Freire J M
Ex-consejero de Sanidad del Gobierno Vasco, Spain.
An Sist Sanit Navar. 2003 Sep-Dec;26(3):423-8.
This paper briefly analyses the results of the Infant Dental Care Program (PADI) of the Basque Country (1990) and Navarra (1991), aimed at children aged from 6 and 15 years. At the age 12, the lack of caries rose from 31% in 1988 to 57% in 1998 in the Basque Country, while it was 58% in Navarra (1997); the number of caries fell in Navarra by some 64% and by some 54% in the Basque Country, and the index of restoration was 81% in Navarra and 73% in the Basque Country (it was 17% in 1988). Emphasis is placed on the importance of a good evaluation of these programs and the opportunities that are opened up by the comparative analysis between Spanish autonomous communities for analysing the contribution of factors that are different, and for evaluating the impact of the programs on social inequalities in health. The results of the PADI exceed the initial aims of the Health Plans of Navarra (1991) and of the Basque Country (1990), and endorse the adoption of these programs by the Spanish autonomous communities. The development of these programs raises new objectives in dental health policy in Navarra and the Basque Country and, above all, makes it necessary to reflect on the need for Spain to include public dental health in its health policy and for the National Health System as a whole to include dental services within its services
本文简要分析了巴斯克地区（1990年）和纳瓦拉（1991年）针对6至15岁儿童开展的婴儿牙齿护理项目（PADI）的结果。在12岁时，巴斯克地区无龋齿率从1988年的31%升至1998年的57%，而纳瓦拉（1997年）为58%；纳瓦拉的龋齿数量下降了约64%，巴斯克地区下降了约54%，修复指数在纳瓦拉为81%，在巴斯克地区为73%（1988年为17%）。重点强调了对这些项目进行良好评估的重要性，以及西班牙各自治区之间的比较分析所带来的机遇，这种分析有助于剖析不同因素的作用，并评估项目对健康方面社会不平等现象的影响。PADI项目的结果超出了纳瓦拉（1991年）和巴斯克地区（1990年）健康计划的初始目标，并支持西班牙各自治区采用这些项目。这些项目的开展为纳瓦拉和巴斯克地区的牙齿健康政策提出了新目标，最重要的是，促使人们思考西班牙是否有必要将公共牙齿健康纳入其健康政策，以及整个国家卫生系统是否有必要将牙科服务纳入其服务范畴。
