Janulyte Vilija, Aleksejuniene Jolanta, Puriene Alina, Peciuliene Vytaute, Benzian Habib
Institute of Dentistry, Faculty of Medicine, Vilnius University, Zalgiris st, 115, Vilnius, Lithuania.
Hum Resour Health. 2014 Dec 20;12:74. doi: 10.1186/1478-4491-12-74.
The present survey explored the current employment profile and future career intentions of Lithuanian general dentists and specialists.
A census sampling method was employed with data collected by means of a structured questionnaire that inquired about demographics, different employment-related aspects (practice type and location, working hours, perceived lack of patients, etc.), and future career intentions (intent to emigrate, to change profession, or the timing of retirement). The final response rate was 67.6% corresponding to 2,008 respondents.
The majority of all dentists work full or part-time in the private dental sector, more than one third of them owns a private practice or rents a dental chair. A minority of dentists works in the public dental sector. According to the survey, 26.6% of general dentists and 39.2% of dental specialists works overtime (> 40 hours per week; P < 0.001) and practice in multiple clinics (1.4 ± 0.6 and 2.0 ± 1.2, respectively; P < 0.001). One third of general dentists (31.3%) and dental specialists (31.4%) stated to have a low number of patients (P > 0.05). The majority (68.9% of general dentists and 65.9% of dental specialists) plans to work after the retirement age (P > 0.05). Emigration as an option for their professional career is being considered by 10.8% of general dentists and 8.3% of dental specialists (P > 0.05). Working either full or part-time in private practices (OR = 4.3) and younger age (≤ 35 years; OR = 2.2) are the two strongest predictors for a perceived insufficient number of patients.
One third of dentists in Lithuania work long hours and lack patients. Many dentists practice in multiple locations and plan to retire after the official retirement age. Some dentists and dental specialists plan to emigrate. The perceived shortcomings within the dental care system and workforce planning of dentists need to be addressed.
本次调查探究了立陶宛普通牙医和专科牙医的当前就业情况及未来职业意向。
采用普查抽样方法，通过结构化问卷收集数据，问卷涉及人口统计学信息、不同的就业相关方面（执业类型和地点、工作时间、感觉患者不足等）以及未来职业意向（移民意向、转行意向或退休时间）。最终回复率为67.6%，对应2008名受访者。
大多数牙医在私立牙科领域全职或兼职工作，超过三分之一的牙医拥有私人诊所或租用牙科治疗椅。少数牙医在公立牙科领域工作。根据调查，26.6%的普通牙医和39.2%的牙科专科医生加班（每周超过40小时；P<0.001）且在多个诊所执业（分别为1.4±0.6和2.0±1.2；P<0.001）。三分之一的普通牙医（31.3%）和牙科专科医生（31.4%）表示患者数量少（P>0.05）。大多数人（68.9%的普通牙医和65.9%的牙科专科医生）计划在退休年龄后继续工作（P>0.05）。10.8%的普通牙医和8.3%的牙科专科医生考虑将移民作为其职业生涯的一种选择（P>0.05）。在私人诊所全职或兼职工作（OR=4.3）以及年龄较小（≤35岁；OR=2.2）是感觉患者数量不足的两个最强预测因素。
立陶宛三分之一的牙医工作时间长且患者不足。许多牙医在多个地点执业，并计划在法定退休年龄后退休。一些牙医和牙科专科医生计划移民。牙科护理系统和牙医劳动力规划中存在的明显不足需要得到解决。
