Paternalism, Risk and Patient Choice

Baergen, Ralph; Baergen, Carolyn

doi:10.14219/jada.archive.1997.0235

Cited by 4 publications

(3 citation statements)

References 2 publications

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“…66 Students react to these ethical tensions by assuming the role of a mediator between the supervising dentists and the patients, 65 but eventually adopting a paternalist attitude themselves once graduated. 67 Finally, the massive introduction of 'scientific-based competencies' in dental curricula 68 is far from being counterbalanced by patient preferences: "as they are so little recognized, their integration in EBD is problematic, and ethical tensions exist where paternalism privileges science over patient's selfdetermined best interests." 69 In fact, as admitted by one of its founders, EBM "has yet to present a fully developed theoretical framework for accomplishing effective problem-solving."…”

Section: Dental Education: a Steady Disillusion?mentioning

confidence: 99%

Humanizing clinical dentistry through a person-centred model

Apelian

Vergnes

Bedos

2014

IJWPC

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Section: Dental Education: a Steady Disillusion?mentioning

confidence: 99%

Humanizing clinical dentistry through a person-centred model

Apelian

Vergnes

Bedos

2014

IJWPC

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“…Dentists have come to experience problems when patients seek inappropriate treatment, and when they choose, or are constrained to accept, compromise treatment. 1,2 Dentists are distressed by evidence of poor quality work provided by another dentist, yet they are also upset by dentists who openly criticize the work of others. 3,4 Until the 1970s dental codes of ethics precluded criticism of another dentist's treatment publicly or to the patient.…”

Section: Ethical Dilemmas In Dental Practice -The Contextmentioning

confidence: 99%

Ethical Dilemmas Confronting Dentists in Queensland, Australia

Porter¹,

Grey²

2002

Australian Dental Journal

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Background: This paper details contemporary ethical dilemmas encountered by Queensland dentists. Methods: An age-stratified sample of 499 dentists resident in Queensland was surveyed. The questionnaire contained scenarios of five common ethical dilemmas.In addition, open-ended questions sought the respondent's most frequent, difficult and recent ethical dilemmas, and where they would seek guidance in dealing with ethical problems. Results: Respondents acknowledged the patient's rights in treatment decisions and the dentist's right to refuse demands for inappropriate treatment. However, responses varied in the extent to which dentists may influence treatment decisions. Few respondents would ignore evidence of poor dental treatment but they are evenly divided in choosing to inform the patient, the dentist or both. Poor quality treatment is the most frequent and difficult dilemma, and half have experienced this problem recently. Requests by patients for fraudulent receipts occur in a third of responses. Dentists develop ethical values from multiple sources but for help with dental ethical problems, 90 per cent of respondents would consult another dentist. Conclusions: Of the ethical dilemmas discussed in this survey, those relating to poor quality treatment confronted most respondents. Also the actions of dentists in dealing with these dilemmas were most varied.

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“…Ethical dilemmas, where the choice among the undesirable and confusing alternatives has to be made 17 , are very common in dentistry 18 , and within the framework of classical education they are not covered enough. Furthermore, in recent decades the direction of making decisions about determining the 'best' dental treatment has been changed from entirely professional to autonomous decision -making of patients, where the competent doctor is obliged to let the patient participate in the decision -making process as much as their mental abilities and maturity allow them [19][20][21] . Cilj istraživanja bilo je ispitivanje stavova stomatologa u Srbiji u vezi određenih etičkih dilema sa kojima se susreću u svakodnevnoj praksi, kako bi se utvrdili faktori koji utiču na njihovo rešavanje.…”

Section: Introductionmentioning

confidence: 99%

Examining dentists' attitudes about ethical principles in everyday practice

Šljivić¹,

Nikolić²,

Krunić³

2020

Acta stomatologica Naissi

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Introduction: Patient care, knowledge of medical law and compliance with the law contribute to more efficient dealing with the ethical dilemmas often faced by today's dentists. Moreover, when it comes to determining 'the best' dental treatment, patients also play a certain role. The aim of the research was to examine the attitudes of Serbian dentists related to ethical dilemmas in everyday practice, so as to determine the factors that affect solving the dilemmas. Materials and methods: The paper was carried out as a cross-sectional study. The research included 88 respondents, 42 final year dentistry students at the Faculty of Medicine in Niš and the Faculty of Dentistry in Belgrade and 46 dentists from both private and state practice. The first part of the questionnaire included socio-demographic information on the respondents, and the second part consisted of 7 closed-ended questions about particular ethical dilemmas. Statistical analysis was done using Excel from Microsoft Office and SPSS, version 18.0. Results: There were no significant differences regarding the students and dentists' answers about individual ethical aspects, except for the domain of question 2b, whether the oral surgeon should have extracted both teeth on the patient's request, although the patient had a heart disease. A statistically significant difference was found (ch 2 =18,834, p<0,0001) regarding the dentists' answers in comparison with the students' answers. Conclusion: The knowledge about ethical principles of the majority of the respondents was satisfying. A smaller proportion of the respondents were not sufficiently aware of the importance of applying ethical principles in dental practice. Consequently, it is necessary to promote education programs about medical ethics for dentists and dentistry students.

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Paternalism, Risk and Patient Choice

Cited by 4 publications

References 2 publications

Humanizing clinical dentistry through a person-centred model

Humanizing clinical dentistry through a person-centred model

Ethical Dilemmas Confronting Dentists in Queensland, Australia

Examining dentists' attitudes about ethical principles in everyday practice

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