Abstract

Dental hygienists are in high demand due to insufficient workforce and a lack of an effective reinstatement support system. We investigated the reasons for willingness to work by analyzing the survey results of the employment status of Japanese dental hygienists conducted by Japan Dental Hygienists’ Association. In total, we mailed 16,113 questionnaires to all members of the association (response rate 53.4%). We carried out statistical analysis to determine the specific items to improve the hygienists’ working environment. Fourteen factors of working conditions that they wish to improve were determined. Structural equation modeling showed that a path, “Reduction of work volume”, “Reduction of working hours” and “Increased number of holidays” were higher than other items. A decision analysis demonstrated that most of the respondents answered “Yes” to “Improvement in working conditions including higher salary” out of those who answered, “Strongly disagree” for “Do you feel that dental hygienist work is rewarding?”. Improving workplace environment is integral to keeping high levels of work motivation and a low turnover rate. Most of the hygienists wish for a salary raise among all the conditions. The transition from conventional work styles to non-conventional flexible working patterns is needed.

Highlights

  • Japan has an aging rate of 28.4% in 2019 and is categorized as a super-aged society.The share of elderly generation of the total population is expected to continue growing [1].Dental hygienists play an important role in the extended dental healthcare service [2]

  • The demand for dental hygienists has been rapidly increasing in Japan, this demand is not met due to insufficient workforce of dental hygienists and a lack of effective reinstatement support systems

  • Two items concerning motivation of Japanese dental hygienists: “Do you feel that dental hygienist work is rewarding?”, “Do you wish to continue working as a dental hygienist?” and eight other items related to attractive points of the work were selected for analysis

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Summary

Introduction

Japan has an aging rate of 28.4% in 2019 and is categorized as a super-aged society.The share of elderly generation of the total population is expected to continue growing [1].Dental hygienists play an important role in the extended dental healthcare service [2]. Japan has an aging rate of 28.4% in 2019 and is categorized as a super-aged society. The share of elderly generation of the total population is expected to continue growing [1]. Dental hygienists play an important role in the extended dental healthcare service [2]. As growing number of seniors are aware of the importance of oral well-being and avoiding getting frail, far-reaching dental healthcare service is required in the Japanese super-aged society. Dental hygienists are expected to contribute considerably to maintaining oral function for the elderly, including swallowing function training and stimulation of saliva secretion [3,4]. Dental hygienists working at hospitals and residential facilities make a significant contribution in tackling the suffering, morbidity, and mortality associated with respiratory infections [5,6]. The number of licensed dental hygienists was estimated to be approximately 250,000, while the number of working

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