Brennan D S, Spencer A J
AIHW Dental Statistics and Research Unit, Dental School, Faculty of Health Sciences, The University of Adelaide, South Australia.
Int Dent J. 2002 Apr;52(2):61-6. doi: 10.1111/j.1875-595x.2002.tb00601.x.
To investigate time trends in practice activity.
Four cross-sectional surveys across a 15 year period.
Australian private general practice.
A random sample of dentists.
Dentists were surveyed by mailed questionnaire in 1983, 1988, 1993 and 1998 (response rates 71%-75%). Data were weighted to provide representative estimates for the age by sex distribution of private general practitioners in 1983, 1988, 1993 and 1998.
Hours per year worked, patient visits per hour and patient visits per year.
The number of patient visits per year declined across the period, related to parallel decreases in the number of patient visits per hour (ANOVA; P<0.05), while there was no significant difference during the period in the number of hours per year devoted to work. The interaction of dentist sex by time of survey indicated that while numbers of patient visits per year had remained stable for female dentists, there was a trend for the higher number of patient visits per year among male dentists at the beginning of the survey period to decline over time.
Male dentists had higher levels of practice activity compared with female dentists, but a decline in the number of patient visits per year reflected a convergence of male practice patterns towards that of female dentists.
调查医疗实践活动的时间趋势。
在15年期间进行的四项横断面调查。
澳大利亚私立全科医疗。
牙医随机样本。
在1983年、1988年、1993年和1998年通过邮寄问卷对牙医进行调查(回复率71%-75%)。数据经过加权处理,以提供1983年、1988年、1993年和1998年按性别分布的私立全科医生年龄的代表性估计值。
每年工作小时数、每小时患者就诊次数和每年患者就诊次数。
在此期间,每年患者就诊次数减少,这与每小时患者就诊次数的相应减少有关(方差分析;P<0.05),而在此期间每年用于工作的小时数没有显著差异。牙医性别与调查时间的交互作用表明,虽然女性牙医每年的患者就诊次数保持稳定,但在调查期开始时男性牙医每年较高的患者就诊次数有随时间下降的趋势。
与女性牙医相比,男性牙医的医疗实践活动水平更高,但每年患者就诊次数的下降反映出男性医疗模式向女性牙医的模式趋同。