Private practice, Richmond, VA.
Department of Oral Health Promotion and Community Outreach, Virginia Commonwealth University, Richmond, VA.
J Periodontol. 2019 Nov;90(11):1287-1296. doi: 10.1002/JPER.18-0634. Epub 2019 Jul 31.
The aim of this survey was threefold: (1) describe the demographics of periodontists and their practices in Virginia; (2) explore periodontists' perceptions of the impact that changes in the field of dentistry (i.e. increasing corporate dentistry, graduate debt, digitalization, and volume of periodontal procedures done by general practitioners [GPs]) are having on the specialty; (3) explore how periodontists might adjust their practices to account for these trends.
An electronic survey was emailed to Virginia-based American Academy of Periodontology (AAP) members assessing personal and practice demographics, trends in treatment modalities and practice models, and to survey how periodontists plan to adapt their practices for these trends. Virginia has large urban, suburban and rural municipalities, which renders the state a favorable representation of the United States as a whole.
The response rate was 31% (n = 46). Most respondents (87%) were male and practiced full-time (70%). Respondents reported practicing predominantly in urban (n = 19, 41%) and suburban (n = 24, 52%) and less in rural areas (n = 3, 7%). In current practice, respondents reported greater numbers of referrals from more experienced GPs. Student debt after periodontal residency was significantly associated with age (P value = 0.0002), with 56% of respondents aged <40 years reporting student loans >$250,000 compared with 3% for those aged ≥40 years. Respondents ranked biologic advances, treatment of peri-implantitis, advances in digital dentistry, development of corporate and group practice models, and integration of more periodontal services in GP practices as the most likely trends to impact periodontal practices. The most commonly reported practice adjustments included expansion of existing services, increasing the number of periodontists in the practice, and joining with other specialists or GPs to create group practices.
Periodontists perceive the need to expand services, increase the number of providers in their practices or create group practices to account for increased corporate dentistry, graduate debt, digitalization, and volume of periodontal procedures performed by GPs.
本调查旨在实现以下三个目标：（1）描述弗吉尼亚州牙周病医生的人口统计学特征及其执业情况；（2）探讨牙周病医生对牙科领域变化（即不断增加的企业牙科、研究生债务、数字化和全科医生[GP]完成的牙周治疗程序数量）对专业的影响的看法；（3）探讨牙周病医生如何调整其实践以适应这些趋势。
向弗吉尼亚州美国牙周病学会（AAP）成员发送了一份电子调查，评估个人和实践人口统计学、治疗模式和实践模式的趋势，并调查牙周病医生计划如何适应这些趋势。弗吉尼亚州拥有大型城市、郊区和农村，使其成为美国整体的一个有利代表。
回复率为 31%（n=46）。大多数受访者（87%）为男性，全职执业（70%）。受访者报告主要在城市（n=19，41%）和郊区（n=24，52%）执业，在农村地区（n=3，7%）执业较少。在当前实践中，受访者报告有更多经验丰富的 GP 转介。牙周病学住院医师后学生债务与年龄显著相关（P 值=0.0002），<40 岁的受访者中有 56%报告学生贷款超过 25 万美元，而≥40 岁的受访者中只有 3%。受访者将生物学进展、种植体周围炎的治疗、数字化牙科的进步、企业和集团实践模式的发展以及在 GP 实践中整合更多牙周服务列为最有可能影响牙周实践的趋势。报告中最常见的实践调整包括扩大现有服务、增加实践中的牙周病医生数量以及与其他专家或 GP 合作创建集团实践。
牙周病医生认为有必要扩大服务、增加实践中的提供者数量或创建集团实践，以应对企业牙科、研究生债务、数字化和 GP 完成的牙周治疗程序数量的增加。
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