Ethics and decision-making in the daily practice of Odontostomatologists in the Boeny Region, Madagascar

  • Rakotonirina FP University of Mahajanga
  • RAFALIMINO Holy Nasandratra Department of Conservative Odontology Endodontics, Institute of Tropical Odonto-Stomatology of Madagascar, University of Mahajanga, Madagascar
  • Andrianjafinoro TH University of Mahajanga
  • Randriamalala NC University of Mahajanga
  • Ravez L Center for Bioethics of the University of Namur, Belgium
  • Ramaroson J University of Mahajanga
Keywords: therapeuticdecision, care relationship,ethics - patient care, Odonto-Stomatologists - oral health

Abstract

According to Emmanuel et al, four conceptualmodels of medicaldecision-making have been identified: the paternalisticmodel,informative model, interpretative model and deliberative model. In Odontostomatology, the patient’srequest and the reason of their consultation represents a crucial factorsthat must betakenaccountwhilecreating the treatment plan and ensuring the intervention succes.  The aim of thisstudywas to determine the decision-makingused by Odontostomatologists in the BoenyRegion, in Mahajanga, Madagascar, during oral health care. A qualitative sociological descriptive cross-sectional studywascarried out among 15 Odonto-Stomatologistspracticing in the BoenyRegion of Madagascar. It lasted 21 monthsfrom June 2019 to March 2021. Data werecollectedusing a formal qualitative semi-structured interview with a pre-established open-endedquestionnairy guide. Theyweretranscribed in Word version ; thenprocessed and analyzedwith Microsoft Excel and QDA Miner software. Fifteenodontostomatologistsfrom the Boenyregionwereinterviewed. They chose the paternalistic model, the informative model and the deliberative model for decision-making. The emergence of shareddecision-making in the face of patient autonomy has renewed the patient-practitioner care relationship. A patient surveywouldbe a welcome addition to thisstudy.

Author Biographies

Rakotonirina FP, University of Mahajanga

Sub-section of Conservative Odontology Endodontic at the Tropical Odonto-Stomatological Institute of Madagascar (IOSTM),

 

Andrianjafinoro TH, University of Mahajanga

University Hospital Profesora Zafisaona Gabriel Androva Mahajanga Madagascar,

Randriamalala NC, University of Mahajanga

University Hospital Joseph Dieudonné Rakotovao, Befelatanana Antananarivo

Ramaroson J, University of Mahajanga

Sub-section of Conservative Odontology Endodontic at the Tropical Odonto-Stomatological Institute of Madagascar (IOSTM),

Published
2025-04-02
Issue
Vol 8 No 03 (2025): IJO- INTERNATIONAL JOURNAL OF SOCIAL SCIENCE AND HUMANITIES RESEARCH ( ISSN 2811-2466 )
Section
Articles

Copyright (c) 2025 IJO- International Journal of Social Science and Humanities Research ( ISSN 2811-2466 )

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