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欧洲普通医生和牙科专家比例的差异。

Differences in the Ratios of General and Dental Specialists in Europe.

机构信息

Department of Stomatology, Section of Orthodontics, School of Dentistry, University of Granada, Granada, Spain.

Department of Stomatology, Section of Orthodontics, School of Dentistry, University of Granada, Granada, Spain.

出版信息

Int Dent J. 2024 Jun;74(3):519-525. doi: 10.1016/j.identj.2023.12.004. Epub 2024 Jan 16.

DOI:10.1016/j.identj.2023.12.004
PMID:38228432
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11123524/
Abstract

BACKGROUND

The European Economic Area (EEA) is composed of member states with a multitude of different regions. This study aimed to analyse the ratios of general dentists and dental specialists to the total population and the proportion of dental specialists to general dentists in 24 European countries and to explore specific intranational differences within 2 countries: France and Germany.

METHODS

Available official documents and webpages from the United Kingdom and 23 of the 30 countries comprising the EEA were analysed. Data were expressed as absolute values, ratios of general dentists and dental specialists in the total of population, and percentages of dental specialists/dentists. The Mann-Whitney U test was used to clarify the main ratios that distinguish France from Germany, and cluster analysis was employed to determine similar areas.

RESULTS

Significant differences were found between countries, with Ireland and Austria having the lowest ratio of dentists and Romania and Greece having the highest. The Czech Republic, the Netherlands, France, and Denmark had the lowest ratios of dental specialists to the total population. Lithuania, Sweden, and Germany had the highest number of dental specialists. Orthodontists were the most numerous specialists (5.0% of dentists), followed by oral surgeons (2.7%). In France, differences between departments were pronounced and associated with the presence of dental schools and per capita income. In Germany, only the correlation between per capita income and the density of oral surgeons was significant.

CONCLUSIONS

Diverse ratios of general dentists and dental specialists to the total population and the proportion of dental specialists to general dentists were discovered within the examined countries, and their maximum values were 2.5, 5.7, and 4.1 times the minimum values, respectively. Differences were even found within the same country, as was the case in France and, to a lesser extent, in Germany.

摘要

背景

欧洲经济区(EEA)由具有众多不同地区的成员国组成。本研究旨在分析 24 个欧洲国家的普通牙医和牙科专家与总人口的比例,以及牙科专家与普通牙医的比例,并探讨 2 个国家(法国和德国)内的特定国内差异。

方法

分析了英国和 30 个欧洲经济区国家中的 23 个国家的可用官方文件和网页。数据表示为绝对值、总人口中普通牙医和牙科专家的比例以及牙科专家/牙医的百分比。使用曼-惠特尼 U 检验来阐明将法国与德国区分开来的主要比例,并用聚类分析来确定相似地区。

结果

国家之间存在显著差异,爱尔兰和奥地利的牙医比例最低,罗马尼亚和希腊的牙医比例最高。捷克共和国、荷兰、法国和丹麦的牙科专家与总人口的比例最低。立陶宛、瑞典和德国的牙科专家数量最多。正畸医生是数量最多的专家(占牙医的 5.0%),其次是口腔外科医生(占 2.7%)。在法国,部门之间的差异明显,并与牙科学校的存在和人均收入有关。在德国,只有人均收入与口腔外科医生密度之间存在相关性。

结论

在所检查的国家中,普通牙医和牙科专家与总人口的比例以及牙科专家与普通牙医的比例存在差异,其最大值分别是最小值的 2.5、5.7 和 4.1 倍。甚至在同一国家内也存在差异,法国就是如此,德国的情况则稍好一些。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f61/11123524/58f07cffb6f8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f61/11123524/4eb22e2e99aa/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f61/11123524/58f07cffb6f8/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f61/11123524/4eb22e2e99aa/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f61/11123524/58f07cffb6f8/gr2.jpg

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The healthcare system and the provision of oral healthcare in European Union member states. Part 9: Sweden.
欧盟成员国的医疗保健系统与口腔医疗保健服务。第9部分:瑞典。
Br Dent J. 2018 Apr 27;224(8):647-651. doi: 10.1038/sj.bdj.2018.269.
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The healthcare system and the provision of oral healthcare in European Union member states. Part 8: Italy.欧盟成员国的医疗保健系统及口腔医疗保健服务。第8部分:意大利。
Br Dent J. 2017 May 26;222(10):809-817. doi: 10.1038/sj.bdj.2017.459.
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The healthcare system and the provision of oral healthcare in European Union member states. Part 7: Republic of Ireland.欧盟成员国的医疗保健系统及口腔医疗保健服务。第7部分:爱尔兰共和国。
Br Dent J. 2017 Apr 7;222(7):541-548. doi: 10.1038/sj.bdj.2017.317.
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