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The dental hygienist's role in the treatment of special populations in nontraditional settings is an important one. Little is known about the hygienist's practice characteristics in these settings, nor about the patients receiving care. To gain needed information, a representative sample of the entire population of licensed hygienists in the United States was screened (n = 38,380). This screening identified 1,205 hygienists practicing in nontraditional settings. These hygienists were sent comprehensive questionnaires examining practice and patient characteristics. Completed questionnaires were returned by 1,016 (84.3%) hygienists. This report describes reported hygiene practice characteristics; hygienist interactions with patients and providers; and patient characteristics, including age, medical/emotional/social conditions, and dental treatment needs. Major findings of respondents' reports reveal that: approximately 90 percent of patients were in need of dental/dental hygiene services with approximately one in four requiring only dental hygiene services; the dental hygienists perceived a high level of acceptance of their role by patients and providers; the majority of patients treated were categorized as generally medically healthy (65.7%); and the clinical practice of dental hygiene in nontraditional settings mirrors that of private practice.  相似文献   

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Background

The authors examined the relationship between education debt and career choice, particularly dentists’ decisions to specialize, participate in public health insurance programs, and join dental management service organizations (DMSOs).

Methods

The authors used data from the American Dental Association 2015 office database, which contains dentist demographic information and identifies dentists who participate in public health insurance programs for pediatric dental care services. The authors merged this database with the 2002-2015 American Dental Association Survey of Dental Graduates, which contains information about education debt, to assess the relationship between education debt and career choices. The authors used probit and multinomial logit models to determine the relationships among education debt, demographic characteristics, and dentist career choices.

Results

For each $10,000 increase in education debt, dentists were 0.9% more likely to join a DMSO (relative risk ratio, 1.009; 95% confidence interval, 1.0021 to 1.0164) and 0.6% less likely to join a non-DMSO group practice (relative risk ratio, 0.994; 95% confidence interval, 0.9897 to 0.9987) over a solo practice. Education debt did not have a statistically significant association with the decision to participate in public health insurance programs, but it did have a statistically significant association with the decision to specialize.

Conclusions

Education debt had a modest association with some career choices among dentists. Demographic characteristics, such as race and sex, had a greater association.

Practical Implications

Dental education debt has increased substantially in recent years. Debt had only a modest association with some career choices. Policy makers could consider this when considering education debt relief.  相似文献   

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