I interviewed dental office staff about practice management.
There were two points I was unaware of, and candidly, taken off guard by.
The first was patient refusal to have X-Rays taken.
The second was refusal for treatment (until the patient experienced pain).
Is this something you experience in your practice, and if so, how do you address these problems?
I'd love to hear from you.
We have a form for the patient to sign, indicating that they have been explained the risks of refusing xrays and/or an exam and that they take full responsibility for it (even though it's not worth the paper it's written on). This often lends a little more weight to the importance of it, and if the patient feels that they have committed in writing, they are more likely to comply. However, as @joedindo said, WE are ultimately responsible.
Flat out refusing treatment is not a big issue in our office. Usually we can give the patient multiple options (good, better, best) and let them choose. Now that doesn't mean that patients don't just avoid scheduling for the procedure....but rarely do they say "I'm not taking care of this tooth".