在英格兰的NHS牙科的动机
Ella Buckland1, Tom King2, Ryan Barnett2
1Policy and Research, British Dental Association, London, W1G 8YS, United Kingdom. ella.buckland@bda.org.
British dental journal
|September 12, 2025
概括
许多牙医继续NHS牙科由于患者的护理,但经济压力造成冲突. 提供护理的愿望受到不断上升的成本的挑战,这影响了他们对国家卫生服务的承诺.
科学领域:
- 牙科公共卫生 牙科公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康的社会经济决定因素
背景情况:
- 一般牙医 (GDPs) 显示出减少国家卫生服务 (NHS) 承诺和增加私人收入的趋势.
- 尽管有这种趋势,但仍然有大量的牙医从事英格兰NHS牙科.
- 了解NHS工作的持续动机在不断变化的牙科实践环境中至关重要.
研究的目的:
- 探索和确定通用牙科从业人员 (GDPs) 最初加入并继续在英格兰NHS通用牙科服务中工作的主要动机.
- 分析影响牙医在2024-25年期间对NHS牙科的承诺的推拉因素.
主要方法:
- 进行了深入的,在线的,半结构化的定性访谈.
- 参与了英格兰15个GDP的多样化样本.
- 数据收集发生在2024年9月至10月之间.
主要成果:
- 两个核心主题出现了:以患者为中心的动机和工作条件因素.
- 金融压力显著影响国内生产总值,在伦理患者护理和个人财务可行性之间产生冲突.
- 确定了影响牙医决策的推拉因素.
结论:
- 牙医对NHS牙科的承诺是患者护理愿望和个人财务考虑之间的复杂相互作用.
- 虽然服务NHS患者的愿望仍然存在,但提供这种护理的财务可持续性越来越具有挑战性.
- 财务可行性正在成为一个主导因素,可能超过了留在NHS牙科的内在动机.
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