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Changes in division of labour and tasks within public dentistry: relationship to employees work demands, health and work ability
Jönköping University, School of Health and Welfare, HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue). Jönköping University, School of Health and Welfare, HHJ, Dep. of Behavioural Science and Social Work. Futurum, Academy for Health and Care, Jönköping County Council, Sweden.
Department of Clinical and Experimental Medicine, Occupational and Environmental Medicine Center, Linköping University, Linköping, Sweden.
Intervention and Implementation Research Unit, Karolinska Institutet, Stockholm, Sweden.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Rehabilitation. Jönköping University, School of Health and Welfare, HHJ. ADULT.
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2016 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 74, no 6, 471-479 p.Article in journal (Refereed) PublishedText
Abstract [en]

Objective: By 2023, fewer dentists are expected in Sweden, at the same time as the demand for dental care is expected to increase. Older people, in particular, are expected to require more dental health than previous generations. To meet this demand, the public sector dentistry in Sweden is moving towards changes in division of labour among dental professionals, including dentists, dental hygienists and dental nurses. However, the impact of this reallocation on the physical and psychosocial wellbeing of employees is unknown. The aim of this study was to compare workplaces with an equal or larger proportion of dental hygienists than dentists (HDH) with workplaces with a larger proportion of dentists than dental hygienists (HD) on the physical and psychosocial work load, musculoskeletal and psychosomatic disorders and sickness presence.

Material: A total of 298 persons employed in the Public Dental Service in a Swedish County Council participated in this study.

Conclusion: The medium large clinics HDH reported 85% of employee’s with considerably more high psychosocial demands compared to employees in medium HD (53%) and large HD (57%). Employees in medium large clinics HDH also reported sleep problems due to work (25%) compared with employees in medium large clinics HD (6%), large clinics HD (11%) and small clinics HDH (3%). Clinic size does not seem to influence the outcome of the HD and HD clinics to any great extent. Of all employees, about 94–100% reported high precision demands and 78–91% poor work postures.

Place, publisher, year, edition, pages
2016. Vol. 74, no 6, 471-479 p.
Keyword [en]
Dentistry employees, psychosocial workload, sickness absence, sickness presence, work organization
National Category
Dentistry Gerontology, specializing in Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hj:diva-31238DOI: 10.1080/00016357.2016.1203023ISI: 000381408200008PubMedID: 27391284ScopusID: 2-s2.0-84978119340OAI: oai:DiVA.org:hj-31238DiVA: diva2:952418
Available from: 2016-08-12 Created: 2016-08-12 Last updated: 2017-01-13Bibliographically approved

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Rolander, BoWagman, PetraLindmark, Ulrika
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HHJ. SALVE (Social challenges, Actors, Living conditions, reseach VEnue)HHJ, Dep. of Behavioural Science and Social WorkHHJ, Dep. of RehabilitationHHJ. ADULTHHJ, Dep. of Natural Science and BiomedicineHHJ. Oral health
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DentistryGerontology, specializing in Medical and Health Sciences

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