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Master's Dissertation
DOI
https://doi.org/10.11606/D.23.2005.tde-12112005-124354
Document
Author
Full name
Ricarda Duarte da Silva
E-mail
Institute/School/College
Knowledge Area
Date of Defense
Published
São Paulo, 2005
Supervisor
Committee
Melani, Rodolfo Francisco Haltenhoff (President)
Shimizu, Roberto Hideo
Silva, Moacyr da
Title in Portuguese
"Relação profissional/paciente : o entendimento e implicações éticas e legais durante o tratamento ortodôntico"
Keywords in Portuguese
aspectos éticos
aspectos legais
Ortodontia
relação profissional-paciente
Abstract in Portuguese
O objetivo do presente trabalho foi investigar a relação profissional/paciente na área da Ortodontia. Foram estudados os aspectos éticos e legais que permeiam o tratamento ortodôntico. A literatura estudada permite afirmar que a busca de auxílio legal por pacientes descontentes aumentou significativamente nos últimos anos. E que a ortodontia é uma especialidade em que os tratamentos são de longa duração e onde se estabelece uma estreita relação profissional/paciente, envolvendo uma grande expectativa em relação aos resultados. A pesquisa foi realizada por meio de dois questionários, o primeiro dirigido a 10 profissionais da área de ortodontia e o segundo a 100 pacientes em tratamento ortodôntico dos respectivos profissionais. A análise das respostas obtidas demonstrou que a preocupação estética é a principal motivação que leva os pacientes aos consultórios ortodônticos (61%) Todos os profissionais acreditam existir fatores imprevisíveis que podem interferir no desenvolvimento e no resultado do tratamento ortodôntico (100%). Apesar deste fato, 40% dos profissionais asseguram ao paciente o sucesso do tratamento. Os profissionais afirmam fornecer esclarecimentos sobre o tratamento e seus possíveis desdobramentos, porém de forma verbal. Para ambos, profissional e paciente, o mais importante nesta relação é a capacidade técnica do profissional. Para os profissionais, o principal meio de defesa do ortodontista frente a um processo de responsabilidade civil é o prontuário completo. Porém, a grande maioria dos entrevistados (90%) não possui em seu prontuário a ficha de procedimentos executados com as intercorrências anotadas e com a assinatura do paciente. Concluiu-se que a principal motivação que leva o paciente ao consultório ortodôntico é a preocupação estética e que o bom relacionamento profissional/paciente com atitudes como fornecer esclarecimentos sobre o tratamento e seus desdobramentos e possuir um prontuário completo são condutas prudentes a fim de evitar que o profissional venha a ser objeto de uma ação civil indenizatória impetrada pelo paciente.
Title in English
Ortodontia e a relação profissional paciente. O entendimento entre as partes e algumas implicações éticas e legais que se estabelecem durante o tratamento
Keywords in English
ethical aspects
legal aspects
orthodontic
patient/professional relationship
Abstract in English
The major objective of the present research work was to investigate the relationship between the dentistry professional and his/her patient in the orthodontics area. Ethical and legal aspects involved in the orthodontics treatment were profoundly analyzed. In the last years the searching for legal aid by unsatisfied patients has significantly increased. The orthodontics area is normally characterized by long term treatments. At any orthodontic treatment a much closed professional/ patient relationship is established together with a huge expectation on results. This research was developed using two questionnaires. The first one was submitted to ten orthodontics professionals and the second questionnaire to one hundred patients treated by those ten professionals. The percentile analysis of the patients' reply (61%) has demonstrated that the aesthetic aspects are the main reason that impels the patients to the orthodontics doctor's office. All the interviewed professionals (100%) believe in the existence of unexpected factors that intervene in both the development and the results of the treatment. Despite the aforementioned fact 40% of the professionals assure to the patient a successful treatment. About 20% of those 40% professionals cited guarantee to the patients a treatment according to their expectations. Although orally mentioned only, all the professionals affirm to provide to the patients the necessary information about the development of the treatment and its eventual implications. For both, professional and patient, the most important aspect to attain a successful treatment is the technical knowledge of the orthodontics professional. For the majority of the orthodontics professionals the main means against any civil prosecution is the complete and detailed treatment documentation. However, the great majority (90%) of the professionals interviewed do not possess in their files the executed treatment procedures with the signature of the patient on them. Any sort of misunderstanding relationship among the orthodontics professional and his/her patient on keeping a well understood treatment may lead to legal problems. It is also very important to remark that the patient can carry out an indemnity question against the professional if he/she does not have a good understanding on the legislation.
 
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Publishing Date
2006-04-12
 
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