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高高屏澎牙醫助理的工作項目調查

The Investigation of Work Contents on Dental Assistants in Kaohsiung, Pingtung, and Penghu Areas

摘要


台灣目前在口腔衛生照護方面有重大的變動,包括口腔健康法實施、衛生署口腔醫學委員會成立、口腔衛生學系設立等,顯示口腔照護工作正邁向團隊醫療的方式,因此需要相關牙醫輔助人員的工作資料做為政策制定與教學參考。本研究針對高高屏澎地區所有的牙醫助理於2003年10月至2004年2月之間藉由電話訪問及郵寄問卷的方式,旨在調查牙醫助理的工作內容。本研究回覆問卷的牙醫助理有710位,樣本特性為女性(99.6%)、高中職以下學歷(51.5%)、21-25歲年齡層(46.6%)、專職(84.6%)居多。牙醫助理目前為患者所做的服務項目中,有多項是國外受過訓練且有政府認證登記的牙科衛生士才能做的工作內容,例如:印取牙模、排齦、傷口拆線、潰瘍塗藥、傷口換藥、臨時假牙製作、溝隙封填、牙套重黏、塗氟化物、裝置及移除橡皮帳和矯正環、拍攝X光片、清除牙結石、移除暫時封填劑、暫時填補等,但國內法規尚未確立牙醫助理的工作範圍,這值得政府及牙醫界人士關注。

並列摘要


There has been significant change in the oral health-care system in Taiwan, including Oral Health Act practice, the Department of Health of the Executive Yuan established a Committee on Dental Medicine, and the set-up of the dental hygiene schools. It's reveal that the style of oral care is stepping in a form of dental teamwork. Therefore, informational databases of dental auxiliaries are needed to build up the related law and the educational system. The purpose of this study is to investigate the work content in order to provide a reference and suggestions. These dental assistants were contacted by phone prior to getting the survey. Mailing questionnaires to dental assistants in Kao-hsiung, Ping-tung and Peng-hu areas during Oct. 2003 to Feb. 2004 performed the survey. 710 dental assistants participated in this study. There was 99.6% participates were female, below high school degree were 51.5% the age groups of 21-25 were 46.6% and full-time staff were84.6%. A large amount of work included items such as : taking impressions, gingival retractions, application over ulcerations, wound dressing, removing sutures, temporary prosthesis fabrication, pit and fissure sealants, re-cementing crowns, applying fluoride, placing or removing rubber dams and orthodontic bands, taking X-rays, removing calculus, removing temporary restorations, and temporary fillings, which were also the duty of dental hygienists in other countries who were certified and trained under the law in their countries, but there are no rules or policy to confirm the duties of dental assistants. It's important for our government and dentists to take matters seriously.

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