Academic Clinical Fellow in Dental Public Health, Public Health England, Manchester, UK.
Visiting Professor, University College London, Honorary Professor University of Kent and Adviser to the Council of European Chief Dental Officers, London, UK.
Br Dent J. 2019 Aug;227(4):305-310. doi: 10.1038/s41415-019-0661-4.
Since 2015, a series of papers which describe the systems for the provision of health and oral healthcare in nine European Union (EU) countries (France, Germany, Greece, Ireland, Italy, Poland, Romania, Spain and Sweden) have been published in this journal. This tenth and final paper in the series compares aspects of the systems for each country, with each other and with that in the United Kingdom (UK). The topics which have been covered are the organisation and funding of oral healthcare, national populations and oral healthcare workforce, education of dentists, uptake of oral healthcare, expenditure on oral healthcare and oral epidemiology. The comparison shows that there are wide differences between the care provision systems between the individual countries. In all of them, oral healthcare continues to operate outside the mainstream healthcare systems. In particular, the proportion of costs paid for them from public funds, raised through taxation or through compulsory social insurances, and those paid for by individual patients varies greatly. No comparable data exist on quality of care.
自 2015 年以来，本杂志已经发表了一系列描述九个欧盟国家（法国、德国、希腊、爱尔兰、意大利、波兰、罗马尼亚、西班牙和瑞典）提供卫生和口腔保健服务的系统的论文。本系列的第十篇也是最后一篇论文比较了各国系统的各个方面，包括彼此之间以及与英国的比较。涵盖的主题包括口腔保健的组织和资金、国家人口和口腔保健劳动力、牙医教育、口腔保健的接受程度、口腔保健支出和口腔流行病学。比较表明，各国之间的医疗服务提供系统存在很大差异。在所有这些国家中，口腔保健仍然在主流医疗保健系统之外运作。特别是，公共资金支付的比例，通过税收或通过强制性社会保险筹集，以及个人患者支付的比例差异很大。没有关于护理质量的可比数据。
