Suzuki and Sato (1978) reported data obtained from 410 dental hygienists aged 24--39 years of age. The most frequent reasons for leaving their jobs were difficulties in personal relations and then disappointment with the commercialism of dentists. Additional reasons included no fixed programme of the routine aspects of their work, compulsory duties beyond those legally permitted them and no leadership in the clinic. In contrast, many dental hygienists felt rewarded by the success achieved through health instruction of patients, appreciation of their work by patients and having the opportunity to demonstrate their professional abilities. Given these kinds of perceptions about the occupation of dental hygienists, expressed by hygienists themselves, it would appear imperative that the dental profession and health administrators in Japan consider the disincentives inherent in the jobs and attempt to convert these to incentives.
铃木和佐藤（1978年）报告了从410名年龄在24至39岁的牙科保健员那里获得的数据。离职的最常见原因是人际关系困难，其次是对牙医商业化的失望。其他原因包括工作日常没有固定安排、超出法定许可范围的强制职责以及诊所缺乏领导。相比之下，许多牙科保健员因通过对患者的健康指导取得成功、得到患者对其工作的认可以及有机会展示自己的专业能力而感到满足。鉴于牙科保健员自身表达的对该职业的这些看法，日本的牙科行业和卫生管理人员似乎有必要考虑该工作中固有的不利因素，并尝试将其转化为激励因素。
