Postma T C, van Wyk P J, Heymans J H, White J G, Prinsloo P M
Department of Dental Management Sciences, School of Dentistry, University of Pretoria, P.O. Box 1266, Pretoria, 0001, South Africa.
SADJ. 2011 Oct;66(9):420-2, 424-5.
This study investigates the nature, frequency, and outcome of complaints relating to misconduct laid against oral healthcare professionals (OHPs), charged with misconduct in South Africa.
Records of the Health Professions Council of South Africa (2004-2009) were analysed and classified using the ethical rules as a reference. "Clinically-related complaints" and "fraud" were added as extra categories. The nature and outcome of the complaints and the penalties were quantified, and the detailed nature of the complaints was qualitatively reported.
Two percent of the registered dentists and 5.5% of the registered dental therapists were charged with misconduct. Clinically related complaints (59%) and fraud (29%) were most prevalent amongst the accused dentists. Fraud (46%), clinically related complaints (19%), advertising (15%), infection control (8%), and creating expectations that could not be met (8%) were the most common complaints against dental therapists.
Substandard dental treatment and fraud were the main reasons for patient dissatisfaction that led to OHPs being charged with misconduct. Both these undesirable practices may be financially motivated. OHPs should take cognisance of these statistics and should adjust their professional approach accordingly in order to reflect acceptable ethical behaviour.
本研究调查了在南非被指控行为不端的口腔保健专业人员(OHP)所面临的与行为不端相关投诉的性质、频率和结果。
以道德规则为参考,对南非卫生专业人员委员会(2004 - 2009年)的记录进行分析和分类。增加了“临床相关投诉”和“欺诈”作为额外类别。对投诉的性质、结果和处罚进行量化,并定性报告投诉的详细性质。
2%的注册牙医和5.5%的注册牙科治疗师被指控行为不端。在被指控的牙医中,临床相关投诉(59%)和欺诈(29%)最为普遍。针对牙科治疗师的最常见投诉是欺诈(46%)、临床相关投诉(19%)、广告(15%)、感染控制(8%)以及制造无法实现的期望(8%)。
不合格的牙科治疗和欺诈是导致患者不满并致使OHP被指控行为不端的主要原因。这两种不良行为可能都出于经济动机。OHP应认识到这些统计数据,并相应调整其专业行为方式,以体现可接受的道德行为。