斯里兰卡牙科健康专家的分布情况。

The Distribution of Dental Health Specialist Locations in Sri Lanka.

作者信息

Wijewardena B, Ranasinghe N, Kruger E, Tennant M

机构信息

International Research Collaborative - Oral Health And Equity, School of Human Sciences (Department of Anatomy, Physiology and Human Biology), The University of Western Australia.

School of Human Sciences, The University of Western Australia, M309, 35 Stirling Highway, Crawley, 6009.

出版信息

Community Dent Health. 2018 Nov 29;35(4):241-246. doi: 10.1922/CDH_4374Wijewardena06.

DOI:10.1922/CDH_4374Wijewardena06

PMID:30204348

Abstract

AIM

To investigate the distribution of dental health specialist locations staffed by Oral and Maxillo-Facial Surgeons (OMF), Restorative dentists, and Orthodontists in Sri Lanka in relation to population distribution and socio-economic status.

METHODS

Specialist dental locations were mapped using GIS (Geographic Information System) and overlayed with census population data and socio-economic quintiles.

RESULTS

Overall, there was an uneven geographic distribution of the total 55 specialist dental locations and 74 attributed specialist work force within the country. Access to specialist care is remarkably high in Western and Central provinces, compared to the Northern, Eastern and North Central provinces. When the geographic distribution was compared to population socio-economics, it was found that in Sri Lanka only 22.3%, 44.4%, and 25.4% of the most disadvantaged lived within 20 kms from an Orthodontic, OMF and Restorative clinic respectively, compared to 66.3%, 82.8% and 44.7% of the least disadvantaged.

CONCLUSION

The findings of this study can contribute to the decision-making process when determining future locations of dental specialist clinics and identifying subgroups in the population who are geographically and socio-economically isolated from accessing care.

摘要

目的

调查斯里兰卡口腔颌面外科医生、修复牙医和正畸医生所在的牙科保健专科机构的分布情况，及其与人口分布和社会经济地位的关系。

方法

使用地理信息系统（GIS）绘制专科牙科机构的地图，并叠加人口普查数据和社会经济五分位数。

结果

总体而言，该国55个专科牙科机构和74名相关专科工作人员的地理分布不均衡。与北部、东部和中北部省份相比，西部和中部省份获得专科护理的机会明显更高。将地理分布与人口社会经济状况进行比较时发现，在斯里兰卡，最贫困人群中分别只有22.3%、44.4%和25.4%的人居住在距离正畸诊所、口腔颌面外科诊所和修复诊所20公里范围内，而最不贫困人群的这一比例分别为66.3%、82.8%和44.7%。