Reinders J J, Blanksma N G
Vakgroep Mondgezondheidszorg en Klinische Epidemiologie, Centrum voor Tandheelkunde en Mondzorgkunde, Universitair Medisch Centrum Groningen.
Ned Tijdschr Tandheelkd. 2012 Jun;119(6):317-22. doi: 10.5177/ntvt.2012.06.12110.
The occupation of dental hygienist has changed since the introduction of vertical task redistribution. However, this change has not yet resulted in an optimal collaboration between dentists and dental hygienists. Four typical characteristics of vertical task redistribution are considered to be influentialfactors with respect to collaboration and the acceptance of vertical task redistribution: the transition from a hierarchical work relation to a more functional work relation, educational level as related to competence and social status, the relation between vertical task redistribution and professional identity and the perceived usefulness of interprofessional collaboration and task redistribution. Implications for educational development are based on scientific literature and are illustrated by an example from the dental curriculum in the Dutch city of Groningen. Even though interprofessional collaboration does not seem to be optimal at the present time, there are insights that suggest ways of improving interprofessional collaboration between dentists and dental hygienists. However, more clues are needed. In particular, the paradox between professional identity and interprofessional collaboration has not yet received much scientific attention.
自从引入垂直任务重新分配以来,口腔保健员的职业状况发生了变化。然而,这种变化尚未促成牙医与口腔保健员之间的最佳协作。垂直任务重新分配的四个典型特征被认为是影响协作以及对垂直任务重新分配接受度的因素:从层级工作关系向更具功能性的工作关系的转变、与能力和社会地位相关的教育水平、垂直任务重新分配与职业身份之间的关系以及对跨专业协作和任务重新分配的感知效用。对教育发展的启示基于科学文献,并以荷兰格罗宁根市牙科课程中的一个例子加以说明。尽管目前跨专业协作似乎并非最佳,但仍有一些见解提出了改善牙医与口腔保健员之间跨专业协作的方法。然而,还需要更多线索。特别是,职业身份与跨专业协作之间的矛盾尚未得到太多科学关注。