Division of Epidemiology and Biostatistics, University of Illinois at Chicago, Chicago, IL, USA.
School of Dentistry, University of Washington, Seattle, WA, USA.
Transl Behav Med. 2019 Jul 16;9(4):819-822. doi: 10.1093/tbm/iby075.
In response to the increasing incidence of certain oral and oropharyngeal cancers, the Society of Behavioral Medicine (SBM) calls on healthcare providers and legislators to expand awareness of oral and oropharyngeal cancer risk factors, increase early detection, and support policies that increase utilization of dental services. SBM supports the American Dental Association's 2017 guideline for evaluating potentially malignant oral cavity disorders and makes the following recommendations to healthcare providers and legislators. We encourage healthcare providers and healthcare systems to treat oral exams as a routine part of patient examination; communicate to patients about oral/oropharyngeal cancers and risk factors; encourage HPV vaccination for appropriate patients based on recommendations from the Advisory Committee on Immunization Practices; support avoidance of tobacco use and reduction of alcohol consumption; and follow the current recommendations for evaluating potentially malignant oral cavity lesions. Because greater evidence is needed to inform practice guidelines in the primary care setting, we call for more research in collaborative health and dental services. We encourage legislators to support policies that expand Medicaid to cover adult dental services, increase Medicaid reimbursement for dental services, and require dental care under any modification of, or replacement of, the Affordable Care Act.
针对某些口腔和口咽癌发病率不断上升的情况,行为医学学会(SBM)呼吁医疗保健提供者和立法者提高对口腔和口咽癌风险因素的认识,加强早期发现,并支持增加牙科服务利用率的政策。SBM 支持美国牙科协会 2017 年评估潜在恶性口腔疾病的指南,并向医疗保健提供者和立法者提出以下建议。我们鼓励医疗保健提供者和医疗保健系统将口腔检查作为患者检查的常规部分;向患者宣传口腔/口咽癌及其风险因素;根据免疫实践咨询委员会的建议,鼓励为合适的患者接种 HPV 疫苗;支持避免吸烟和减少饮酒;并遵循当前评估潜在恶性口腔病变的建议。由于需要更多的证据来为初级保健环境中的实践指南提供信息,我们呼吁在合作的卫生和牙科服务中进行更多的研究。我们鼓励立法者支持扩大医疗补助计划以涵盖成人牙科服务、增加医疗补助计划对牙科服务的报销,并要求在对《平价医疗法案》进行任何修改或替代时提供牙科护理的政策。