Kemparaj Vanishree M, Panchmal Ganesh Shenoy, Kadalur Umashankar Gangadaraiah
Department of Public Health Dentistry, AECS Maaruti Dental College, Bengaluru, India.
Department of Public Health Dentistry, The Yenepoya Dental College and Hospital, Mangalore, Karnataka, India.
Contemp Clin Dent. 2018 Jan-Mar;9(1):97-104. doi: 10.4103/ccd.ccd_802_17.
This exploratory qualitative research is an attempt to assess the health care ethical challenges in dental practice in an Indian scenario.
Qualitative indepth interview was conducted on 20 dental professionals to assess the ethical challenges prevailing in dental practice in Indian scenario. After obtaining the responses the verbatims were categorized into categories and finally 36 themes emerged. Later from two group of 6 panellists each after conducting focus group discussion the themes of ethical issues occurring in dental practice were ranked based on order of significance impact on the practice, patient and society using Delphi method.
The top ten ethical challenges listed by the panellists are inadequate sterilization and waste management in dental clinics, poor knowledge and attitude towards ethics among our dental practitioners, in competence among dental professional, increase in cost of oral health service, poor informed consent process, requirement of consensus about the treatment procedures among dentists, Conflict in Advertising, clustering of dental clinics in urban areas, disagreement with treatment modalities among dentist and patient, poor medical record maintenance among our dental practitioners.
The study attempts to bring the prevailing ethical challenges in oral health care practice in Indian scenario.
本探索性定性研究旨在评估印度背景下牙科实践中的医疗保健伦理挑战。
对20名牙科专业人员进行了定性深入访谈，以评估印度背景下牙科实践中普遍存在的伦理挑战。获得回复后，将逐字记录分类，最终出现了36个主题。之后，在两组各由6名小组成员进行焦点小组讨论后，使用德尔菲法根据对实践、患者和社会的重要影响顺序对牙科实践中出现的伦理问题主题进行了排名。
小组成员列出的十大伦理挑战是牙科诊所消毒和废物管理不足、牙科从业者对伦理的知识和态度不佳、牙科专业人员能力不足、口腔保健服务成本增加、知情同意过程不佳、牙医之间对治疗程序需要达成共识、广告冲突、城市地区牙科诊所聚集、牙医与患者在治疗方式上存在分歧、牙科从业者医疗记录维护不佳。
该研究试图揭示印度背景下口腔保健实践中普遍存在的伦理挑战。
