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[Defensive behavior? Also in dentistry?].

M A Eijkman1, M H Assink

  • 1Vakgroep Sociale Tandheelkunde en Voorlichtingskunde, Academisch Centrum Tandheelkunde Amsterdam, Louwesweg 1, 1066 EA Amsterdam.

Nederlands Tijdschrift Voor Tandheelkunde
|December 1, 1996
PubMed
Summary

Dentists engage in defensive practices, but not due to fear of lawsuits. Instead, patient desires and financial factors influence unnecessary treatments and referrals, impacting 3.5% of dental encounters.

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Area of Science:

  • Dental Practice Management
  • Medical Ethics
  • Healthcare Economics

Context:

  • Investigating defensive behaviors in dentistry, analogous to general practice.
  • Survey of 38 dentists, primarily general practitioners with extensive experience.
  • Exploring the motivations behind dentists' clinical decision-making.

Purpose:

  • To determine if defensive practices are prevalent among dental practitioners.
  • To identify the underlying reasons for defensive behaviors in dentistry.
  • To quantify the occurrence of defensive practices in dental patient encounters.

Summary:

  • Dentists report defensive practices, driven by patient preferences and financial considerations, rather than fear of litigation.
  • Unnecessary treatments and referrals are employed, influenced by patient demands and financial status.
  • Defensive behaviors were observed in approximately 3.5% of patient interactions.

Impact:

  • Highlights the influence of patient-driven factors and financial incentives on dental care delivery.
  • Suggests a need for ethical guidelines and practice management strategies to mitigate non-clinical influences.
  • Provides data on the prevalence of defensive medicine in dentistry, informing policy and education.

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