Fundamental changes have occurred in dental services for children in Israel that are likely to affect workforce needs for dental hygienists. The aim of this study was to describe the employment situation and job satisfaction of a sample of dental hygienists in Israel, to estimate associated variables, and to discuss corresponding possible implications for training programs after these changes. An e‐mailed questionnaire sent to all dental hygienists in the Israeli Dental Hygienists Association list included questions about respondents' demographic background, years of experience, working hours, desire to work in an alternative occupation, and sense that they were valued within the dental community. The response rate was 20.7 percent. The responses showed that dental hygienists worked, on average, in 2.11 different working venues, 23.64 hours/week, and 12.34 hours in the private sector. Almost 63 percent of the respondents were willing to add working hours as a dental hygienist, preferably in the private sector. Also, 38.2 percent of the respondents worked in an extra non‐dental hygienist job (mean=7.05 hours/week). These dental hygienists reported a high level of job satisfaction. After regression analysis, a high number of working venues, years of experience, and hypothetically choosing again to be a dental hygienist were found to be significant indicators of job satisfaction (R2=0.491). It is important that dental hygienists be satisfied and willing to expand their activities. Legislative changes may require reorientation and refocusing of dental hygiene education programs.
Background: Demographic, professional, and emotional symptoms have been associated with higher risk for burnout reaction among health professionals. The current study focused on three groups of military health professionals: physicians, dentists, and mental health officers. The aims of this study included examining burnout indices characterizing three health professional groups, seeking associations between mental burnout subscales (job demands and social support), and testing the mediating impact of job demands and social support on burnout indices of military health professionals Methods: A cross-sectional study design was conducted with 166 military health professionals. Respondents completed Maslach Burnout Inventory (MBI), which examines emotional exhaustion, depersonalization and personal accomplishment, the Job Demands Questionnaire, Multidimensional Perceived Social Support (MPSS), and a demographic questionnaire.Results: Women, in comparison with men, reported greater social support and reported being significantly more assisted by others. Married participants and participants in a relationship, in comparison with singles, reported receiving greater support. Physicians reported higher levels of burnout. Burnout and job demands scales were strongly and positively correlated. Finally, using structural equation modeling we demonstrated that social support mediated the links between gender and family status on job demands.Conclusions: Therapeutic and supportive resources, such as professional supervision and peer group support should be offered to physicians, who are at particular risk for burnout response. Future studies should examine other health professionals in the army, such as nurses and paramedics, to better understand their responses to stress-related situations.
Pain evaluation in large community studies is difficult. Analgesics can be a useful tool in estimating pain-related conditions in which analgesic use is highly regulated. In this study, we evaluated analgesics consumption patterns of regular Israel Defense Force soldiers. We have performed a historical cohort study of 665,137 young adults during active duty in 2002 to 2012. Analgesics were prescribed to 518,242 (78%) soldiers, mostly for musculoskeletal pain (69.3%), abdominal pain (12.7%), and headache (12.1%). Acute (1-14 days), subacute (15-90), and chronic (>90 days) analgesic use episodes were experienced by 396,987 (59.7%), 74,591 (11.2%), and 46,664 (7%) of the population. In a multivariate model, predictors for chronic analgesics use were as follows: low intelligence, service in a combat supporting unit, previous pain diagnosis, male sex, Israeli nativity, low socioeconomic status, and high body mass index. Low intelligence had the highest odds ratio for chronic analgesic consumption (2.1) compared with other predictors. Chronic analgesic use was associated with a significant increase in health care utilization cost per year (911$ per soldier vs 199$ for nonusers), increased sick leave days per year (7.09 vs 0.67 for nonusers), and higher dropout rate from combat units (25% vs 9.2% for nonusers). Chronic use of analgesics is common among young adults, and it is an important predictor for unsuccessful military service and high health care utilization costs. Further studies in other setups are indicated.
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