歯科医師および歯科衛生士数と歯科診療所で担うことのできる診療内容との関連(平成24年新潟県歯科医療機能連携実態調査より)  [in Japanese] Association between the Numbers of Dentists/Dental Hygienists Working in Dental Clinics and Their Service Contents -From the Survey on the Cooperation of Dentistry Medical Function in Niigata-  [in Japanese]

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Author(s)

    • 皆川 久美子 MINAGAWA Kumiko
    • 新潟大学大学院医歯学総合研究科予防歯科学分野 Division of Preventive Dentistry, Department of Oral Health Science, Niigata University Graduate School of Medical and Dental Sciences
    • 葭原 明弘 YOSHIHARA Akihiro
    • 新潟大学大学院医歯学総合研究科口腔保健学分野 Division of Oral Science for Health Promotion, Department of Oral Health and Welfare, Niigata University Graduate School of Medical and Dental Sciences
    • 佐藤 美寿々 SATO Misuzu
    • 新潟大学大学院医歯学総合研究科予防歯科学分野 Division of Preventive Dentistry, Department of Oral Health Science, Niigata University Graduate School of Medical and Dental Sciences
    • 清田 義和 SEIDA Yoshikazu
    • 新発田地域振興局健康福祉環境部 Shibata Regional Development Bureau, Health and Welfare Environment Department
    • 宮﨑 秀夫 MIYAZAKI Hideo
    • 新潟大学大学院医歯学総合研究科予防歯科学分野|明倫短期大学歯科衛生士学科 Division of Preventive Dentistry, Department of Oral Health Science, Niigata University Graduate School of Medical and Dental Sciences|Department of Dental Hygiene and Welfare, Meirin College

Abstract

<p> 高齢化が進み,有病者への対応や医療連携体制の必要性が高まる現在,診療所は一次医療機関として,多岐にわたる患者への対応および地域における多職種連携等が求められている.本調査の目的は,新潟県の診療所に勤務する各業種の従事状況と,診療所で担える診療内容の関連について評価することである.</p><p> 平成24年8月1日現在,新潟県で開設されている県内すべての歯科診療所(1,186施設)を対象に調査を行い,平成24年7月の1カ月間の実施状況について,質問紙による調査で回答を得た,欠損値のない950施設を分析対象とした.診療所に勤務している歯科医師数あるいは歯科衛生士数を説明変数とし,歯科業務補助者数,技工士数,事務職数を共変量に在宅歯科医療サービスの実施状況についてロジスティック回帰分析,障害者および摂食嚥下指導への対応状況については順序ロジスティック回帰分析を行った.</p><p> その結果,歯科衛生士数のみと関連がみられたのは在宅歯科医療サービス,施設への歯科訪問診療,訪問歯科衛生指導,障害者への対応(それぞれ調整済オッズ比〔95%信頼区間〕=1.12〔1.03–1.23〕,1.11〔1.01–1.23〕,1.31〔1.16–1.47〕,1.27〔1.16–1.40〕)であった.一方,摂食嚥下指導への対応については歯科医師数(1.24〔1.04–1.48〕)とのみ関連がみられた.</p><p> 診療所の多岐にわたる患者への対応や病診連携を推進するには,まずは歯科医師の意識向上が前提であり,それを基に診療所における歯科医師および歯科衛生士の人材確保が必要である.</p>

<p> With advanced aging, there are growing demands for the management of sick persons and medical liaison systems. In such a situation, clinics are expected to play roles as primary medical institutions, such as dealing with diverse patients and promoting community-based multi-professional collaboration. To clarify the association between the statuses of different types of professionals working in dental clinics and their service contents, a questionnaire survey was conducted, involving all dental clinics in Niigata Prefecture (1,186 as of August 1, 2012), along with examination of their service provision in July of the same year. Among these clinics, 950 that responded to the questionnaire without missing values were analyzed. With the number of dentists or dental hygienists working in the study clinics as an explanatory variable and those of dental assistants and clerks as covariances, logistic regression analysis was performed to analyze the contents of home dental care services. Ordered logistic regression analysis was also used to examine the management of patients with disabilities and the provision of feeding/swallowing guidance.</p><p> The items only associated with the number of dental hygienists were home dental care services, visits to care facilities, dental hygiene guidance for care facilities, and the management of patients with disabilities (adjusted odds ratio [95% confidence interval]=1.12 [1.03-1.23], 1.11 [1.03-1.23], 1.31 [1.16-1.47], and 1.27 [1.16-1.40], respectively). The provision of feeding/swallowing guidance was only associated with the number of dentists (1.24 [1.04-1.48]).</p><p> In order to promote the management of diverse patients in dental clinics and their liaison with hospitals, it may be necessary to enhance dentists' awareness as a premise and basis for ensuring sufficient numbers of dentists and dental hygienists working in such clinics.</p>

Journal

  • JOURNAL OF DENTAL HEALTH

    JOURNAL OF DENTAL HEALTH 69(1), 10-18, 2019

    Japanese Society for Oral Health

Codes

  • NII Article ID (NAID)
    130007593070
  • NII NACSIS-CAT ID (NCID)
    AN00081407
  • Text Lang
    JPN
  • ISSN
    0023-2831
  • NDL Article ID
    029499929
  • NDL Call No.
    Z19-144
  • Data Source
    NDL  J-STAGE 
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