Dharamsi Shafik, Pratt Daniel D, MacEntee Michael I
Department of Family Practice, Centre for International Health, University of British Columbia, Vancouver, British Columbia, V6T 1Z3, Canada.
J Dent Educ. 2007 Dec;71(12):1583-92.
This study explores how dentists explain the concept of social responsibility and its relationship to issues affecting access to oral health care by vulnerable segments of the population. Analysis of open-ended interviews with thirty-four dentists, including dental educators, and administrators and officials of dental public health programs in Canada and the United States revealed that four main themes-economics, professionalism, individual choice, and politics-influenced the respondents' sense of social responsibility in dentistry. There was a belief that social responsibility in dentistry is dominated by economic imperatives that impact negatively on the policies and practices directing access to care. Yet, despite the highly critical stance on dentistry as a business, there was practical recognition of the economic realities of dental practice. Nevertheless, those who focused on social responsibility as a professional obligation highlighted the privileges of self-governance along with the accompanying duty to serve the welfare of everyone and not just those who are socioeconomically advantaged.
本研究探讨了牙医如何解释社会责任的概念，以及它与影响弱势群体获得口腔医疗保健问题之间的关系。对34名牙医（包括牙科教育工作者）以及加拿大和美国牙科公共卫生项目的管理人员和官员进行的开放式访谈分析显示，经济、专业精神、个人选择和政治这四个主要主题影响了受访者在牙科领域的社会责任感。有一种观点认为，牙科领域的社会责任主要受经济因素支配，这对指导医疗服务获取的政策和实践产生了负面影响。然而，尽管对牙科作为一门生意持高度批判的立场，但人们实际认识到了牙科实践的经济现实。尽管如此，那些将社会责任视为职业义务的人强调了自治的特权以及随之而来的为每个人谋福利的责任，而不仅仅是为社会经济上有优势的人谋福利。
