Macrí Vincenzo
Private Practice, Toensberg, Norway.
Prog Orthod. 2004;5(2):142-57.
This paper is an attempt to individuate some principles and guidelines apt to regulate the relationship between orthodontists and financing third parties, applicable to most western European Countries. The concepts of orthodontic treatment need, orthodontic treatment request and orthodontic screening are discussed, alongside with a short overview of some of the most common indexes to assess the severity of the malocclusion and/or the treatment priority. The screening method introduced by the Danish Ministry of Health is presented; its importance lies in the fact that for the first time a direct correlation between health risk and individual malocclusions is recognized and assessed. In the discussion, it is stressed how the screening system tightly depends on the chosen general model for orthodontic care. Different models of orthodontic care organization as presently used in many European countries are presented and shortly discussed; among these, the Norwegian model is described more in details, because of its simplicity. Eventually, some guidelines considered necessary in order to achieve satisfactory standards of quality and efficiency are presented and discussed.
本文旨在明确一些适用于大多数西欧国家、用以规范正畸医生与第三方融资机构之间关系的原则和指导方针。文中讨论了正畸治疗需求、正畸治疗请求和正畸筛查的概念，同时简要概述了一些评估错颌畸形严重程度和/或治疗优先级的最常用指标。介绍了丹麦卫生部引入的筛查方法；其重要性在于首次认识并评估了健康风险与个体错颌畸形之间的直接关联。在讨论中，强调了筛查系统如何紧密依赖于所选择的正畸护理总体模式。介绍并简要讨论了目前许多欧洲国家使用的不同正畸护理组织模式；其中，挪威模式因其简单性而得到更详细的描述。最后，提出并讨论了一些为达到令人满意的质量和效率标准而认为必要的指导方针。
