Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Jeonbuk National University, Jeonju, Republic of Korea; Research Institute of Clinical Medicine of Jeonbuk National University, Jeonju, Republic of Korea; Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju, Republic of Korea; Faculty of Odonto-Stomatology, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam.
Faculty of Odonto-Stomatology, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam.
Int Dent J. 2021 Oct;71(5):369-377. doi: 10.1016/j.identj.2020.12.018. Epub 2021 Feb 19.
Because of the heterogeneous nature of the evidence regarding dentists' job satisfaction, an overview was necessary to examine dentists' level of job satisfaction and to determine related work environmental factors.
A literature search was conducted using preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Electronic database searches of PubMed/MEDLINE, EMBASE, and Web of Science were performed until March 1, 2020. Two independent authors collected data and assessed the methodological quality of primary studies using the Newcastle Ottawa Scale.
Nine studies were included from the 1987 initially retrieved. Among the included studies, 5 exhibited a neutral level of satisfaction and originated from China, South Korea, Egypt, and the United States, and 3 studies from Canada, Lithuania, and the United States showed a high level of satisfaction. Only 1 study did not report the mean job satisfaction score. According to bias evaluation, 9 studies were considered low risk.
The findings showed that dentists were satisfied with their jobs at a moderate to high level, and specialists were more satisfied than general dentists. Regarding work environmental factors, the 6 most satisfied factors were patient relationships, respect, delivery of care, staff, professional relationship, and professional environment. Five of the least satisfied factors were personal time, stress, income, practice management, and professional time. However, longitudinal studies would be required to identify changes in these factors. Further studies should be performed in middle- and low-income countries using the Dentist Satisfaction Survey, including stress evaluation.
由于有关牙医工作满意度的证据存在异质性,因此有必要进行系统评价综述,以检查牙医的工作满意度水平,并确定相关的工作环境因素。
按照系统评价和荟萃分析的首选报告项目(PRISMA)指南进行文献检索。对 PubMed/MEDLINE、EMBASE 和 Web of Science 电子数据库进行了搜索,检索时间截至 2020 年 3 月 1 日。两名独立作者使用纽卡斯尔-渥太华量表(Newcastle Ottawa Scale)收集数据并评估原始研究的方法学质量。
从最初检索到的 1987 篇文献中纳入了 9 项研究。在纳入的研究中,有 5 项研究显示出中性的满意度水平,来自中国、韩国、埃及和美国,而来自加拿大、立陶宛和美国的 3 项研究则显示出高度的满意度。只有 1 项研究未报告平均工作满意度得分。根据偏倚评估,9 项研究被认为风险较低。
研究结果表明,牙医对其工作的满意度处于中等至高水平,专家比全科牙医更满意。关于工作环境因素,最满意的 6 个因素是医患关系、尊重、提供医疗服务、员工、专业关系和专业环境。最不满意的 5 个因素是个人时间、压力、收入、诊所管理和专业时间。然而,需要进行纵向研究以确定这些因素的变化。应该使用牙医满意度调查(包括压力评估)在中低收入国家进一步开展研究。