Lipton J A
National Institute of Dental Research, National Institutes of Health, Bethesda.
Curr Opin Dent. 1991 Jun;1(3):329-36.
Decision and policy makers in dental public health are confronted increasingly with the problem of which programs make the best use of limited resources and are the most worthwhile investments. One way that the research and public health community can assist the decision process and thereby facilitate policy development is through rigorous, objective, quantitative, policy-oriented research evaluations that synthesize findings from relevant epidemiologic studies of particular oral conditions and clinical trials of preventive and treatment technologies. Issues covered in the most recent research evaluations of oral health topics include the assessment of cost-effectiveness analyses for various procedures and techniques used in caries prevention and oral cancer screening. Several papers in the dental public health literature also have critically discussed basic methodologic issues involved in performing cost-effectiveness analyses and implications of research evaluations for the development and assessment of oral health policy.
哪些项目能最有效地利用有限资源，并且是最值得的投资。研究和公共卫生界能够协助决策过程并进而推动政策制定的一种方式，是通过严谨、客观、定量且以政策为导向的研究评估，这种评估综合了特定口腔疾病的相关流行病学研究结果以及预防和治疗技术的临床试验结果。最近对口腔健康主题的研究评估所涵盖的问题包括对龋齿预防和口腔癌筛查中使用的各种程序和技术的成本效益分析评估。牙科公共卫生文献中的几篇论文也批判性地讨论了进行成本效益分析所涉及的基本方法学问题，以及研究评估对口腔健康政策制定和评估的影响。
