Brown L J, Wagner K S, Johns B
American Dental Association, Health Policy Resources Center, 211 E. Chicago Ave., Chicago, Ill. 60611, USA.
J Am Dent Assoc. 2000 Dec;131(12):1750-4. doi: 10.14219/jada.archive.2000.0122.
In recent years, the dental school population has changed from being predominantly white male to a more diverse racial and ethnic makeup. Noting this change in the student population, the American Dental Association undertook an in-depth study of the various racial/ethnic groups.
Questionnaires were sent to approximately 8,000 dentists nationwide. Samples were drawn for each of the following racial/ethnic groupings: white, black, Hispanic, Native American and Asian. The survey instrument asked questions about personal characteristics, work and private practice issues, household and practice income, and patient characteristics; it also asked for dentists' opinions. A final adjusted response rate of 57.0 percent was achieved.
The majority of all dentists responded that they were "very satisfied" with their profession, but the survey found variations in patient mix, employment history and provision of free or discounted care.
The survey examined dentists by race/ethnicity to identify differences and similarities. Cultural and ethnic minorities are the fastest growing segment of the U.S. population. As the profession becomes more diverse, practice patterns will affect the overall dental profession.
Dentists' racial/ethnic backgrounds may change the provision of care as patient mix varies, with each dentist group treating a specific group of patients in regard to family income, racial/ethnic background and subgroups for whom they offer free or reduced-rate dental care.
近年来,牙科学院的学生群体已从以白人男性为主转变为种族和族裔构成更加多样化。注意到学生群体的这一变化,美国牙科协会对不同的种族/族裔群体进行了深入研究。
向全国约8000名牙医发送了调查问卷。从以下每个种族/族裔分组中抽取样本:白人、黑人、西班牙裔、美国原住民和亚裔。调查问卷询问了个人特征、工作和私人执业问题、家庭及执业收入以及患者特征;还征求了牙医的意见。最终调整后的回复率为57.0%。
大多数牙医表示他们对自己的职业“非常满意”,但调查发现患者组合、就业经历以及免费或折扣护理的提供情况存在差异。
该调查按种族/族裔对牙医进行了研究,以找出差异和相似之处。文化和少数族裔是美国人口中增长最快的部分。随着该行业变得更加多样化,执业模式将影响整个牙科行业。
随着患者组合的变化,牙医的种族/族裔背景可能会改变护理的提供情况,每个牙医群体针对家庭收入、种族/族裔背景以及他们提供免费或减价牙科护理的亚群体治疗特定的患者群体。