Emrani Reza, Sargeran Katayoun, Grytten Justein, Hessari Hossein
Department of Community Oral Health, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Research Center for Caries Prevention, Dentistry Research Institute and Department of Community Oral Health, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Eur J Dent. 2019 Oct;13(4):535-539. doi: 10.1055/s-0039-1697556. Epub 2019 Dec 31.
It is believed that the payment method to dentists may affect their treatment decisions. Although payment systems may enhance job satisfaction, reduce the costs, and make better treatment decisions, there is little information about how to achieve these objectives. The aim of the present study was to survey the payment methods and the related factors in dental clinics of Tehran.
Using the latest list published by the Iranian Ministry of Health, we visited all dental clinics located in Tehran, and used a checklist to collect the data of the type of management, geographical location of the clinic in Tehran, payment method and its amount, history of payment method changes in the last decade, relationship between the amount of payment and the position of technical supervisor dentist, any difference in the amount of payment to male and female dentists and to young and experienced dentists. Then, the relationship between the amount of payment and the above-mentioned variables was investigated.
The governmental sector tends to use fixed salary methods and the private sector usually uses the fee-for-service (FFS) method. Geographical location, type of management, date of establishment, and having the position of technical supervisor dentist had a significant relationship with the amount of payment. The dentist's gender and years of experience did not have any relationship with the amount of payment.
According to the results of the present study, the method and amount of payment to dentists were related to the date of clinic establishment, having the position of technical supervisor dentist, and geographical location of the clinic. These factors could be considered as the main elements in balancing costs in clinics and improving job satisfaction among dentists.
人们认为向牙医支付报酬的方式可能会影响他们的治疗决策。尽管支付系统可能会提高工作满意度、降低成本并做出更好的治疗决策，但关于如何实现这些目标的信息却很少。本研究的目的是调查德黑兰牙科诊所的支付方式及相关因素。
我们使用伊朗卫生部发布的最新名单，走访了德黑兰所有的牙科诊所，并使用一份清单收集管理类型、诊所在德黑兰的地理位置、支付方式及其金额、过去十年支付方式的变化历史、支付金额与技术主管牙医职位之间的关系、向男女牙医以及年轻和经验丰富的牙医支付金额的差异等数据。然后，研究了支付金额与上述变量之间的关系。
政府部门倾向于采用固定工资方式，而私营部门通常采用按服务收费（FFS）方式。地理位置、管理类型、成立日期以及拥有技术主管牙医职位与支付金额有显著关系。牙医的性别和工作年限与支付金额没有任何关系。
根据本研究结果，向牙医支付报酬的方式和金额与诊所成立日期、拥有技术主管牙医职位以及诊所的地理位置有关。这些因素可被视为平衡诊所成本和提高牙医工作满意度的主要因素。
