Department of Oral Health and Development, University of Sheffield, School of Clinical Dentistry, Claremont Crescent, Sheffield, S10 2TA. jan.owens@sheffi eld.ac.uk
Br Dent J. 2010 Mar 13;208(5):203-5. doi: 10.1038/sj.bdj.2010.204.
Valuing people and Valuing people's oral health both advocate choice and inclusion for people with learning disabilities. Research suggests that services and policy and guidance, while prescriptive and available, have not been effective in reducing oral health inequalities for people with learning disabilities. There is a risk that specialist services led by newly created consultants in special care dentistry may have the unintended effect of reducing choice if general dental practitioners are encouraged to refer all those with learning disabilities. A modified model of access is proposed that primary care organisations could use as a commissioning tool for dental contracts to facilitate choice and maximise involvement in oral health care for those with learning disabilities.
重视人以及重视人的口腔健康都提倡为学习障碍者提供选择和包容。研究表明，尽管服务、政策和指南具有规定性且可用，但并未有效减少学习障碍者的口腔健康不平等现象。如果鼓励普通牙医转介所有学习障碍者，那么由新设立的特殊护理牙医顾问领导的专科服务可能会产生意想不到的效果，即减少选择。提出了一种改进的准入模式，初级保健组织可以将其用作牙科合同的委托工具，以促进选择并最大限度地让学习障碍者参与口腔保健。
