抄録
The numbers of dental clinics that can be nominated as “Healthcare type clinic” are still remaining at lower level at the moment even four years have passed since the Japan Health Care Dental Association has been established. One of such reasons is estimated that many dental clinics are not in a position to figure out how to apply the information to give solution to the current problems and how to transform themselves to health care type clinic, even though abundant volume of information is supplied. Our association invented the TMR (Total Management Risk) and the THR (Total Health Care Risk) that are extracted from the information obtained as a result of dental clinic basic questionnaires given at the management course (Held on the evening before the international symposium) in March 2002 and that are used as referencing index for the analyzing evaluation of clinics. Using this newly established referencing index, we have executed dental clinic risk analyzing over participants of management course, councilors and the Forum DEWA members. As a result of this analyze, it was figured out that the achievement level of health care dentistry of the members are varicolored and there exist great differences of their abilities among the members.
Among the participants of management course the average figure of TMR indicated 20.0 and the average TMR figure of such clinic where the director is answering “Having confident in treatment” was extremely low which proves the fact that the confident of clinic director is the “Keyword” of the successful management. Furthermore the TMR average figure of the councilors of the association marked 13.9 while the average THR indicated 43.8. Although the record of TMR of the councilors was shown “Lower risk” than that of the participants of management course, it was clarified that there are many problems remained even if they are councilors. On the other hand the analyzing result of Forum DEWA members who are actually the founders of the Japan Health Care Dental Association marked 12.9 on average TMR and the average THR indicated 40.8. As a whole it might be concluded that the achievement degrees of health care type clinic is rather high from the fact that there found many low risked clinics. However, it has to be recognized that the distribution of the data management was polarized. Moreover, it was found that the problems and defects of our own clinic were clearly figured out when this evaluation method is projected on to the historic changes of our Chigasaki Dental clinic.
Originally, this evaluation method was invented for the purpose to carry out personal analyzing, however, it was verified that further more effort might be necessary to achieve more effective risk analyzing that has more objective view, because this evaluation method is successfully carried out only when it is evaluated based on the certain successful patterns as health care type clinic.
