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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Perceived professional roles and implications for clinical decision-making.

Bonnie Yu1, Abdulrahman Ghoneim1, Herenia Lawrence1

  • 1Dental Public Health, University of Toronto Faculty of Dentistry, Toronto, Ontario, Canada.

Journal of Public Health Dentistry
|October 3, 2019
PubMed
Summary

Dentists viewing themselves as business people, rather than health professionals, showed more aggressive treatment intensity. Practice characteristics like years in practice and technology use influenced this perception.

Keywords:
clinical decision-makingdentist-patient relationsprofessional ethicsprofessional rolesocial responsibilitysurveys and questionnaires

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Area of Science:

  • Dental Practice Management
  • Health Services Research
  • Professional Ethics in Dentistry

Background:

  • Dentists' professional identity influences their practice behaviors.
  • Understanding the factors shaping dentists' perceived professional role (PPR) is crucial for professional development and patient care.

Purpose of the Study:

  • To examine the association between dentists' perceived professional role (PPR) and treatment intensity.
  • To identify demographic and practice characteristics related to dentists' PPR.

Main Methods:

  • A survey was administered to 3,201 general dentists in Ontario, Canada.
  • Perceived professional role (PPR) was measured using validated visual analog and Likert-type scales.
  • Treatment intensity was assessed via case scenarios, with data analyzed using univariate, bivariate, and multivariable methods.

Main Results:

  • A 33.6% response rate yielded 1,075 usable surveys.
  • Dentists identifying as business people exhibited higher treatment intensity compared to those identifying as health care professionals (p<0.1 and p<0.05).
  • Years of practice, technology adoption, and viewing dentists as competitors predicted a business-oriented PPR.

Conclusions:

  • Dentists' perceived professional role significantly correlates with treatment aggressiveness.
  • Demographic and practice factors are associated with dentists' professional identity.
  • Findings may impact public trust and the professional standing of dentistry.