Reasons That Dutch Dentists and Dental Hygienists Oppose or Support an Extended Scope of Practice for Dental Hygienists

Jan J Reinders, Wim P Krijnen, Katarina Jerković-Ćosić, Merlijn Lycklama À Nijeholt, Marjolein Ag van Offenbeek, Boudewijn Stegenga, Cees P van der Schans

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

BACKGROUND: In the Netherlands, the scope of dental hygiene practice was expanded in 2006. The objective of this study was to explore reasons among dentists and dental hygienists for supporting or opposing an extended scope of practice and to find explanatory factors.

METHODS: A questionnaire containing pre-defined reasons and an open-ended question was distributed among 1,674 randomly selected members of two Dutch professional associations (874 dentists, 800 dental hygienists). Data were analyzed with binary logistic regression with Bayesian information criterion (BIC) model selection.

RESULTS: Response were obtained from 541 practitioners (32.3%): i.e., 233 dentists (43.1%) and 308 dental hygienists (56.9%). Non-response analysis revealed no differences, and representativeness analysis showed similarities between samples and target populations. Most often, dentists reported flexible collaboration (50.2%) and dental hygienists indicated task variation (71.1%) as supportive reasons. As opposing reasons, dentists generally reported quality of care (41.2%) and dental hygienists' self-competence (22.7%). Reasons were explained by profession, gender, and new-style practitioners.

CONCLUSION: Dentists and dental hygienists conveyed different reasons for supporting or opposing an extended scope of dental hygiene practice. Outcomes can be categorized as reasons related to economic, professional status, quality, job satisfaction, and flexible collaboration and are not only explained by profession.

Original languageEnglish
Pages (from-to)255-264
Number of pages10
JournalJournal of allied health
Volume47
Issue number4
Publication statusPublished - 2018

Keywords

  • Adult
  • Attitude of Health Personnel
  • Dental Hygienists/psychology
  • Dentists/psychology
  • Female
  • Humans
  • Job Satisfaction
  • Logistic Models
  • Male
  • Middle Aged
  • Practice Guidelines as Topic
  • Professional Practice
  • Surveys and Questionnaires

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