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医疗与牙科整合——在印度实现牙周及一般医疗保健的公平性

Medical-Dental Integration-Achieving Equity in Periodontal and General Healthcare in the Indian Scenario.

作者信息

Puzhankara Lakshmi, Janakiram Chandrashekar

机构信息

Department of Periodontology, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, India.

Department of Public Health Dentistry, Amrita School of Dentistry, Amrita Vishwa Vidyapeetham, Ernakulam, Kerala, India.

出版信息

J Int Soc Prev Community Dent. 2021 Jul 3;11(4):359-366. doi: 10.4103/jispcd.JISPCD_75_21. eCollection 2021 Jul-Aug.

Abstract

AIMS

Dentistry and medicine have been treated as separate entities by healthcare professionals as well as the populace since a long time. Although dentistry as a standalone entity has achieved considerable progress, there is a significant inequity in the accessibility, affordability, and acceptability of dental care among various socioeconomic strata in the community. Moreover, it is becoming increasingly evident that oral diseases and systemic diseases often share multiple risk factors. Management of oral and systemic diseases as distinct units often results in duplication of care and wastage of resources. This paper gives information on the models of medical-dental integration and possible methods for integrating the same into Indian healthcare scenario.

MATERIALS AND METHODS

A literature search was performed in PubMed/MEDLINE, CINAHL, Web of Science, and Google Scholar for articles pertaining to medical-dental integration. The data obtained were collated.

RESULTS

Literatures show that different modalities for medical-dental integration are in practice. However, there is a paucity in conceptual models that may be applied to bring about such an integration into the Indian healthcare system.

CONCLUSION

Integration of medical and dental care would pave the way for equity in health care for everyone. Conceptual models for integrating oral disease surveillance into systemic disease have been proposed in this paper.

摘要

目的

长期以来,医疗保健专业人员以及普通民众都将牙科和医学视为两个独立的实体。尽管牙科作为一个独立的实体已经取得了相当大的进展,但社区中不同社会经济阶层在获得牙科护理的可及性、可负担性和可接受性方面存在显著的不平等。此外,越来越明显的是,口腔疾病和全身性疾病往往有多个共同的风险因素。将口腔疾病和全身性疾病作为不同的单元进行管理往往会导致护理的重复和资源的浪费。本文介绍了医学 - 牙科整合的模式以及将其纳入印度医疗保健体系的可能方法。

材料与方法

在PubMed/MEDLINE、CINAHL、科学网和谷歌学术上进行文献检索,查找与医学 - 牙科整合相关的文章。对获得的数据进行整理。

结果

文献表明,医学 - 牙科整合的不同模式正在实践中。然而,缺乏可应用于将这种整合引入印度医疗保健系统的概念模型。

结论

医学和牙科护理的整合将为每个人的医疗保健公平铺平道路。本文提出了将口腔疾病监测纳入全身性疾病的概念模型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1fb/8352052/6ed659700e7f/JISPCD-11-359-g001.jpg

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