confusion that they have to go where their insurance says.

“Mrs. Gruntbuns, if Dr. Paul were to be ‘on your insurance’ he will be required to sign a contract with your company that will dictate how he behaves when he sees you. Sometimes it may be just as simple as what to charge when, but it could mean he can’t provide a service that might be the most appropriate service for you. Because he believes no one should interfere in his relationship with you, he is unwilling to sign such a contract. That said, we will work with any insurance company that can provide your benefits in a timely manner without undue interference; we just aren’t ‘on your plan.’”

If you are a preferred provider for some plans but not all, you can use this same wording. Just note that you have reviewed the contract you will be required to sign and feel that unlike other plans you accept, this one will put unnecessary stress on your doctor-patient relationship.

Have a question you have a tough time answering? Send it to Dr. Paul at jpaul@bot.floridadental.org.

Code of Ethics Spurs Public’s Decision in Choosing Dentists, Survey Says

By David Burger, Senior Editor at the American Dental Association

ADA member dentists are unique in that they have something that other dentists don’t: a Code of Ethics.

Patients like that, according to the results of a new study commissioned by the Association’s Council on Ethics, Bylaws and Judicial Affairs. Nearly 70 percent of patients are more likely to choose an ADA member dentist knowing that those dentists follow a Code of Ethics, the study showed. The survey also showed that nearly 75 percent of patients said that simply knowing that a dentist was a member of the ADA would influence whom they selected as a dentist.

The ADA has long believed that the ADA’s “Principles of Ethics and Code of Professional Conduct” elevated dentists’ reputation in the community, but didn’t have proof, said Pennsylvania dentist Dr. Linda K. Himmelberger, chair of CEBJA. “We were hoping to find it was a differentiator for the public,” Dr. Himmelberger said. “That is what the survey pointed out.”

The May survey was conducted among a Census-balanced, nationally representative sample of 1,000 people, with a 3 percent margin of error. Respondents were asked to read a description of the ADA Code before responding to a final question.

The survey tested whether public knowledge of the ADA Code and its fundamental purpose of putting the interests of patients first would resonate with the public and might result in channeling patients to ADA member dentists. Members of the ADA voluntarily agree to abide by the ADA Code as a condition of membership in the Association.

“CEBJA wanted to know if the ADA Code would help us with ADA’s membership goals,” said Oklahoma dentist Dr. Doug Auld, vice chairman of CEBJA.

The findings included:

  • Sixty-seven percent of respondents knew if their dentists were members of the ADA.
  • Two in five consumers believed that ADA dentists hold themselves to a higher standard than other dentists. After learning about the Code, the number increased to 53 percent.
  • Patients aged 35-64 were more likely to be influenced by the Code when choosing a dentist, while people in the 18-24 age range were considerably less influenced by the Code.
  • If people believe they are already going to an ADA dentist, the Code will likely influence them to look even more strongly for another ADA member the next time they are in need of a dentist.

Some of the findings pleasantly surprised Dr. Himmelberger and Dr. Auld.

“What impressed me was that 69 percent of patients, knowing that we had a Code, were more likely to go to a member dentist,” Dr. Auld. “I didn’t think it would be that high. I was surprised.”

“The public does feel very strongly about their dentists being members of the ADA,” Dr. Himmelberger said. “Seventy-five percent is a big number.”

Dr. Himmelberger said that member dentists should promote the findings and share them. “There are ways they can work the Code and the fact that they are ADA members into their daily interactions with their patients to increase the patient’s awareness of the Code and how it guides the way their dentist treats them,” she said.

She recommended that dentists should print out the ADA Code and have copies of it in the waiting room. Dr. Auld said that members also should have the ADA Code posted conspicuously in the office.

They also recommended that members should either post the Code on their websites or post an existing video about the Code, available at ADA.org/en/about-the-ada/principles-of-ethics-code-of-professional-conduct, on their sites.

Printed copies of the Code are available upon request by contacting the coordinator of CEBJA, Earl Sewell, at 312.440.2499 or sewelle@ada.org.

The Code can be viewed at ADA.org.

Burger D. Code of Ethics spurs public’s decision in choosing dentists, survey says.  ADA News. Posted July 15, 2015 at http://www.ada.org/en/publications/ada-news/2015-archive/july/code-of-ethics-spurs-publics-decision-in-choosing-dentists-survey-says?nav=news. Copyright @ 2015 American Dental Association.  Reproduced with permission.