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J Dent Educ. 70(11): 1198-1201 2006
© 2006 American Dental Education Association
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Professional Promises: Hopes and Gaps in Access to Oral Health Care

The Ethical and Practical Aspects of Acceptance and Universal Patient Acceptance

Bruce V. Corsino, Psy.D.; Donald E. Patthoff, Jr., D.D.S.

Key words: Acceptance, Universal Patient Acceptance, health care reform, health care access and accessibility, patient selection, risk management, social responsibility, ethics, dental ethics, bioethics

"Acceptance" is an often presupposed, hidden core value and ethic focused on how dental and other health practitioners first accept people as possible patients. The three basic styles of patient acceptance are random, selective, and universal. Reduced public access to care results from the practice of random and selective acceptance. Only universal acceptance creates a potential pathway for improved access to care. The notion of Universal Patient Acceptance (UPA) is discussed here as one kind of applied ethical tool or clinical practice that allows for the ethic of acceptance to be more effectively pursued in daily practice. We suggest that health providers falsely surmise that they already understand and practice Universal Patient Acceptance. That myth and perspective are partly what keeps Acceptance hidden as an ethic and overlooked as a potential way to foster dialogue and indirectly promote better access to care. Without Universal Patient Acceptance, dental and health providers will continue to silently engage in practice patterns that adversely affect public access to care. The actual benefits of Universal Patient Acceptance are the subject of ongoing review and debate. Whatever those benefits might be will not likely be realized until Acceptance and Universal Patient Acceptance are included as part of dental and other health professional codes of ethics and training curricula. That is what we argue for here.




This article has been cited by other articles:


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D. E. Patthoff
The Need for Dental Ethicists and the Promise of Universal Patient Acceptance: Response to Richard Masella's "Renewing Professionalism in Dental Education"
J Dent Educ., February 1, 2007; 71(2): 222 - 226.
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B. A. Largent
Reaction to Universal Patient Acceptance: The Perspective of a Private Practice Dentist.
J Dent Educ., November 1, 2006; 70(11): 1202 - 1207.
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B. Peltier
Codes and Colleagues: Is There Support for Universal Patient Acceptance?
J Dent Educ., November 1, 2006; 70(11): 1221 - 1225.
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