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牙科伦理学领域还有改进的空间吗?

[Is there room for improvement in the field of dental ethics?].

作者信息

Billaud Adelin, Pirnay Philippe

出版信息

Sante Publique. 2015 Mar-Apr;27(2):233-40.

Abstract

INTRODUCTION

Dental ethics, enforced by the Dental Board, are defined in the Code of Conduct for dentists included in the French Public Health Code. Dentist-patient relationships are changing, while scientific progress advances more rapidly than dental ethics. Are dental ethics still adapted to the practice of dentistry?

METHODS

This study was based on the Institut BVA “The French and patients’ rights” survey conducted in September 2013, together with a systematic review of the literature using the Medline, Legifrance, Lexisnexis, and Elnet.fr databases and the Paris Descartes University medical library website.

RESULTS

Five essential principles were identified and a total of 210 articles were included. The results indicate that there is room for improvement in pain management, respect of human dignity, information and consent concerning healthcare, and free choice of a practitioner.

CONCLUSION

Dental ethics have evolved, but further improvement is required to adapt the dentist-patient relationship to scientific progress and the patients’ expectations. To ensure a truly informed choice, this article shows that dental ethics cannot vary in response to surveys or fashions, as dental practice must remain essentially based on an ethical approach that cannot be rigidly defined in a code of professional conduct.

摘要

引言

由牙医委员会执行的牙科伦理在《法国公共卫生法典》中包含的牙医行为准则中有明确规定。医患关系正在发生变化,而科学进步的速度比牙科伦理更快。牙科伦理是否仍然适用于牙科实践?

方法

本研究基于2013年9月开展的法国益普索集团“法国人与患者权利”调查,并对使用Medline、法国法律数据库(Legifrance)、律商联讯(Lexisnexis)、Elnet.fr数据库以及巴黎笛卡尔大学医学图书馆网站的文献进行了系统综述。

结果

确定了五项基本原则,并纳入了总共210篇文章。结果表明,在疼痛管理、对人类尊严的尊重、医疗保健方面的信息告知与同意以及自由选择从业者方面仍有改进空间。

结论

牙科伦理已经有所发展,但仍需进一步改进,以使医患关系适应科学进步和患者期望。为确保真正的知情选择,本文表明牙科伦理不能因调查或潮流而改变,因为牙科实践必须基本上基于一种无法在职业行为准则中严格界定的伦理方法。

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