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当代英国牙科实践。第 1 部分:2015 年的人口统计学和执业安排。

Contemporary dental practice in the UK. Part 1: demography and practising arrangements in 2015.

机构信息

Primary Dental Care Research Group, University of Birmingham School of Dentistry, College of Medical and Dental Sciences, 5 Mill Pool Way, Pebble Mill, Birmingham B5 7EG, UK.

Emeritus Professor of Dentistry, King's College London.

出版信息

Br Dent J. 2019 Jan 11;226(1):55-61. doi: 10.1038/sj.bdj.2019.9.

Abstract

OBJECTIVES

To determine, by means of an anonymous, self-reported questionnaire, the demographic profile and practising details of general dental practitioners in the UK in 2015.

METHODS

A previously-piloted and validated 121-question questionnaire was distributed during 2015 to 500 dentists at UK dental meetings with a request that they complete the questionnaire and return it by post in the reply-paid envelope to the corresponding author.

RESULTS

Three hundred and eighty-eight useable questionnaires were returned, giving aresponse rate of 77.6%. Of the respondents, 60.2% were male and 39.8% female. Theirmean age since graduation was 19.7 years. Just over half of the respondents (50.9%) replied that they were practice principals, 35.8% were associates and 10.6% were foundation dentists. A quarter of the respondents were in single-handed practices, the remainder being in a partnership or group practice. There was a mean of 4.2 dentists per practice, while the mean number of dental therapists in each practice was 0.3 and 1.2 hygienists. Regarding the first available NHS appointment in the respondents' practices for non-urgent care, 23.4% could provide this on the same day, the equivalent figure for private care being 40.1%. The mean percentage of patients receiving NHS treatment was 50%, with 33.8% receiving private treatment. Just over half of respondents considered that Care Quality Commission inspections were 'valuable for fostering patient trust and confidence in dental care.' The collected data indicated that 55.4% of respondents had an intra-oral camera, while, with regard to recently-introduced concepts and techniques, 80.4% used nickel-titanium files, 47.4% used zirconia-based bridgework and 24.9% used tricalcium silicate. Of great interest, perhaps, is the response to digital radiography/digital imaging, with the results indicating that 74.1% of respondents used this form of radiography. Regarding checking the light output of the light curing units, 53.1% stated that they did check the output, but in some cases this might be at a six-monthly interval.

CONCLUSION

Results from this survey indicated that NHS service provision has dropped toapproximately 50% amongst the respondents. Regarding the staffing of dentalpractices, just over half the respondents were practice principals and there was a mean of 4.2 dentists per practice. The results also indicated that UK dentists continue to be innovative in the techniques that they employ.

摘要

目的

通过匿名、自我报告的问卷,确定 2015 年英国普通牙医的人口统计学特征和执业细节。

方法

在 2015 年,将一份经过预先试验和验证的 121 个问题的问卷分发给英国牙科会议的 500 名牙医,并要求他们填写问卷,并将其寄回给相应的作者。

结果

共收到 388 份有效问卷,应答率为 77.6%。在回答者中,60.2%为男性,39.8%为女性。他们毕业后的平均年龄为 19.7 岁。超过一半的回答者(50.9%)表示他们是诊所负责人,35.8%是合伙人,10.6%是基础牙医。四分之一的回答者在单人诊所工作,其余的在合伙或集团诊所工作。每个诊所平均有 4.2 名牙医,每个诊所平均有 0.3 名牙科治疗师和 1.2 名洁牙师。关于受访者诊所的非紧急护理的第一个 NHS 预约,23.4%的人可以在同一天提供,私人护理的这一比例为 40.1%。接受 NHS 治疗的患者平均比例为 50%,其中 33.8%接受私人治疗。超过一半的受访者认为,医疗质量委员会的检查“对培养患者对牙科护理的信任和信心很有价值。”收集的数据表明,55.4%的受访者使用口腔内摄像头,而在最近引入的概念和技术方面,80.4%的人使用镍钛根管锉,47.4%的人使用氧化锆基桥接,24.9%的人使用硅酸三钙。也许更有趣的是对数字放射/数字成像的反应,结果表明,74.1%的受访者使用这种形式的放射。关于检查光固化器的光输出,53.1%的人表示他们确实检查了输出,但在某些情况下,这可能是每六个月检查一次。

结论

这项调查的结果表明,NHS 服务的提供在受访者中已下降到约 50%。关于牙科诊所的人员配备,超过一半的受访者是诊所负责人,每个诊所平均有 4.2 名牙医。结果还表明,英国牙医在他们使用的技术方面继续具有创新性。

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