台灣地區牙技師對牙醫診所與牙體技術所溝通成效之觀點

Taiwan dental technicians ’views on the efficacy of clinical –laboratory communication.

姜明興(Ming-Hsing Chiang)

指導教授 ： 陳弘森

高雄醫學大學/口腔醫學院/口腔衛生科學研究所碩士在職專班/碩士(2013年)

https://doi.org/10.6832/KMU.2013.00037

摘要

研究背景：
中華民國98年1月23日，總統府頒布牙體技術師法，依法規定從事牙體技術工作者，須通過中華民國牙體技術師或牙體技術生國家考試及格，才能製作牙科補綴物。這意味牙體技術學的專業性及重要性已逐受重視，然而，一個補綴物的成功與否往往取決於牙醫師與牙技師之間的配合默契，而一個完善的牙科治療，更需要由一個好的團隊共同達成，因此成員之間應有良好的溝通，並相互分享知識及技術交流，才能有效節省牙醫師、牙技師及患者的時間、成本與精力。

研究目的：
本研究目的在於:
1.以牙技師的觀點來探討牙技師與牙醫師之間溝通的品質與態度。
2.發掘牙技師與牙醫師溝通時的常見問題。
3.探討牙技師的人口學變項、背景變項、個人因素、以及環境因素，可作為牙技師與牙醫師之間溝通品質與態度的影響因子。

研究方法：
自民國101年12月至102年1月期間，針對全國各縣市牙體技術師公會會員，共計975人，以郵寄問卷方式，調查現今台灣地區牙技師與牙醫師之間溝通的成效。問卷回覆結果使用SPSS 19.0版統計軟體建檔並加以分析。使用描述性分布狀況，探討牙技師與牙醫師之間溝通的品質與態度。以卡方檢定及線性回歸分析來探討牙技師人口學變項、牙技所背景變項，對於牙技師與牙醫師溝通態度之關係。

結果：
回覆問卷共有167份(回覆率17.4%)。71.3%的牙技師認為收到指示單的品質為偶爾不清楚；基本資料與製作內容中最常遺漏的項目分別是病人的性別(40.1％)與模型附帶零件指示(26.3％)。當指示單內容不清楚時，86.2％的牙技師採用電話與牙醫師做確認。當電話討論有不解時，82.6%的牙技師會以積極的態度加以確認。牙技師所提出給牙醫師的建議事項，多數(65.8%)得到的回應是正面的。牙技師的溝通態度，與年齡、職位與薪資收入有相關，其中年齡為顯著相關因子。

結論：
牙科指示單是牙技師與牙醫師溝通的重要工具，在本研究限制下，透過回覆的牙技師的觀點，顯示國內大部分指示單的內容書寫是偶爾不清楚的，如同國外已發表文獻，仍有進步改善的空間。牙技師的年齡為影響溝通態度的相關因子，如何提升年輕牙技師專業能力及溝通技巧為未來牙體技術學教育發展的方向之一。

關鍵字

牙體技術師 ； 牙醫師 ； 牙科指示單 ； 溝通

並列摘要

Background：
The Republic of China Presidential Office has enacted the Dental Technicians Act on 23 January 2009. To comply with the statements, it has been necessary for all dental technology workers to pass the national examination of either dental technologist or dental technician. Dental devices should be manufactured by certified dental laboratory technicians. This means the profession and the importance of dental technology have been emphasized in recent years. However, the provision of a successful prosthesis depends upon the cooperation between the dentist and dental technician. A good dental care is delivered by a dental team which should communicate effectively and share its knowledge and skills with other team members. This would eventually save time, costs and effort for the dentist technician, and the patient.
Study objective
The aim of this study was to investigate:
1. The quality and attitudes of communication between dentists and
dental technicians from the dental technician’s perspectives.
2. The common problems during communication between dentist and dental technician.
3. How do demographic variables, background variables, personal factors, and environmental factors affect the quality and attitudes of communication between dentists and dental technicians.
Methods：
From December 2012 to January 2013, a postal questionnaire was sent to 975 members of all county (city) Dental Technicians Associations to investigate the contemporary effectiveness and attitudes of communication between dentist and dental technician. Data from the questionnaires received were collected and analyzed by SPSS19.0 software. Descriptive statistics are reported on the quality and attitudes of communication between dentists and dental technicians. Chi-square test and Linear regression was conducted to assess what demographic variables and dental laboratory background variables affect the attitudes of communication between dentists and dental technicians .

Results：
A total of 167 completed questionnaires were returned (response rate 17.4%). 71.3% of dental technicians considered that the quality of received prescriptions was occasionally unclear. The most commonly missed information relating to basic data and design instructions were the gender of the patient (40.1%) and instructions for the attached component (26.3％), respectively. When prescription is unclear, 86.2% of the dental technicians would use telephone to confirm. When there is a puzzling during phone discussion, 82.6% of the dental technician would confirm again with a positive attitude. When dental technicians give suggestions to dentists, most (65.8%) of the response were encouraged. Technicians’ age, position and salary income were associated with attitudes in communication, with age being the most significant factor.
Conclusion：
Dental prescription is an important tool for communication between dentists and dental technicians. Within the limits of this study, based on the views of responding dental technicians, the study shows that most of the prescription quality in our country is occasionally unclear, as the published literature abroad, there is still some space to improve. Dental technicians’ age is a related-factor affecting the attitude of communication. How to prepare young technicians with more professional ability and communication skills is one of the development directions in dental technology education in the future.

並列關鍵字

Dental technician ； Dentist ； dental prescription ； communication

參考文獻

∼參考文獻∼

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