University of the Pacific Arthur A. Dugoni School of Dentistry, Department of Dental Practice, 2155 Webster Street, San Francisco, CA 94115, USA.
J Public Health Dent. 2010 Jun;70 Suppl 1:S40-8. doi: 10.1111/j.1752-7325.2010.00174.x.
The absolute number and percentage of the population of dependent individuals in institutional settings are growing dramatically in the United States. The current dominant office-based oral health delivery system is not adequately addressing the oral health needs of these populations and is unlikely to do so in the future. There are multiple challenges in providing oral health services for dependent people in institutional settings. To achieve improvements in the oral health of these populations, we must change the education of oral health professionals, educate staff in institutional settings about oral health, integrate oral health activities into general health and social service systems, use existing oral health professionals in new ways in community settings, develop new categories of oral health professionals, and reform oral health delivery and reimbursement systems. Developing new models of oral health services for dependent individuals in institutional settings may provide an opportunity to create a new paradigm of care based on integration of oral health services with general health and social services with an emphasis on prevention and health promotion activities.
在美国，机构环境中依赖型个体的人口数量和比例正在急剧增加。目前以办公室为基础的主流口腔卫生服务提供系统未能充分满足这些人群的口腔卫生需求，而且未来也不太可能做到这一点。为机构环境中的依赖人群提供口腔卫生服务存在多个挑战。为了改善这些人群的口腔健康，我们必须改变口腔卫生专业人员的教育，使机构环境中的工作人员了解口腔健康，将口腔卫生活动融入一般健康和社会服务系统，以新的方式在社区环境中利用现有的口腔卫生专业人员，开发新类别的口腔卫生专业人员，并改革口腔卫生服务提供和报销系统。为机构环境中的依赖型个体开发新的口腔卫生服务模式，可能为创建一种新的护理模式提供机会，即将口腔卫生服务与一般健康和社会服务相结合，重点是预防和促进健康活动。
