Gehshan Shelly, Snyder Andrew
Advancing Children's Dental Health Initiative, The Pew Charitable Trusts, 901 E. Street, Washington, DC, USA.
Dent Clin North Am. 2009 Jul;53(3):573-89. doi: 10.1016/j.cden.2009.03.006.
The executive and legislative branches of state government have broad authority that provides the underpinning for the dental health care system. This article describes four principal areas in which policy makers' decisions can improve children's access to dental care: (1) providing and financing health care (ie, providing opportunities for shaping public insurance programs like Medicaid and SCHIP); (2) regulating health providers and facilities (ie, providing levers for policy change in dental practice acts); (3) ensuring the health of the public (ie, states' choices on population-based approaches and providing leadership in oral health); and (4) education and training of the health workforce (ie, state support of dental education that can ensure a dental workforce that meets the needs of the population).
州政府的行政和立法部门拥有广泛权力，为牙齿保健系统提供了支撑。本文描述了政策制定者的决策可以改善儿童获得牙齿护理机会的四个主要领域：（1）提供和资助医疗保健（即提供机会塑造像医疗补助和儿童健康保险计划这样的公共保险项目）；（2）监管医疗服务提供者和设施（即提供改变牙科执业法案政策的手段）；（3）确保公众健康（即各州对基于人群的方法的选择以及在口腔健康方面发挥领导作用）；以及（4）卫生人力的教育和培训（即州对牙科教育的支持，这可以确保有一支满足人群需求的牙科劳动力队伍）。
