Janulyte Vilija, Puriene Alina, Linkeviciene Laura, Grigaite Gailute, Kutkauskiene Jelena
Institute of Odontology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
Stomatologija. 2008;10(3):107-12.
The objective of the present study was to assess the public accessibility of orthodontic care in Lithuania.
In 2008, a request for the information about various aspects of public orthodontic care during 2000-2007 in Lithuania was submitted to the State Patients' Fund at the Ministry of Health. The data on the demographic distribution of orthodontists in Lithuania were received from the Lithuanian Dental Chamber. The authors of the paper also analyzed the national legislation regulating the State Patients' Fund expenditure on orthodontic care and treatment.
In 2007, there were 73 orthodontists-practitioners in Lithuania, most of them highly concentrated in major cities and towns: most of them were practicing in Vilnius (22) and Kaunas (20), while there were only 5 orthodontists in Klaipeda, 4 in Siauliai, 3 in each of Panevezys and Marijampole. The public orthodontic treatment is rendered only to patients suffering from most severe pathologies. With the constantly increasing expenditure of the State Patients' Fund, the national public orthodontic care system definitely undergoes significant development: the number of patients who received the treatment with removable and with fixed orthodontic appliances was gradually increasing during 2002-2007, with however, a very small number of new facilities for ambulatory treatment facilities of orthodontists (consultations included). The number of patients who received treatment with removable orthodontic appliances was specifically higher in Siauliai and Telsiai, Panevezys and Utena districts, with fixed orthodontic appliances - in Vilnius and Alytus, Kaunas and Marijampole, Panevezys and Utena regions. The analysis of the availability of public orthodontic treatment showed a marked increase in the number highly-specialized ambulatory facilities in Vilnius and Alytus district in 2002-2007.
Specialists providing orthodontic treatment in the country are highly concentrated, while in general public orthodontic treatment undergoes development at the moment. The accessibility of orthodontic treatment in Lithuania, especially in the regions distant from Vilnius and Kaunas, remains inadequate.
本研究的目的是评估立陶宛正畸治疗的公众可及性。
2008年，向立陶宛卫生部国家患者基金提交了一份关于2000 - 2007年立陶宛公共正畸治疗各方面信息的请求。立陶宛正畸医生人口分布的数据来自立陶宛牙科协会。本文作者还分析了规范国家患者基金在正畸治疗和矫治方面支出的国家立法。
2007年，立陶宛有73名正畸执业医生，其中大多数高度集中在主要城镇：他们大多在维尔纽斯（22名）和考纳斯（20名）执业，而克莱佩达只有5名正畸医生，希奥利艾有4名，帕涅韦日斯和马里扬泊列各有3名。公共正畸治疗仅提供给患有最严重病症的患者。随着国家患者基金支出的不断增加，国家公共正畸治疗体系无疑在经历显著发展：2002 - 2007年期间，接受可摘式和固定正畸矫治器治疗的患者数量逐渐增加，然而，正畸医生的门诊治疗设施（包括咨询）新设施数量非常少。接受可摘式正畸矫治器治疗的患者数量在希奥利艾和泰尔希艾、帕涅韦日斯和乌田纳地区尤其多，接受固定正畸矫治器治疗的患者数量在维尔纽斯和阿利图斯、考纳斯和马里扬泊列、帕涅韦日斯和乌田纳地区较多。对公共正畸治疗可及性的分析表明，2002 - 2007年期间，维尔纽斯和阿利图斯地区高度专业化的门诊设施数量显著增加。
该国提供正畸治疗的专家高度集中，而目前公共正畸治疗正在发展。立陶宛正畸治疗的可及性，尤其是在远离维尔纽斯和考纳斯的地区，仍然不足。
