Three models of professionalism and professional obligation in dentistry

Ozar, David T.

doi:10.14219/jada.archive.1985.0249

Cited by 25 publications

(15 citation statements)

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“…Thus, dentists who base their treatment decisions primarily on patients' needs, and who allow patients to make informed choices with regards to their care, may take a more conservative approach to treatment. In contrast, following a business model in practice may involve basing treatment decisions on what services patients are willing to pay for and what will yield the greatest return for the least cost in time, effort, and materials . For example, while conservative treatment methods such as monitoring and allowing for remineralization of early carious lesions are beneficial for patients as they allow for conservation of tooth structure, they offer dentists little remuneration, if at all, under third party insurance.…”

Section: Introductionmentioning

confidence: 99%

“…In contrast, following a business model in practice may involve basing treatment decisions on what services patients are willing to pay for and what will yield the greatest return for the least cost in time, effort, and materials. 10 For example, while conservative treatment methods such as monitoring and allowing for remineralization of early carious lesions are beneficial for patients as they allow for conservation of tooth structure, they offer dentists little remuneration, if at all, under third party insurance. Consequently, business-oriented dentists may opt to do more invasive treatments, like restorations, which have higher remuneration rates.…”

Section: Introductionmentioning

confidence: 99%

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Perceived professional roles and implications for clinical decision‐making

Ghoneim

Lawrence

et al. 2019

J Public Health Dent

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Objectives This study aims to (a) investigate the relationship between dentists' perceived professional role (PPR), defined as the belief that they are health care professionals versus business people, and treatment intensity, determined by the aggressiveness of clinical approaches, such as in number or scope, and (b) identify the demographic and practice characteristics that have a relationship to PPR. Methods A 46‐item survey with questions on dentists' demographic and professional characteristics was mailed to a random sample of 3,201 general dentists in Ontario, Canada. PPR was measured by visual analog scale and by Likert‐type scale questions, which have been validated in the literature in terms of their ability to measure PPR. Treatment intensity was measured by a set of case scenarios. Univariate, bivariate, and multivariable analyses were performed. Results One‐thousand and seventy‐five dentists returned usable surveys (33.6% response rate). When using the two methods to measure PPR, visual analog scale and Likert‐type scale questions, dentists who identified as business people tended to have a higher treatment intensity compared to those who identified as health care professionals (p < 0.1 and p < 0.05, respectively). In multivariable logistic regression, years of practice, number of technologies used in a practice, and perceiving other dentists as competitors rather than colleagues were significant predictors of identifying as a business person. Conclusions Dentists' PPRs had a significant relationship to the aggressiveness of treatment decisions. Demographic and practice characteristics also had significant relationships to PPR. These findings may have implications for public trust and dentistry's status as a health care profession.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Perceived professional roles and implications for clinical decision‐making

Ghoneim

Lawrence

et al. 2019

J Public Health Dent

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“…Psychometric analyses, including explanatory and confirmatory factor analysis, validity, and reliability of the scale, were performed. The findings showed that this scale with its three‐factor structure, which was based in a conceptual framework , has validity and reliability as a research tool for determining perceptions of the dental profession. The internal reliability coefficient of the DPPS was found to be higher than the accepted values .…”

Section: Discussionmentioning

confidence: 97%

“…Professionalism within dental care has been studied by many researchers (2,(10)(11)(12)(13)(14)(15)(16)(17). While there is no single, clear, discrete definition of professionalism in dentistry, there are many themes that recur consistently within the descriptions of professionalism.…”

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confidence: 99%

Perceptions of the dental profession: a comparative analysis through scale development

Buldur

Armfield

2017

European J Oral Sciences

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Dentistry is a science‐based profession that has a close interaction with people and society. However, despite this close interaction, perceptions of the dental profession by both patients and dental professionals have received little research attention. The purpose of this study was to compare the perceptions of dentists, dental students, and patients toward the dental profession through the development and testing of the Dental Profession Perceptions Scale (DPPS). The DPPS contains a total of 17 items measured on a 5‐point Likert response scale. The DPPS showed excellent internal reliability (Cronbach's α = 0.92) and test–retest reliability (r = 0.93). Explanatory and confirmatory factor analyses of the DPPS showed that dentists’, dental students’, and patients’ perceptions of the dental profession could be grouped according to ‘status’, ‘human’, and ‘scientific’ factors. There were no statistically significant differences between participants’ DPPS total or sub‐scale scores according to dental group, gender, or income. The DPPS developed can be used in future studies as a psychometrically sound measuring tool. Further studies should examine the factors that may affect the perceptions of the dental profession in different societies and cultures.

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“…In this way, patients buy into the right of dentists to decide how to ex~r cise their own private resources, including time, practice premises and equipment. So it is partly through joint agreement with patients that dentists accept the responsibility to provide adequate care for them (Ozar, 1985).…”

Section: Rights Of Patients and Duties Of Cliniciansmentioning

confidence: 99%

Good ethical practice in the dental treatment of patients with HIV/AIDS

Doyal

1997

Oral Diseases

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Patients with HIV/AIDS have challenged the ethics of the dental profession. The seriousness, infectious character and social stigma of the illness have led to a range of ethical dilemmas about the treatment of such patients. This paper attempts to resolve some of the more difficult questions through exploring the moral boundaries of the rights and duties of both patients and dental practitioners. To accomplish this aim, the moral foundation for the general clinical duties of care is outlined, especially the obligations of providing treatment to a high standard, respecting the rights of patients to informed consent and doing both without personal prejudice. After illustrating why these duties require moral character as well as intellectual understanding, their practical consequences are outlined for specific issues in the treatment of seropositive patients. It is argued that patients should never be tested without their informed consent and that dentists have a duty to display courage, sensitivity and rigorous respect for confidentiality in the treatments they offer. The obligations of seropositive dentists are also considered, including their own obligations for disclosure toward regulatory authorities and patients. The moral debt which the dental profession owes to seropositive patients is highlighted.

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Three models of professionalism and professional obligation in dentistry

Cited by 25 publications

References 1 publication

Perceived professional roles and implications for clinical decision‐making

Perceived professional roles and implications for clinical decision‐making

Perceptions of the dental profession: a comparative analysis through scale development

Good ethical practice in the dental treatment of patients with HIV/AIDS

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