1. Domains and corresponding questions: |
Orthodontist-patient relationship: Questions 1 to 8, 47. |
Professional training and development: Questions 9 to 12 |
Knowledge of legal repercussions: Questions 13 to 28 |
Contractual relationship: Questions 29 to 36 |
Orthodontic documentation: Questions 37 to 42 |
Monitoring of treatment stages: Questions 43 to 46 |
Post-treatment follow-up: Questions 48 to 53 |
2. There should be only one response per question |
3. Results |
To determine the results of each respondent, 5 points should be given to each answer (a); 4 to each answer (b); 3 to each answer (c); 2 to each answer (d) and 1 to each answer (e) |
4. When applying the questionnaire, the alternatives for the answers could be inverted to avoid bias. |
5. The questionnaires can be administered face-to-face or online |
Questionnaire:
|
1. It is important to acknowledge the patients’ (or their parents/legal guardians) LEVEL OF INSTRUCTION. |
(a) Strongly agree (b) Somewhat agree (c) Neither agree nor disagree (d) Somewhat disagree (e) Strongly disagree |
2. It is important to acknowledge the patients’ (or their parents/legal guardians) OCCUPATION. |
(a) Strongly agree (b) Somewhat agree (c) Neither agree nor disagree (d) Somewhat disagree (e) Strongly disagree |
3. It is important to acknowledge the patients’ (or their parents/legal guardians) FINANCIAL STATUS. |
(a) Strongly agree (b) Somewhat agree (c) Neither agree nor disagree (d) Somewhat disagree (e) Strongly disagree |
4. For the ORTHODONTIC TREATMENT to start, it is indispensable to provide the patient (or their parents/legal guardians) with a written alert about the possibility of EXCLUSIVELY FUNCTIONAL IMPROVEMENT of the patient. |
(a) Strongly agree (b) Somewhat agree (c) Neither agree nor disagree (d) Somewhat disagree (e) Strongly disagree |
5. In MY PROFESSIONAL PRACTICE of ORTHODONTICS, at the start of treatment, I provide the patient (or their parents/legal guardians) with a written alert about the possibility of EXCLUSIVELY FUNCTIONAL IMPROVEMENT of the patient, collecting their written CONSENT. |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
6. For the ORTHODONTIC TREATMENT to start, it is indispensable to provide the patient (or their parents/legal guardians) with a written alert about the possibility of EXCLUSIVELY AESTHETIC IMPROVEMENT of the patient. (a) Strongly agree (b) Somewhat agree (c) Neither agree nor disagree (d) Somewhat disagree (e) Strongly disagree |
7. In MY PROFESSIONAL PRACTICE of ORTHODONTICS, at the start of treatment, I provide the patient (or their parents/legal guardians) with a written alert about the possibility of EXCLUSIVELY AESTHETIC IMPROVEMENT of the patient, collecting their written CONSENT. |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
8. In MY PROFESSIONAL PRACTICE of ORTHODONTICS, to elaborate an orthodontic treatment plan, I do a CLINICAL EVALUATION prior to the start of treatment. |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
9. In my UNDERGRADUATE STUDIES in DENTISTRY, enough guidance was given on the risks of the PROFESSIONAL PRACTICE OF DENTISTS (IN GENERAL) regarding the possibility of involvement in lawsuits. (a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
10. In MY ACADEMIC JOURNEY (undergraduate, graduate or continuing studies), enough guidance was given on the risks of the PROFESSIONAL PRACTICE OF ORTHODONTICS regarding the possibility of involvement in lawsuits. (a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
11. IN MY OPINION, in order to work as an ORTHODONTIST, it is important for the professional to have an ORTHODONTICS postgraduate degree. |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
12. The registration as an ORTHODONTIST in the Regional or Federal Council of Dentistry is important in order to work as an orthodontist |
(a) Strongly agree (b) Somewhat agree (c) Neither agree nor disagree (d) Somewhat disagree (e) Strongly disagree |
13. in MY ACTIVITY I ADVERTISE (in any media or communication vehicle) to promote my practice and professional results in ORTHODONTICS |
(a) Never (b) Seldom (c) Sometimes (d) Often (e) Always |
14. In MY ACTIVITY, if there is a need of EVALUATION BY ANOTHER HEALTHCARE PROFESSIONAL prior to the start of orthodontic treatment, I make a written register by the professional, with a written acknowledgment statement by the patient (or their parents/legal guardians) |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
15. In MY ACTIVITY, in case of JOINT PRACTICE of more than one professional in the treatment of the same patient, I have a written record of the procedures and responsibility of each of the professionals involved, written acknowledgment statement by the patient (or their parents/legal guardians) |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
16. In MY ACTIVITY, I have support/guidance of A SPECIALIZED LAW PROFESSIONAL to elaborate a contract of service provision, |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
17. In MY ACTIVITY, I have SUPPORT OF A LAW PROFESSIONAL with specific knowledge for the routine in my clinic during the period of treatment of my patients. |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
18. In MY ACTIVITY, I comprehend that the practice of ORTHODONTICS INVOLVES an OBLIGATION OF RESULTS (guarantee of reaching the final objective intended in treatment) regarding the expectations of the patient. (a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
19. The activity of ORTHODONTIST involves a professional practice legally regulated by the CONSUMER DEFENSE CODE |
(a) Strongly agree (b) Somewhat agree (c) Neither agree nor disagree (d) Somewhat disagree (e) Strongly disagree |
20. During the professional practice of ORTHODONTICS, it is possible for the professional to be CRIMINALLY CHARGED for eventual bodily injuries caused to the patient during treatment. |
(a) Strongly agree (b) Somewhat agree (c) Neither agree nor disagree (d) Somewhat disagree (e) Strongly disagree |
21. During the professional practice of ORTHODONTICS, it is possible for the professional to be HELD CIVILLY RESPONSIBLE (indemnity payment) for eventual harms caused to the patient through legal actions presented by dissatisfied patients. |
(a) Strongly agree (b) Somewhat agree (c) Neither agree nor disagree (d) Somewhat disagree (e) Strongly disagree |
22. IN MY ACTIVITY, if I received a notice for attendance at the CONSUMER PROTECTION AGENCY facing dissatisfaction of one of my patients to try an amicable settlement, would I attend at the CONSUMER PROTECTION AGENCY? |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
23. In MY ACTIVITY, if I received a notice for attendance at a LAW FIRM, MEDIATION, CONCILIATION OR ARBITRATION CENTER facing a complaint of dissatisfaction of one of my patients to try an amicable settlement, would I attend? |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
24. If an orthodontist is involved in a lawsuit concerning the practice of ORTHODONTICS, the OBLIGATION OF PROVING THE GUILT LIES ON THE DISSATISFIED PATIENT, who will have the onus of proving the orthodontist acted in a guilty manner. |
(a) Strongly agree (b) Somewhat agree (c) Neither agree nor disagree (d) Somewhat disagree (e) Strongly disagree |
25. In MY ACTIVITY, when faced with an eventual lawsuit with a dissatisfied patient of an orthodontic treatment, I WOULD HAVE DOCUMENTARY EVIDENCE TO SHOW THAT THE PATIENT HAS NO REASON facing the alleged facts. |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
26. In MY ACTIVITY, in the event of being legally charged by a dissatisfied patient, would I be WORRIED ABOUT THE EXPOSITION OF MY NAME (as an orthodontics professional)? |
(a) Extremely worried (b) Very worried (c) Moderately worried (d) Slightly worried (e) Not at all worried |
27. In MY ACTIVITY, in the event of being legally charged by a dissatisfied patient, would I be WORRIED ABOUT A POTENTIALLY HIGH COST INDEMNITY PAYMENT? |
(a) Extremely worried (b) Very worried (c) Moderately worried (d) Slightly worried (e) Not at all worried |
28. In MY ACTIVITY, in the event of being legally charged by a dissatisfied patient, would I be WORRIED WITH THE STRESS caused by my involvement in a lawsuit? |
(a) Extremely worried (b) Very worried (c) Moderately worried (d) Slightly worried (e) Not at all |
29. In MY ACTIVITY, I conclude A WRITTEN CONTRACT OF ORTHODONTIC SERVICE PROVISION with the patient (or parent/legal guardian). |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
30. In MY ACTIVITY, the contracts of orthodontic service provision of my patients are INDIVIDUALIZED, with specific clauses about the situation and personal needs of the patients. |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
31. In MY ACTIVITY, the contracts of orthodontic service provision include a fixed deadline to end the treatment, and I explain to my patient (or parents/legal guardian) about the AVERAGE DURATION of treatment, collecting a written acknowledgment. |
(a) Never (b) Seldom (c) Sometimes (d) Often (e) Always |
32. In MY ACTIVITY, the contracts of orthodontic service provision include a fixed cost for the treatment (initial, maintenance, extra costs when required), collecting a written acknowledgment from the patient (or parents/legal guardian) |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
33. In MY ACTIVITY, I explain directly to the patient (or parents/legal guardian) the contract of orthodontic service provision, so it is PERFECTLY COMPREHENDED in all its clauses, collecting a written acknowledgment from the patient (or parents/legal guardian) |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
34. In MY ACTIVITY, the contract of orthodontic service provision registers THE TECHNIQUE USED FOR THE ORTHODONTIC TREATMENT, in every phase of the treatment plan. |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
35. In MY ACTIVITY, the contracts of orthodontic service provision are SIGNED BY 2 (TWO) WITNESSES (a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
36. In MY ACTIVITY, I PURCHASE INSURANCE as a precaution against the possibility of eventual claims for compensation by clients dissatisfied with the orthodontic treatment. |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
37. In MY ACTIVITY, prior to the START OF ORTHODONTIC TREATMENT, I require ORTHODONTIC DOCUMENTATION |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
38. In MY ACTIVITY, prior to the START OF ORTHODONTIC TREATMENT, I require a MODEL as a complementary exam for diagnosis, planning and conformation of orthodontic documentation. |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
39. In MY ACTIVITY, prior to the START OF ORTHODONTIC TREATMENT, I require a CAPHALOMETRIC X-RAY as a complementary exam for diagnosis, planning and conformation of orthodontic documentation. |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
40. In MY ACTIVITY, prior to the START OF ORTHODONTIC TREATMENT, I require PERIAPICAL X-RAYS OR RADIOGRAPHIC EXAMINATIONS as a complementary exam for diagnosis, planning and conformation of orthodontic documentation. |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
41. In MY ACTIVITY, I file and store ORTHODONTIC DOCUMENTATION in an ADEQUATE AND ORGANIZED place. |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
42. A SCANNING PROCESS is important as STORING GUARANTEE of the documents that constitute the orthodontic documentation. |
(a) Strongly agree (b) Somewhat agree (c) Neither agree nor disagree (d) Somewhat disagree (e) Strongly disagree |
43. In MY ACTIVITY, I explain to the patient (or parents/legal guardians) THE NEED OF COOPERATION (participation) from the patient for the success of orthodontic treatment, collecting a written acknowledgment from the patient (or parents/legal guardians) |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
44. In MY ACTIVITY, I provide the patient (or parents/legal guardians) with the NECESSARY ORIENTATION to guarantee a complete understanding of the REQUIRED ATTITUDES FOR COOPERATION from the patient for the success of orthodontic treatment, collecting a written acknowledgement from the patient (or parents/legal guardians) (a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
45. In MY ACTIVITY, when there is a need of using RETENTIONS, EXTRA ORAL APPLIANCES OR AUXILIARY METHODS, I provide patient (or parents/legal guardians) with EXTRA ORIENTATION ABOUT CORRECT USE AND HANDLING, collecting a written acknowledgement from the patient (or parents/legal guardians). |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
46. In MY ACTIVITY, DURING ORTHODONTIC TREATMENT, I have a written register of attendance of the patient to consultations, visits or periodic follow-ups. |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
47. DURING TREATMENT, it is important for the patient (or parents/legal guardians) to keep in contact with or have direct access to the ORTHODONTIST by phone, e-mail, mobile, WhatsApp or any other means other than the consultations to ensure full monitoring of the treatment. |
(a) Strongly agree (b) Somewhat agree (c) Neither agree nor disagree (d) Somewhat disagree (e) Strongly disagree |
48. In MY ACTIVITY, at THE END OF ORTHODONTIC TREATMENT, I have a written record of the level of satisfaction of the patient concerning the success of orthodontic treatment, collecting a written acknowledgement from the patient (or parents/legal guardians). |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
49. In MY ACTIVITY, at THE END OF ORTHODONTIC TREATMENT, I file all the evidences (photographs, x-rays…) related to the end of treatment compared to those of the start of treatment. |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
50. In MY ACTIVITY, at THE END OF ORTHODONTIC TREATMENT, I provide written guidance to the patients regarding procedures and conducts in the post-treatment phase, collecting a receipt from the patient (or parents/legal guardians). |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
51. In MY ACTIVITY, I keep a SCHEDULE OF CONSULTATION AND MONITORING of my patients in a POSTORTHODONTIC TREATMENT phase. |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
52. In MY ACTIVITY, at THE END OF ORTHODONTIC TREATMENT, I inform the patient (or parents/legal guardians) in writing about the need of the patient returning to consultation, aiming to verify the maintenance of the conditions verified at the end of treatment. |
(a) Always (b) Often (c) Sometimes (d) Seldom (e) Never |
53. In the professional practice of orthodontics, if the patient does not return to the clinic IN UP TO 5 (FIVE) YEARS AFTER THE END OF TREATMENT, it is important that they are contacted in the last address given for consultation, aiming to verify the maintenance of the conditions verified at the end of treatment. |
(a) Strongly agree (b) Somewhat agree (c) Neither agree nor disagree (d) Somewhat disagree (e) Strongly disagree |