Differding-Beatty L A, Boyer E M
College of Dentistry, The University of Iowa, Iowa City, USA.
J Dent Hyg. 1994 Sep-Oct;68(5):221-7.
This study investigated Iowa dental hygienists' perceptions about education, practice, and licensure regarding issues related to self-regulation. Furthermore, it was the purpose of the study to determine if these perceptions were statistically related to membership in the American Dental Hygienists' Association (ADHA).
In October 1992, 150 Iowa dental hygienists were randomly selected to participate in a mail survey. The questionnaire included items on self-regulation, licensure, practice, supervision, delivery systems, and independent practice. Responses were analyzed by frequency distributions and the chi-square statistic.
Ninety responses were received, representing 80% of the 112 subjects with valid Iowa addresses, but only 60% of the selected sample. Of the 36 variables analyzed, only two were statistically significantly different by ADHA membership. Thus, data were combined and reported for all respondents. The majority of Iowa dental hygienists (71.6%) believed dental hygiene was pursuing self-regulation to improve quality of care. They wanted more dental hygiene representation on licensure boards and almost 50% wanted separate boards. The majority of respondents favored control of dental hygiene practice and 70% wanted alternatives to the current dental hygiene care delivery system. Most respondents stated general supervision and independent practice would increase access to oral healthcare without increasing patients' risk of health problems.
The majority of Iowa dental hygienists support the dental hygiene profession's goal of self-regulation. ADHA members and nonmembers have similar attitudes and opinions about dental hygiene self-regulation, licensure, delivery systems, and practice.
本研究调查了爱荷华州牙科保健员对与自我监管相关问题的教育、实践和执照颁发的看法。此外，本研究的目的是确定这些看法是否与美国牙科保健员协会（ADHA）的会员资格存在统计学关联。
1992年10月，随机挑选150名爱荷华州牙科保健员参与邮寄调查。问卷包括关于自我监管、执照颁发、实践、监督、服务提供系统和独立执业的项目。通过频率分布和卡方统计量对回复进行分析。
收到90份回复，占112名在爱荷华州有有效地址受试者的80%，但仅占所选样本的60%。在分析的36个变量中，只有两个因ADHA会员资格存在统计学显著差异。因此，对所有受访者的数据进行合并并报告。大多数爱荷华州牙科保健员（71.6%）认为牙科保健正在寻求自我监管以提高护理质量。他们希望在执照颁发委员会中有更多牙科保健代表，近50%的人希望设立单独的委员会。大多数受访者赞成对牙科保健实践进行管控，70%的人希望替代当前的牙科保健服务提供系统。大多数受访者表示，一般监督和独立执业将增加获得口腔医疗保健的机会，而不会增加患者出现健康问题的风险。
大多数爱荷华州牙科保健员支持牙科保健行业自我监管的目标。ADHA会员和非会员对牙科保健自我监管、执照颁发、服务提供系统和实践有着相似的态度和观点。
