Department of Social Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Department of Research & Information, Royal Dutch Dental Association (KNMT), Utrecht, The Netherlands.
BMC Oral Health. 2020 Jul 8;20(1):192. doi: 10.1186/s12903-020-01174-8.
Over the past several decades, changes in legislation and regulations have been implemented in oral health care in the Netherlands. In 1995, for example, a major transformation in the funding of oral health care was implemented, after which most oral health care for adults was no longer covered by national insurance. In 1997, the Individual Healthcare Professions Act, in which the authorizations of care providers were described, was established. The Healthcare Quality, Complaints and Disputes Act, established in 2016, concerns the accountability of professional behavior. Regulations concerning employment have changed several times since 1995. These changes have affected the work and practice situation of oral health care providers.
Data from many publicly available sources were gathered and combined with internal reports mainly derived from the Data Stations project of the Royal Dutch Dental Association. This project was established in 1995 and, since its initiation, 6716 dentists have participated an average of 6.7 times.
Between 1995 and 2018, nearly all professional groups in oral health care increased, particularly those of dental hygienists and prevention assistants. The number of dental practices decreased, but practices got larger in terms of dental units, number of patients, and personnel. The percentage of inhabitants visiting oral health care professionals remained unchanged, but the type of care provided moved towards more prevention. Oral health care providers exploited new opportunities to enhance and express their professional behavior.
Oral health care in the Netherlands has evolved in recent years toward more collaboration in teams, and professions have established institutions to promote the quality and safety of care. Greater emphasis has been placed on prevention of dental diseases. These processes were influenced by new legislation and regulations, demographic changes within professional groups, and other social developments.
在过去的几十年中，荷兰的口腔保健立法和法规发生了变化。例如，1995 年实施了口腔保健资金的重大改革，此后，大多数成年人的口腔保健不再由国家保险覆盖。1997 年，制定了《个人医疗保健专业法案》，其中描述了医疗保健提供者的授权。2016 年制定的《医疗保健质量、投诉和争议法案》涉及专业行为的问责制。自 1995 年以来，有关就业的法规已经多次修改。这些变化影响了口腔保健提供者的工作和实践情况。
收集了许多公开来源的数据，并将其与主要源自皇家荷兰牙科协会数据站项目的内部报告相结合。该项目成立于 1995 年，自成立以来，已有 6716 名牙医平均参与了 6.7 次。
1995 年至 2018 年间，几乎所有口腔保健专业群体的人数都有所增加，特别是口腔保健师和预防助理。牙科诊所的数量有所减少，但从牙科单位、患者人数和人员方面来看，诊所规模有所扩大。前往口腔保健专业人员就诊的居民比例保持不变，但提供的护理类型转向更多的预防。口腔保健提供者利用新机会来增强和表达他们的专业行为。
近年来，荷兰的口腔保健发展趋势是团队合作更加紧密，各专业团体建立了机构，以提高护理质量和安全性。更加重视预防牙科疾病。这些过程受到新立法和法规、专业群体内部的人口变化以及其他社会发展的影响。
