How much dentists are ethically concerned about overtreatment; A vignette-based survey in Switzerland Ethics in Clinical Practice

Kazemian, A. and Berg, I. and Finkel, C. and Yazdani, S. and Zeilhofer, H. F. and Juergens, P. and Reiter-Theil, S. (2015) How much dentists are ethically concerned about overtreatment; A vignette-based survey in Switzerland Ethics in Clinical Practice. BMC Medical Ethics, 16 (1).

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Background: Overtreatment (or unnecessary treatment) is when medical or dental services are provided with a higher volume or cost than is appropriate. This study aimed to investigate how a group of dentists in Switzerland, a wealthy country known to have high standards of healthcare including dentistry, evaluated the meaning of unnecessary treatments from an ethical perspective and, assessed the expected frequency of different possible behaviors among their peers. Methods: A vignette describing a situation that is susceptible for overtreatment of a patient was presented to a group of dentists. The vignette was followed by five options. A questionnaire including the vignette was posted to 2482 dentists in the German-speaking areas of Switzerland. The respondents were asked to rate each option according to their estimation about its prevalence and their judgment about the degree to which the behavior is ethically sound. Results: 732 completed questionnaires were returned. According to the responses, the most ethical and the most unethical options are considered to be the most and the least prevalent behaviors among dentists practicing in Switzerland, respectively. Conclusions: Suggesting unnecessary treatments to patients seems to be an ethically unacceptable conduct in the eyes of a sample of dentists in Switzerland. Although the respondents believed their colleagues were very likely to behave in an ethical way in response to a situation that is susceptible to overtreatment, they still seemed to be concerned about the prevalence of unethical behaviors in this regard. © 2015 Kazemian et al.

Item Type: Article
Additional Information: Cited By :7 Export Date: 16 February 2020 Correspondence Address: Kazemian, A.; Department of Community Oral Health, School of Dentistry, Mashhad University of Medical SciencesIran
Uncontrolled Keywords: Dental care Dentists Ethical issues Overtreatment Undertreatment adult clinical practice dentist doctor patient relation ethics female health personnel attitude health service human male medical ethics middle aged questionnaire Switzerland unnecessary procedure Attitude of Health Personnel Ethics, Dental Humans Medical Overuse Physician-Patient Relations Practice Patterns, Dentists' Surveys and Questionnaires Unnecessary Procedures
Subjects: WU Dentistry. Oral surgery
Depositing User: mr lib5 lib5
Date Deposited: 09 May 2020 07:10
Last Modified: 09 May 2020 07:10

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