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J Dent Educ. 71(12): 1583-1592 2007
© 2007 American Dental Education Association
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Critical Issues in Dental Education

How Dentists Account for Social Responsibility: Economic Imperatives and Professional Obligations

Shafik Dharamsi, Ph.D.; Daniel D. Pratt, Ph.D.; Michael I. MacEntee, Ph.D., L.D.S.(i), F.R.C.D.(c)

Key words: social responsibility, economics, professionalism, oral health disparities, access to care, ethics, qualitative research

Submitted for publication 04/24/07; accepted 10/08/07

This study explores how dentists explain the concept of social responsibility and its relationship to issues affecting access to oral health care by vulnerable segments of the population. Analysis of open-ended interviews with thirty-four dentists, including dental educators, and administrators and officials of dental public health programs in Canada and the United States revealed that four main themes—economics, professionalism, individual choice, and politics—influenced the respondents’ sense of social responsibility in dentistry. There was a belief that social responsibility in dentistry is dominated by economic imperatives that impact negatively on the policies and practices directing access to care. Yet, despite the highly critical stance on dentistry as a business, there was practical recognition of the economic realities of dental practice. Nevertheless, those who focused on social responsibility as a professional obligation highlighted the privileges of self-governance along with the accompanying duty to serve the welfare of everyone and not just those who are socioeconomically advantaged.






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Copyright © 2007 by the American Dental Education Association.