In recent decades, comprehensive rationalisations have been implemented in public dentistry in Sweden. How rationalisations affect working conditions, health and production from a long-term perspective has been poorly investigated. This study aims to analyse changes and associations
in dentists' working conditions, health and productivity during a 5-year period. In 2003 and 2008, 65 dentists responded to questionnaires measuring work conditions and health. Treatment times for patients and productivity were tracked in electronic registers. Paired t-tests showed
that the number of treated adult patients per dentist increased, and perceived physical working conditions improved while perceived work control and leadership deteriorated. Structural equation modelling showed that physical factors were important for health and productivity. When assessing
risks in the work environment, there is a need to understand the interaction of effects on working conditions and health due to rationalisations so as to increase the sustainability of production systems.
Practioner Summary: Dentistry in Sweden has undergone considerable change.
Questionnaire surveys with dentists, undertaken in 2003 and 2008, found that the present rationalisations resulted in improved perceived physical working conditions. Aspects of the psychosocial working environment had deteriorated, however. This is a concern as health and workability are important
for workplace efficiency.
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physical working conditions;
Document Type: Research Article
Department of Health and Medicine, National Centre for Work and Rehabilitation, Linköping University, Linköping, Sweden
Department of Sociology and Work Science, University of Gothenburg, Gothenburg, Sweden
MedTech West/School of Engineering, University of Borås, Borås, Sweden
Department of Occupational and Environmental Medicine, Lund University, Lund, Sweden
Department of Computer Science, Linköping University, Linköping, Sweden
September 1, 2013
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