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Changes in division of labour and tasks within public dentistry: relationship to employees work demands, health and work ability
Jonköping County Council, Sweden; Jonköping University, Sweden.
Linköping University, Department of Clinical and Experimental Medicine. Region Östergötland, Heart and Medicine Center, Occupational and Environmental Medicine Center. Linköping University, Faculty of Medicine and Health Sciences. Karolinska Institute, Sweden.
University of Queensland, Australia.
Jonköping University, Sweden.
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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) Published
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 employees 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
TAYLOR & FRANCIS LTD , 2016. Vol. 74, no 6, 471-479 p.
Keyword [en]
Dentistry employees; psychosocial workload; sickness absence; sickness presence; work organization
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:liu:diva-131720DOI: 10.1080/00016357.2016.1203023ISI: 000381408200008PubMedID: 27391284OAI: oai:DiVA.org:liu-131720DiVA: diva2:1010224
Available from: 2016-10-03 Created: 2016-09-30 Last updated: 2017-11-30

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Wåhlin, Charlotte
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Department of Clinical and Experimental MedicineOccupational and Environmental Medicine CenterFaculty of Medicine and Health Sciences
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