Knights, Knaves and gnashers: professional values and private dentistry

Taylor-Gooby, Peter and Sylvester, S. and Calnan, Michael .W. and Manley, Graham (2000) Knights, Knaves and gnashers: professional values and private dentistry. Journal of Social Policy, 29 (3). pp. 375-395. ISSN 0047-2794 . (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided)

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This article applies Le Grand's distinction between knightly and knavish motivations to the behaviour of dentists in choosing whether to treat patients on the NHS or privately. Using national quantitative and discursive surveys, it shows that dentists' notions of their own interests centre on independent small-business entrepreneurship and their professional culture defines patient interest in terms of access to clinically autonomous practice based on a restorative paradigm. Government attempts to promote preventive dentistry in the context of the weakening in dentists' bargaining position as general dental health improves and the determination of the profession to protect high remuneration have led to conflict. Both knavish and knightly motives (understood from the perspective of dentists' professional culture) lead dentists to exit from the NHS, Any analysis of 'robust' policies, designed to accommodate both motivations, must take into account social factors such as professional cultures which influence how practitioners understand their own interests and those of their clients.

Item Type: Article
Subjects: H Social Sciences > H Social Sciences (General)
H Social Sciences > HM Sociology
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies
Depositing User: Paula Loader
Date Deposited: 02 Jun 2009 11:24
Last Modified: 28 Apr 2015 12:52
Resource URI: (The current URI for this page, for reference purposes)
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