Cheng Feng-Chou, Chang Julia Yu-Fong, Lin Tzu-Chiang, Tsai Po-Fang, Chang Yung-Ta, Chiang Chun-Pin
School of Life Science, National Taiwan Normal University, Taipei, Taiwan.
Department of Dentistry, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
J Dent Sci. 2020 Dec;15(4):505-512. doi: 10.1016/j.jds.2020.07.003. Epub 2020 Jul 12.
BACKGROUND/PURPOSE: Dental care has been officially incorporated into the hospital accreditation system in Taiwan since 2015. The geographical distribution of dentist manpower still remains in an unbalanced status as shown by the dentist-to-population ratio. This study tried to assess the dental manpower issue in terms of the status of hospital dentistry, and hence provided two organizational-level suggestions with their policy implications.
This study utilized the secondary data analysis to evaluate the dental manpower in dental departments of medical centers, regional hospitals, and district hospitals in different regions of Taiwan in October 2019.
Our results found that the dental manpower including the numbers of general dentists and dental specialists was highest in medical centers, followed by regional hospitals and district hospitals. Moreover, the dental resources and manpower were mostly concentrated in the northern region of Taiwan, followed by the central and southern regions of Taiwan, the eastern region of Taiwan, and offshore islands.
The hospital dentistry in Taiwan develops toward large-scale and specialization. Both hospital general dentists and dental specialists are concentrated in the medical centers, especially the medical centers in the northern region of Taiwan, indicating the problem of oversupply in the northern Taiwan and unbalanced distribution of dentists among the regions in Taiwan. Therefore, the responsibilities of the hospitals in metropolitan areas are to develop the elderly and disabled dentistry and to assist with oral health promotion and oral disease prevention in remote areas to reduce the urban-rural gap in dental resources in Taiwan.
背景/目的:自2015年起,牙科护理已正式纳入台湾医院评鉴体系。从牙医与人口比例来看,牙医人力的地理分布仍处于不均衡状态。本研究试图从医院牙科的现状评估牙科人力问题,进而提出两项组织层面的建议及其政策意涵。
本研究利用二手数据分析2019年10月台湾不同地区医学中心、区域医院和地区医院牙科部门的牙科人力。
我们的结果发现,包括普通牙医和牙科专科医生数量在内的牙科人力在医学中心最多,其次是区域医院和地区医院。此外,牙科资源和人力大多集中在台湾北部地区,其次是台湾中部和南部地区、台湾东部地区以及离岛。
台湾的医院牙科朝着大规模和专业化方向发展。医院的普通牙医和牙科专科医生都集中在医学中心,尤其是台湾北部地区的医学中心,这表明台湾北部存在供应过剩问题,且牙医在台湾各地区分布不均衡。因此,大都市地区医院的职责是发展老年和残疾人口腔科,并协助偏远地区的口腔健康促进和口腔疾病预防工作,以缩小台湾牙科资源的城乡差距。