Sveinsdottir E G, Wang N J
Community Dent Health. 2014 Dec;31(4):219-23.
In 2008, Iceland experienced a major financial crisis, with serious effects on the economy of the country and its inhabitants.
To describe the opinions of dentists in Iceland regarding the influence of economic changes on the demand for dental health services for children and adolescents, aged 0-18 years, and also to describe the preventive dental care the dentists reported providing for children and adolescents.
Questionnaires were sent by electronic mail to all dentists in Iceland in January 2013. Of the dentists working with children, 161 (62%) returned the questionnaire.
Important findings were that 119 (74%) of the respondents reported increased caries experience in children and adolescents and 150 (93%) reported that decreased reimbursement for dental treatment of children in recent years had affected the dental health of most or some children and adolescents. Most dentists reported reduced parental demand for most aspects of caries prevention and treatment, apart from treatment for acute dental pain. The mean interval between dental visits was reported to be 9.4 months (sd 2.8) and the mean maximal interval 12.1 months (sd 2.8). The mean proportion of working time allocated for caries preventive services was reported to be 31% (sd 21).
The results indicate a contrast between increased need for children's dental care perceived by the dentists and reduced demand for care from the parents. This may be a temporary phenomenon, as the economic crisis passes, reimbursement for dental care may increase.
2008年，冰岛经历了一场重大金融危机，对该国经济及其居民产生了严重影响。
描述冰岛牙医对经济变化对0至18岁儿童和青少年口腔健康服务需求的影响的看法，并描述牙医报告为儿童和青少年提供的预防性口腔护理。
2013年1月通过电子邮件向冰岛所有牙医发送了问卷。在从事儿童牙科工作的牙医中，161人（62%）回复了问卷。
重要发现包括，119名（74%）受访者报告儿童和青少年龋齿情况增加，150名（93%）报告近年来儿童牙科治疗报销减少影响了大多数或一些儿童和青少年的口腔健康。除急性牙痛治疗外，大多数牙医报告家长对龋齿预防和治疗大多数方面的需求减少。据报告，牙科就诊的平均间隔为9.4个月（标准差2.8），平均最长间隔为12.1个月（标准差2.8）。据报告，分配给龋齿预防服务的工作时间平均比例为31%（标准差21）。
结果表明，牙医认为儿童口腔护理需求增加与家长护理需求减少之间存在反差。这可能是一种暂时现象，随着经济危机过去，牙科护理报销可能会增加。
