"I’ll Think About It"
How to close the case when patients are shutting down
Whether you are the doctor, hygienist, dental assistant or patient care coordinator, you’ve probably had many treatment plan presentations that ended, with the patient saying "I’ll think about it". On the surface, it seems reasonable. We all need time to process and consider the many factors that go into our healthcare decisions. But we have all seen those patients leave our offices and never return. If they are new to the practice, they may not respond to the team’s attempts to contact them and that usually means that we have lost them as a patient. So what can we do to help this patient stay engaged with our office? It all starts with understanding what the patient wanted most when they appointed to see you. Did we listen to their concerns and communicate them between team members? Did we refer back to their concerns as we explained the treatment? If we have done these things, and the patient tells us they "will think about it", there is a very high likelihood that there is an issue that they are not comfortable discussing with you. In my experience, the issue is usually trust or money and there is no better time than that very moment to ask a few simple questions to help clear any potential objections to treatment. Here is an example that can help you navigate situations like this and help patients appoint for the care that they need.
"Mr. Smith, when can we schedule the treatment that Dr. Manns has recommended?"
"Let me think about it"
"Sure Mr. Smith. Could I ask you if there is anything in particular that you will be considering so that I can provide you with the information that you may need?"
"Oh I don’t know I just need to think on it."
"I understand Mr. Smith. It is very important to us that every patient is comfortable with his or her treatment recommendations before proceeding. Often, patients find it difficult to discuss matters of trust and or money with their dental providers. Is either of these a concern of yours?"
At this point in the conversation, many patients will feel mostly resolved about the trust issue simply because you validated their uncertainty. The same may be true regarding financial concerns and most patients can agree to care that fits into their budget. Trust and money do not need to be obstacles to treatment acceptance if you face them openly and honestly with your patients. Keep the conversation open and let the patient know that you have helped many patients with similar concerns. If they do not appoint before leaving, be sure to ask if you can contact them in a couple of days to follow-up. It is important to ask how they would like to be contacted i.e. telephone or email; and then, follow-up when you said that you would.
A. "Well yes, I just do not know if I can afford the treatment." "I appreciate you sharing this with me. Do I have your permission to ask Dr. Manns if he can help prioritize the needed treatment and then you and I can schedule a consult to discuss how we can make your care fit your budget? How does that sound?"
B. "You know, it is hard to trust a new doctor after all those years with my old doctor. I can understand that and want you to know that we will work very hard to earn your trust at every appointment. Is there any information that we can provide that can help you to feel more comfortable with your decision?"