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巴西牙科管理调查(DMS-BR):管理工具的创建和验证。

Dental Management Survey Brazil (DMS-BR): creation and validation of a management instrument.

机构信息

Universidade de São Paulo - USP, School of Dentistry, Community Dentistry Department, São Paulo, SP, Brazil.

Universidade Estadual do Sudoeste da Bahia - UESB, School of Dentistry, Community Dentistry Department, Jequie, BA, Brazil.

出版信息

Braz Oral Res. 2017 Apr 10;31:e26. doi: 10.1590/1807-3107BOR-2017.vol31.0026.

Abstract

Questionnaires for the assessment of knowledge and self-perception can be useful to diagnose what a dentist knows about management and administration. The aim of the present study was to create and validate the Dental Management Survey Brazil (DMS-BR) scale, based on meetings with experts in the field. After having elaborated the first version, 10 audits were performed in dental offices in order to produce the final version, which included nine dimensions: location, patient, finance, marketing, competition, quality, staff, career, and productivity. The accuracy of the instrument was measured by intrarater and interrater reliability. In the validation phase, 247 Brazilian dentists answered a web-based questionnaire. The data were processed using Stata 13.0 and the significance level was set at 95%. The instrument had intrarater and interrater reliability (ICC-0.93 and 0.94). The overall average of respondents for the DMS-BR scale was 3.77 (SD = 0.45). Skewness and kurtosis were below absolute values 3 and 7, respectively. Internal validity measured by Cronbach's alpha was 0.925 and the correlation of each dimension with the final result of the DMS-BR ranged between 0.606 and 0.810. Correlation with the job satisfaction scale was 0.661. The SEM data ranged between 0.80 and 0.56. The questionnaire presented satisfactory indicators of dentists' self-perception about management and administration activities.

摘要

调查问卷可用于评估牙医对管理和行政的了解程度,有助于诊断牙医的管理和行政知识。本研究旨在根据专家会议,创建并验证巴西牙科管理调查问卷(DMS-BR)。在制定了初始版本后,在 10 个牙科诊室进行了 10 次审核,以产生最终版本,其中包含 9 个维度:地点、患者、财务、营销、竞争、质量、员工、职业和生产力。仪器的准确性通过内部和外部评估员的可靠性来衡量。在验证阶段,247 名巴西牙医回答了一个基于网络的问卷。使用 Stata 13.0 处理数据,置信水平设置为 95%。该仪器具有内部和外部评估员的可靠性(ICC-0.93 和 0.94)。DMS-BR 量表的受访者总体平均得分为 3.77(SD=0.45)。偏度和峰度均低于绝对值 3 和 7。Cronbach's alpha 测量的内部有效性为 0.925,每个维度与 DMS-BR 最终结果的相关性在 0.606 到 0.810 之间。与工作满意度量表的相关性为 0.661。SEM 数据介于 0.80 和 0.56 之间。问卷对牙医管理和行政活动的自我认知具有满意的指标。

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