Some factors affecting the standards of radiography in general dental practice
Some factors affecting the standards of radiography in general dental practice
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影响普通牙科诊所放射线摄影标准的一些因素
DOI：
10.1038/sj.bdj.4808866
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发表时间：
1995
影响因子：
2.6
通讯作者：
K. Horner
中科院分区：
文献类型：
--
作者：
L. Szymkowiak;D. Sarll;K. Horner
这项研究有三个目的。第一个是检查立法和教育因素对牙科实践中设施和设备的影响，第二个是找出这些因素和实践规模是否影响标准，第三个是评估技术和其他与处理无关的缺陷在多大程度上导致了口腔内放射照相诊断质量的不足。来自62家诊所的牙医就诊所的规模、放射科的设施和设备，以及员工的相关更新、培训和教育情况，提交了问卷。评估了11个诊所样本中305张x光片的质量。10个良好放射学规范的例子被用来评估一般规范中的标准。“良好实践得分”范围从2（两次实践）到10（一次实践），平均为6.2分。校长参与推荐教育活动的执业医师得分高于未参与推荐教育活动的执业医师得分（P < 0.05），两位及两位以上牙医执业医师的平均得分高于单手执业医师（P < 0.05）。在305张x光片中，没有使用标准评估的牙医拒绝了13.8%；用标准剔除39.3% （P < 0.05）。研究者拒收率为63.9% （P < 0.05）。所有的薄膜都是在受控条件下加工的，在正常的加工条件下，废品率可能会更高。结论是，使用标准来评估放射摄影和接受研究生的机会，特别是对单手从业人员，将改善放射摄影的行为。通过将更新的课程和材料面向行为改变，可能会取得进一步的改进
This study had three aims. The first was to examine the influence of legislative and educational factors on facilities and equipment in dental practices, the second to find out if these and practice size affected standards and the third to assess the degree to which technique and other faults not connected with processing accounted for inadequate diagnostic quality in intra-oral radiography. Dentists from 62 practices returned questionnaires about the sizes of their practices, facilities and equipment for radiography and relevant updating, training and education of their staff. The quality of 305 radiographs taken in a sample of 11 practices was assessed. Ten examples of good radiographic practice were used to evaluate standards in the general practices. The 'good practice score' ranged from 2 (two practices) to 10 (one practice) with a mean of 6.2. Practices whose principals had engaged in the recommended educational activities scored more highly than those that had not (P < 0.05), and the mean scores in practices of two or more dentists were higher than in single-handed (P < 0.05). Of the 305 radiographs, the dentists, without the use of criteria to assess them, rejected 13.8%; with criteria they rejected 39.3% (P < 0.05). The researcher rejected 63.9% (P < 0.05). All films were processed under controlled conditions and it is likely that reject rates would have been higher under normal processing conditions. It is concluded that the use of criteria to assess radiographs and acceptance of postgraduate opportunities, particularly by single-handed practitioners, would improve the conduct of radiography. Further improvements might be gained by orienting updating courses and materials towards behavioural change