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Rationalisation in public dental care - impact on clinical work tasks and mechanical exposure for dentists - a prospective study

Jonker, D. ; Rolander, B. ; Balogh, Istvan LU ; Sandsjo, L. ; Ekberg, K. and Winkel, J. (2013) In Ergonomics 56(2). p.303-313
Abstract
Swedish dentistry has been exposed to frequent rationalisation initiatives during the last half century. Previous research has shown that rationalisation often results in increased risk of developing work-related musculoskeletal disorders, thus reducing sustainability in the production system. In this prospective study, we assessed mechanical exposures among Swedish dentists in relation to specific rationalisations of clinical dental work during a six-year period. Body postures and movements of 12 dentists were assessed by inclinometry synchronised to video recordings of their work. No rationalisation effects could be shown in terms of a reduction in non-value-adding work (waste'), and at job level, no major differences in mechanical... (More)
Swedish dentistry has been exposed to frequent rationalisation initiatives during the last half century. Previous research has shown that rationalisation often results in increased risk of developing work-related musculoskeletal disorders, thus reducing sustainability in the production system. In this prospective study, we assessed mechanical exposures among Swedish dentists in relation to specific rationalisations of clinical dental work during a six-year period. Body postures and movements of 12 dentists were assessed by inclinometry synchronised to video recordings of their work. No rationalisation effects could be shown in terms of a reduction in non-value-adding work (waste'), and at job level, no major differences in mechanical exposure could be shown between baseline and follow-up. Conclusion: The present rationalisation measures in dentistry do not seem to result in rationalisation at job level, but may potentially be more successful at the overall dental system level. Practitioner summary: In contrast to many previous investigations of the mechanical exposure implications of rationalisation, the present rationalisation measures did not increase the level of risk for dentists. It is highlighted that all occupations involved in the production system should be investigated to assess production system sustainability. (Less)
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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
loss analysis, sustainable production system, inclinometry, video, analysis
in
Ergonomics
volume
56
issue
2
pages
303 - 313
publisher
Taylor & Francis
external identifiers
  • wos:000315155000013
  • scopus:84876226931
ISSN
0014-0139
DOI
10.1080/00140139.2012.760751
language
English
LU publication?
yes
id
4ae88575-e7a3-44c9-9bf8-423b90dca511 (old id 3674595)
date added to LUP
2016-04-01 11:11:30
date last changed
2022-04-28 07:55:24
@article{4ae88575-e7a3-44c9-9bf8-423b90dca511,
  abstract     = {{Swedish dentistry has been exposed to frequent rationalisation initiatives during the last half century. Previous research has shown that rationalisation often results in increased risk of developing work-related musculoskeletal disorders, thus reducing sustainability in the production system. In this prospective study, we assessed mechanical exposures among Swedish dentists in relation to specific rationalisations of clinical dental work during a six-year period. Body postures and movements of 12 dentists were assessed by inclinometry synchronised to video recordings of their work. No rationalisation effects could be shown in terms of a reduction in non-value-adding work (waste'), and at job level, no major differences in mechanical exposure could be shown between baseline and follow-up. Conclusion: The present rationalisation measures in dentistry do not seem to result in rationalisation at job level, but may potentially be more successful at the overall dental system level. Practitioner summary: In contrast to many previous investigations of the mechanical exposure implications of rationalisation, the present rationalisation measures did not increase the level of risk for dentists. It is highlighted that all occupations involved in the production system should be investigated to assess production system sustainability.}},
  author       = {{Jonker, D. and Rolander, B. and Balogh, Istvan and Sandsjo, L. and Ekberg, K. and Winkel, J.}},
  issn         = {{0014-0139}},
  keywords     = {{loss analysis; sustainable production system; inclinometry; video; analysis}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{303--313}},
  publisher    = {{Taylor & Francis}},
  series       = {{Ergonomics}},
  title        = {{Rationalisation in public dental care - impact on clinical work tasks and mechanical exposure for dentists - a prospective study}},
  url          = {{http://dx.doi.org/10.1080/00140139.2012.760751}},
  doi          = {{10.1080/00140139.2012.760751}},
  volume       = {{56}},
  year         = {{2013}},
}