Capitation in dentistry and appropriate dental care.
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Biomedical subjects
Publications and source records attributed to J W Friedman.
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Wide variation in the diagnosis and treatment of dental problems is indicative of the lack of a standard of care to guide the practitioner and to protect the public. Examples of questionable dental practices are described to illustrate how the public may be overtreated, overcharged, and put at risk of iatrogenic injury, practices that are no longer valid in light of current knowledge of dental diseases and their treatment. Public health dentistry traditionally concerns itself with community preventive, educational, and curative programs. It also has the ethical responsibility--the moral duty and obligation--to recognize and contend with paternalistic professional behavior that, intentionally or otherwise, violates the public trust, and to promote systems that will improve access, quality, and financing of dentistry for everyone.
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Quality assurance requires realistic standards of compliance with professionally acceptable criteria. As dental practice changes, these measures of performance must also change to distinguish between adequate and inadequate dental care.
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Massive pulmonary embolism occurred during cardiopulmonary bypass in a patient requiring mitral valve replacement. Successful management of this unusual problem is described.
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