对牙科从业者的投诉：对澳大利亚6年来针对牙医、牙科技师、口腔健康治疗师、牙科治疗师和牙科保健员的投诉分析。
Complaints about dental practitioners: an analysis of 6 years of complaints about dentists, dental prosthetists, oral health therapists, dental therapists and dental hygienists in Australia.
作者信息
Thomas L A, Tibble H, Too L S, Hopcraft M S, Bismark M M
机构信息
Law and Public Health Unit, Melbourne School of Population and Global Health, Centre for Health Policy, University of Melbourne, Parkville, Victoria, Australia.
Melbourne Dental School, University of Melbourne, Parkville, Victoria, Australia.
出版信息
Aust Dent J. 2018 Jun 4;63(3):285-93. doi: 10.1111/adj.12625.
BACKGROUND
Previous research has found dental practitioners at elevated risk of complaint compared with other health professions. This study aimed to describe the frequency, nature and risk factors for complaints involving dental practitioners.
METHODS
We assembled a national dataset of complaints about registered health practitioners in Australia between January 2011 and December 2016. We classified complaints into 23 issues across three domains: health, performance and conduct. We compared rates of complaints about dental practitioners and other health practitioners. We used negative binomial regression analysis to identify factors associated with complaints.
RESULTS
Dental practitioners made up 3.5% of health practitioners, yet accounted for approximately 10% of complaints. Dental practitioners had the highest rate of complaints among fourteen health professions (42.7 per 1000 practitioners per year) with higher rates among dentists and dental prosthetists than allied dental practitioners. Male practitioners were at a higher risk of complaints. Most complaints about dentists related to treatments and procedures (59%). Around 4% of dentists received more than one complaint, accounting for 49% of complaints about dentists. In 60% of closed cases no regulatory action was required. Around 13% of complaints resulted in restrictive actions, such as conditions on practice.
CONCLUSION
Improved understanding of patterns may assist regulatory boards and professional associations to ensure competent practice and protect patient safety.
背景
先前的研究发现，与其他医疗行业相比，牙科从业者面临投诉的风险更高。本研究旨在描述涉及牙科从业者投诉的频率、性质和风险因素。
方法
我们收集了2011年1月至2016年12月期间澳大利亚关于注册医疗从业者投诉的全国数据集。我们将投诉分为三个领域的23个问题：健康、表现和行为。我们比较了牙科从业者和其他医疗从业者的投诉率。我们使用负二项回归分析来确定与投诉相关的因素。
结果
牙科从业者占医疗从业者的3.5%，但约占投诉的10%。在14个医疗行业中，牙科从业者的投诉率最高（每年每1000名从业者中有42.7起投诉），牙医和牙科技师的投诉率高于牙科辅助人员。男性从业者面临投诉的风险更高。大多数关于牙医的投诉与治疗和程序有关（59%）。约4%的牙医收到不止一起投诉，占牙医投诉的49%。在60%的结案案件中，无需采取监管行动。约13%的投诉导致了限制措施，如执业条件限制。
结论
更好地了解投诉模式可能有助于监管委员会和专业协会确保胜任的执业行为并保护患者安全。
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