Mahal Ajay S, Shah Naseem
Department of Population and International Health, Harvard School of Public Health, Building No. 1, 11 Floor, 665 Huntington Avenue, Boston, MA 02115, USA.
J Dent Educ. 2006 Aug;70(8):884-91.
By influencing the supply of trained human resources, the dental education sector can play a significant role in influencing policy goals of ensuring good quality and equitable access to oral health services in developing countries. Our research goal was to assess quantitatively the size of the Indian dental education sector, its growth over time, and the implications of this growth for equity and quality in oral health care. Information on the location of teaching institutions, the year of establishment, type of ownership, and seat capacity was obtained from government sources, the Dental Council of India, and websites of individual institutions to estimate the growth in the undergraduate dental education sector, including the role of the private sector from 1950 to 2005. Data on location of training capacity and institutions were used to assess the geographical distribution of undergraduate dental education capacity in India. Registration data on dentists, the size of available faculty relative to regulatory requirements, and penalties imposed on offending faculty and education institutions were used to assess the impact of the growing Indian dental education sector on graduate quality and equitable access. Dental colleges and enrollment capacity have grown rapidly over the five decades since 1950, mainly due to a growing private sector. There is regional inequality in the location of dental education schools in India with a bias toward economically better-off regions. The growth in the dental education sector has translated into increased overall access, although accompanied by rising inequality in access and possibly lower quality of dental education.
通过影响受过培训的人力资源供应，牙科教育部门在影响发展中国家确保高质量和公平获得口腔卫生服务的政策目标方面可以发挥重要作用。我们的研究目标是定量评估印度牙科教育部门的规模、其随时间的增长情况，以及这种增长对口腔卫生保健公平性和质量的影响。从政府来源、印度牙科理事会以及各机构网站获取了有关教学机构的位置、成立年份、所有制类型和座位容量的信息，以估算本科牙科教育部门的增长情况，包括1950年至2005年期间私营部门的作用。有关培训能力和机构位置的数据用于评估印度本科牙科教育能力的地理分布。牙医注册数据、相对于监管要求的可用教师规模，以及对违规教师和教育机构的处罚，用于评估印度不断发展的牙科教育部门对毕业生质量和公平获得机会的影响。自1950年以来的五十年间，牙科学院和招生能力迅速增长，主要原因是私营部门的不断壮大。印度牙科教育学校的位置存在地区不平等，偏向经济状况较好的地区。牙科教育部门的增长已转化为总体可及性的提高，尽管同时伴随着可及性不平等的加剧以及牙科教育质量可能下降的情况。
