Job interviews: contradictions between values and role expectations.
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In the Netherlands patients rights are regulated in the 'Medical Treatment Contract Act'. This article describes how dentists deal with those rights in daily practice. From the registers of the Dutch Dental Association 806 dental practitioners were drawn at random. They received a questionnaire on this topic; 41.6% responded. The results show that the implementation of patient rights in dental practice is far from ideal. Over a third of the respondents has had complaints about a lack of information from their patients. Respondents who attended post-graduate courses on dentist-patient communication dealt better with a number of patient rights than respondents who did not attend such courses. Confusion over how to interpret the rights of patients and the duties of the dentist could underlie the lack of implementation of those rights.
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In an effort to evaluate dental health care in the Guatemalan social security system and to introduce pertinent changes, a study of dental health care activities in the Guatemalan Social Security Institute (IGSS) was undertaken, beginning with a review of its functions as designated to the IGSS by national law. The aspects evaluated led to the conclusion that the IGSS does not provide satisfactory dental care to all its beneficiaries. It is therefore necessary to modify its activities. Attention is called to the need for epidemiological research that will provide the basis for adapting dental health care activities to the real needs of IGSS beneficiaries. It is also necessary to implement community primary prevention measures and to substantially alter the clinical care models.
Medical behaviour toward HIV infected patients is often complicated by fear, confusion and lack of knowledge. Since frequently pathological manifestations in the oral area are early signs warning of HIV infection, dentists must deepen their knowledge in this field in order to be able to help diagnose for early treatment as well to cope with connected ethical, medico-legal and deontological aspects.
The deep technological innovations undergone by the medical profession, the changed relationships between physician and patient, the ever-growing attention given by public opinion to sanitary problems, as well as the growing expectation for the positive results of all me actions have determined, specially in these last years, medico-legal problems connected to the different spestic medico-surgery activities, so that also the ortodo is called to a constant comparison not only with ethical deontological problems, but with the juridical ones too.
The author discusses if dentists are obliged to achieve the results they promise to patients and analyses the aspects of "informed consent".
After an historical briefly mentioning to Hippocrates' oath and the one of the German dentist (1880), this paper considers article n. 32 of the italian Constitution and the physician's responsibility, not only from the deontological aspect, but also with particular reference to the patient's rights which lead to the obligation of consensus. The Authors conclude looking forward to a special deontological code for dental graduates as soon as possible.
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