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欧盟成员国的医疗保健系统与口腔医疗保健服务。第9部分:瑞典。

The healthcare system and the provision of oral healthcare in European Union member states. Part 9: Sweden.

作者信息

Pälvärinne R, Widström E, Forsberg B C, Eaton K A, Birkhed D

机构信息

Malmö University, Sweden. Former Chief Dental Officer for the County Council of Östergötland, Linköping, Sweden.

National Institute for Health and Welfare (THL), Helsinki, Finland. Professor in Public Dental Health, Institute of Clinical Dentistry, Arctic University of Norway, Tromsø, Norway.

出版信息

Br Dent J. 2018 Apr 27;224(8):647-651. doi: 10.1038/sj.bdj.2018.269.

Abstract

Equally accessible and affordable dental services for all population groups have been a political goal in Sweden for almost a century. All political parties have shared the idea that a person's social background should not have consequences for his or her dental status. Strategic tools to achieve this ambitious goal have been the wide use of publicly provided oral healthcare services, covering even sparsely populated areas, focusing on preventive care and significant subsidies for necessary treatments. Besides free care for children and young adults, oral healthcare is reimbursed from public funds. The public subsidy was particularly generous in 1975-1999 when a 'full clearance' of adults' dentitions was undertaken both by the public and private providers under fixed prices and high reimbursement levels for all treatment measures. Today, preventive oral healthcare for the elderly is given higher priority as most Swedes have been able to keep their natural teeth.

摘要

近一个世纪以来,为所有人群提供同等可及且负担得起的牙科服务一直是瑞典的一项政治目标。所有政党都认同这样一个观点,即一个人的社会背景不应影响其口腔健康状况。为实现这一宏伟目标所采用的战略手段包括广泛提供公共口腔保健服务,甚至覆盖人口稀少地区,注重预防保健,并对必要治疗给予大量补贴。除了为儿童和年轻人提供免费护理外,口腔保健服务还可从公共资金中报销。1975年至1999年期间,公共补贴尤为慷慨,当时公立和私立医疗机构在固定价格和所有治疗措施的高报销水平下,对成年人的牙列进行了“全面清理”。如今,由于大多数瑞典人都能保留自己的天然牙齿,老年人的预防性口腔保健被赋予了更高的优先级。

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