5.2 Ethics, equity and global responsibilities in oral health and disease

• Published in: European journal of dental education 2002-10, Vol.6 (s3), p.167-178
• Main Authors: Hobdell, Martin, Sinkford, Jeanne, Alexander, Charles, Alexander, David, Corbet, Esmonde, Douglas, Chester, Katrova, Lydia, Littleton, Preston, MacCarthy, Denise, Cherrett, Helen McK, Schou, Lone, Wen, Fan Ming, Zhuan, Bian
• Format: Article
• Language: English
• Subjects: Bioethics; Dentistry; determinants of oral health; Developing Countries; disparities; Education, Dental - ethics; ethical issues; Ethics, Dental; Faculty, Dental - supply & distribution; Health Services Accessibility; Humans; Oral Health; Schools, Dental - ethics; Social Responsibility; socioeconomic development; Socioeconomic Factors
• ISSN: 1396-5883; 1600-0579
• DOI: 10.1034/j.1600-0579.6.s3.23.x

The charge of this Section is ethics and global responsibilities in oral health and disease. Oral health is determined by the same factors as those for general health. To a limited extent, the level of oral health care and dental education. The philosophy and organization of the health care system and dental education, therefore, are key determinants of oral health. Dental education has expanded in many countries where there has been an increase in wealth. Unfortunately, there has been no concomitant increase in the number of dental educators. This is a problem throughout the world. This present situation raises certain ethical issues with regard to professional responsibilities. It also raises some important questions for dental education. This Section has chosen to focus its efforts on examining two issues: •  What can be done within dental schools? •  What can be done external to dental schools – either individually or collectively? The best practices identified are more akin to goals, as it is recognized that, in a world in which there are enormous variations in economic, environmental, social, and cultural features, a single uniform set of practices is impracticable. The central core value identified is the realization by students, and faculty/teaching staff of the quest of life‐long learning against a background of the social and ethical responsibilities of health professionals. The conclusion of the group is that biology is not the sole determinant of health. Understanding the role of social, economic, environmental and other factors in determining health status is critical if greater equity in dental education and care are to be achieved.