title: Issues in the dental care management of patients with bloodborne infectious diseases: an opinion survey of dental school seniors.
abstract: This study revealed some significant findings concerning the views of dental school seniors. Through a series of questions, we determined the opinions that seniors had about treating patients with bloodborne infections and the way they regarded their professional responsibility to provide care to these patients. We were able to identify that the majority of seniors had knowingly treated patients with one of these diseases, and believed that they had a professional obligation to do so. The study showed that these future professionals were aware of the risks related to disease transmission and they had real concerns about those risks; nevertheless, they were prepared to accept their professional obligation to provide care to these individuals. More than half of the survey population was fearful of treating patients with these diseases, and over half indicated that they would not treat these patients given the choice. This fear was compounded by their presumption that other patients would not want to be treated by a dentist who provides care to HBV/HIV patients, and by the presumption of increased cost of infection control. More than three fourths of these dental seniors agreed that treatment of infected patients would place them at higher risk. Nevertheless, in the face of this perceived danger, 62 percent indicated that they were willing to treat these patients, 79 percent said that they were capable of treating them, and 76 percent acknowledged the responsibility of the profession to treat. Another finding of note involves the treatment of infected patients and the effect that treatment experience had on the seniors' attitudes.(ABSTRACT TRUNCATED AT 250 WORDS)
authors.affiliation: Division of Application Services and Resource Studies, American Association of Dental Schools, Washington, DC 20036-2212.
authors.forename: E S
authors.initials: ES
authors.lastname: Solomon
authors.forename: C F
authors.initials: CF
authors.lastname: Gray
authors.forename: B
authors.initials: B
authors.lastname: Gerbert
mesh_terms: D001291:Attitude of Health Personnel; D015658:HIV Infections / Q000635:transmission*; D006509:Hepatitis B / Q000635:transmission*; D006801:Humans; D016079:Refusal to Treat; D012307:Risk Factors; D013335:Students, Dental / Q000523:psychology*; D011795:Surveys and Questionnaires