Justification for a Public Dental Service: Finnish, Norwegian and Swedish Experiences
نویسندگان
چکیده
Aim: The aim of this survey was to study the rationale for maintaining a public dental service (PDS) in Finland, Norway and Sweden, and to confirm its current responsibilities, resources, leadership, incentives used and desired changes. Methods: Postal questionnaires were sent to the chief dental managers in the PDS in Finland (n=30), Norway (n=27) and Sweden (n=26). Data were analysed using statistical software. Chi-square tests were used to compare differences in distribution between groups and Spearman’s correlation analysis to study relationships between variables. The statistical significance level was set at 5%. Results: The response rate was 76.6%. All but two respondents were in favour of maintaining the PDS because of its responsibility for populations, ability to increase equity in access, and its beneficial influence on private practice. Most Swedish respondents (70.4%) were satisfied with the financial resources allocated to the PDS compared with only 22-23% of the Norwegian and Finnish respondents (P<0.001). In spite of this, the majority of the respondents felt that their opportunities to lead were good. Good salary with bonuses together with good work environment and the possibility of further education and skill development were the most usual incentives used in the PDS. A shortage of dentists and difficulties in recruiting them, especially in rural and remote areas, had become a big problem in all three countries. Conclusions: Overall, the Nordic chief dental managers who responded to this survey supported the continuing provision of oral health care by PDS. They felt that the professional staff of the PDS should be financially rewarded for productivity through an individualised incentive scheme and that more clinical work should be shared between the members of the dental team.
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تاریخ انتشار 2009