PDF(Pubmed)
Abstract：
UNASSIGNED: Conducting oral treatment early in the disease course, is encouraged for better health outcomes. Obtaining informed consent is an essential part of medical practice, protecting the legal rights of patients and guiding the ethical practice of medicine. In practice, consent means different things in different contexts. Silver Diamine Fluoride (SDF) and Silver Fluoride (SF) is becoming popular and cost effective methods to manage carious lesions, however, cause black discolouration of lesions treated. Obtaining informed consent and assent is crucial for any dental treatment-and has specific relevance with SDF/ SF treatments.
UNASSIGNED: The aim of this paper is to describe informed consent regulations for dental care in a selection of countries, focusing on children and patients with special health care needs. An online survey was shared with a convenience sample of dental professionals from 13 countries. The information was explored and the processes of consent were compared.
UNASSIGNED: Findings suggest that there are variations in terms of informed consent for medical practice. In Tanzania, South Africa, India, Kenya, Malaysia and Brazil age is the determining factor for competence and the ability to give self-consent. In other countries, other factors are considered alongside age. For example, in Singapore, the United Kingdom, and the United States the principle of Gillick Competence is applied. Many countries\' laws and regulations do not specify when a dentist may overrule general consent to act in the \"best interest\" of the patient.
UNASSIGNED: It is recommended that it is clarified globally when a dentist may act in the \"best interest\" of the patient, and that guidance is produced to indicate what constitutes a dental emergency. The insights gathered provide insights on international practice of obtaining informed consent and to identify areas for change, to more efficient and ethical treatment for children and patients with special needs. A larger follow up study is recommended to include more or all countries.
UNASSIGNED: The aim of this paper is to describe informed consent regulations for dental care in a selection of countries, focusing on children and patients with special health care needs. An online survey was shared with a convenience sample of dental professionals from 13 countries. The information was explored and the processes of consent were compared.
UNASSIGNED: Findings suggest that there are variations in terms of informed consent for medical practice. In Tanzania, South Africa, India, Kenya, Malaysia and Brazil age is the determining factor for competence and the ability to give self-consent. In other countries, other factors are considered alongside age. For example, in Singapore, the United Kingdom, and the United States the principle of Gillick Competence is applied. Many countries\' laws and regulations do not specify when a dentist may overrule general consent to act in the \"best interest\" of the patient.
UNASSIGNED: It is recommended that it is clarified globally when a dentist may act in the \"best interest\" of the patient, and that guidance is produced to indicate what constitutes a dental emergency. The insights gathered provide insights on international practice of obtaining informed consent and to identify areas for change, to more efficient and ethical treatment for children and patients with special needs. A larger follow up study is recommended to include more or all countries.
摘要：
■在病程早期进行口服治疗，鼓励更好的健康结果。获得知情同意是医疗实践的重要组成部分，保护患者的合法权益，指导医学伦理实践。在实践中,同意在不同的背景下意味着不同的事情。氟化银二胺（SDF）和氟化银（SF）正在成为流行和成本有效的方法来管理龋齿病变，然而,引起黑色变色的病变治疗。获得知情同意和同意对于任何牙科治疗都是至关重要的-并且与SDF/SF治疗具有特定的相关性。
■本文的目的是描述某些国家/地区的牙科护理知情同意法规，关注有特殊医疗保健需求的儿童和患者。与来自13个国家的牙科专业人员的便利样本共享了一项在线调查。对信息进行了探索，并比较了同意过程。
■研究结果表明，在医疗实践的知情同意方面存在差异。在坦桑尼亚,南非,印度,肯尼亚,马来西亚和巴西的年龄是能力和自我同意能力的决定因素。在其他国家,其他因素与年龄一起考虑。例如,在新加坡,联合王国,和美国的吉利克能力原则是适用的。许多国家/地区的法律法规没有规定牙医何时可以否决一般同意为患者的“最佳利益”行事。
■建议在全球范围内澄清牙医可能为患者的“最佳利益”行事时，并产生该指南以指示什么构成牙科紧急情况。收集的见解提供了有关获得知情同意的国际惯例的见解，并确定了需要改变的领域，为有特殊需要的儿童和患者提供更有效和更道德的治疗。建议进行更大的后续研究，以包括更多或所有国家。
■本文的目的是描述某些国家/地区的牙科护理知情同意法规，关注有特殊医疗保健需求的儿童和患者。与来自13个国家的牙科专业人员的便利样本共享了一项在线调查。对信息进行了探索，并比较了同意过程。
■研究结果表明，在医疗实践的知情同意方面存在差异。在坦桑尼亚,南非,印度,肯尼亚,马来西亚和巴西的年龄是能力和自我同意能力的决定因素。在其他国家,其他因素与年龄一起考虑。例如,在新加坡,联合王国,和美国的吉利克能力原则是适用的。许多国家/地区的法律法规没有规定牙医何时可以否决一般同意为患者的“最佳利益”行事。
■建议在全球范围内澄清牙医可能为患者的“最佳利益”行事时，并产生该指南以指示什么构成牙科紧急情况。收集的见解提供了有关获得知情同意的国际惯例的见解，并确定了需要改变的领域，为有特殊需要的儿童和患者提供更有效和更道德的治疗。建议进行更大的后续研究，以包括更多或所有国家。
