Social and professional identification of dentists in Bulgaria by the late 90th.
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Дата
1999-09-04
Автори
Катрова, Лидия // Katrova, Lydia
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The purpose of the study was to determine the influence of the radically changing social environment in Bulgaria (1989-1997) on the socio-professional identification of dentists and its impact on the dental profession.. Methods: A sociological investigation was carried out involving a sample of 842 dentists (12%) from the total of 7129 dentists, working as follows: 42% in the salaried public sector, 30% in mixed setting - public sector and private practice and 28% - entirely in private practice. Questionnaire completed by 86% of the interviewed was focused on: 1.The structure of the Oral Health Service; 2.The professional profile of dentists; 3.The professional and social mobility of dentists; 4. The attitudes of dentists towards the current state of Dental education and Dental Service. The data had been treated statistically using SPSS package including Cramer test, alternative analyses (U-test), X sq. with p<0,05 and n=1,96. The level of satisfaction had been assessed according to the type of practice. The verbal answers were treated using content analysis. Results: Almost all dentists had started their career as salaried, but 43% left the public sector immediately after the legislative changes (V=0,434) and > 50% now were working under private contracts (0,494). Most of dentists work 5 days in the week - 90% (V=0,275), 6-7 hours per diem (V=0,546) and go in holiday usually for 3 weeks. They work mostly as general practitioners (V-0,264), only 25% of salaried, 17% of mixed and 12,6% of private practices deliver exclusively specialized care (V=0,682). 35% of dentists would spend 1-3% of their annual income and up to 2 weeks for continuing education (0,237). Private practitioners showed the highest level of satisfaction with their profession (97%) versus 80% of salaried dentists. The majority valued the quality of undergraduate dental education (74%), but only 25% considered postgraduate education and vocational training to be very good. Conclusions: We conclude that the dentists in Bulgaria by the late 90th tend to identify themselves as liberal practitioners within the pluralistic model of oral health care delivery which influences their expectations for an adecuate dental education.
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Ключови думи
dental professionals; dental education; social mobility of dentists; oral health services` reform; private practice;
Цитирания
Poster: Katrova, L. Social and professional identification of dentists in Bulgaria by the late 90th. Impacts on Dental Education, 25 Annual Meeting of the Association for Dental Education in Europe (ADEE). Milan, Italy, 02-04. 09. 1999, 62.