Akers Harry F, Foley Michael A, Brown John P, Woodford Valerie
Metro North Oral Health Services and University of Queensland Oral Health Centre.
Professor Emeritus, Dental School University of Texas Health Science Center at San Antonio.
J Hist Dent. 2018 Winter;66(3):137-151.
Within the Australian context, commentators often portray the Queensland system of delivery of public dental services as state-specific. A poorly explored dimension within this narrative is the contribution from Ned Hanlon. The authors use historical methods to address this inadequacy in the literature. The implementation of Hanlon's vision of a statewide government-administered dental service required dentists and infrastructure; both implicated legislative and administrative changes to dental education, hospital organization and local authority. In this way, there was an inexorable link between the genesis and evolution of the public hospital and public dental systems. Hanlon's motive was initially humanitarian but later implicated pragmatism, state development and Queensland chauvinism. Hanlon's actions were autocratic, authoritarian and populist. He pursued regionalism, states rights and state development. The post-depression and post-war timing, together with the ubiquity of dental caries and the nature of the dental profession, facilitated Hanlon's success. A nascent and emerging dental profession was powerless, out of touch with public thinking and hindered by the legislative framework that controlled dentists' registration. The Hanlon-dentist encounters became an intersection of conflicting values; idealism and tradition versus pragmatism and innovation. Whatever the perceived inadequacies in Hanlon's methods, his contribution to public dentistry across Queensland remains remarkable.
在澳大利亚的背景下，评论家们常常将昆士兰州公共牙科服务的提供体系描述为该州所特有的。在这一叙述中，一个鲜有探讨的方面是内德·汉隆所做出的贡献。作者运用历史研究方法来弥补文献中的这一不足。汉隆关于建立全州范围政府管理牙科服务的设想得以实施，这需要牙医和基础设施；这两者都涉及到牙科教育、医院组织和地方当局的立法及行政变革。通过这种方式，公立医院和公共牙科体系的起源与发展之间存在着必然的联系。汉隆的动机最初是出于人道主义，但后来涉及实用主义、州发展和昆士兰沙文主义。汉隆的行为是专制、独裁和民粹主义的。他追求地方主义、州权和州发展。大萧条后和战后的时机，加上龋齿的普遍存在以及牙科行业的性质，促成了汉隆的成功。一个新生且正在兴起的牙科行业无力应对，与公众思维脱节，并受到控制牙医注册的立法框架的阻碍。汉隆与牙医的交锋成为了相互冲突价值观的交汇点；理想主义和传统与实用主义和创新的碰撞。无论汉隆的方法存在何种被认为的不足之处，他对昆士兰州公共牙科事业的贡献仍然是显著的。
