利比亚的口腔保健系统：案例研究。

The oral health care system in Libya: a case study.

机构信息

Department of Dental Public Health and Preventive Dentistry, Faculty of Dentistry, University of Benghazi, Benghazi, Libya.

出版信息

BMC Oral Health. 2024 Aug 3;24(1):888. doi: 10.1186/s12903-024-04684-x.

DOI:10.1186/s12903-024-04684-x

PMID:39097699

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11297658/

Abstract

BACKGROUND

This study aims to describe the Libyan oral health care system in terms of its structure, function, workforce, funding, reimbursement and target groups.

METHODS

A single descriptive case study approach and multiple sources of data collection were used to provide an in-depth understanding of the Libyan oral health care system. A purposeful sample of the key informants (Managers of oral health centers, dentists of various specialties with experience in the field, dentists, nurses, dental technicians, and officials in the affairs of medical insurance) was recruited. The case and its boundaries were guided by the study's aim. Both qualitative and quantitative analyses were conducted. Descriptive statistics were used for quantitative data. Framework analysis, informed by the study objectives, was used to analyze interviews and documents.

RESULTS

The analysis showed that oral health services are integrated into medical services. The provision of dental care is mainly treatment-based, in the private sector. The oral health services in the public sector are mainly emergency care and exodontia. The dental workforce included in the study were mostly dentists (89% General Dental Practitioners (GDPs), 11% specialists), with a marked deficiency in dental technicians and nurses. Around 40% of dentists work in both the private and public sectors. The government provides the funding for the public sector, but the private sector is self-funded. No specific target group(s) nor clear policies were reported. However, the system is built around primary health care as an overarching policy. Dental caries is the most common oral problem among Libyan preschool children affecting around 70% and is the most common cause of tooth loss among adults.

CONCLUSION

The oral health care system in Libya is mainly privatized. The public health services are poorly organized and malfunctioning. There is an urgent need to develop policies and plans to improve the oral health care system in Libya.

摘要

背景

本研究旨在描述利比亚口腔卫生保健系统的结构、功能、劳动力、资金、报销和目标人群。

方法

采用单一描述性案例研究方法和多种数据收集来源，深入了解利比亚口腔卫生保健系统。通过目的性抽样，招募了关键信息员（口腔卫生中心管理人员、具有现场经验的各种专业牙医、牙医、护士、牙科技术员和医疗保险事务官员）。案例及其边界由研究目的指导。进行了定性和定量分析。对定量数据采用描述性统计分析。框架分析是根据研究目标进行的，用于分析访谈和文件。

结果

分析表明，口腔卫生服务纳入医疗服务。牙科护理主要是基于治疗的，在私营部门提供。公共部门的口腔卫生服务主要是急诊和拔牙。研究中纳入的牙科劳动力主要是牙医（89%的普通牙科医生（GDPs），11%的专家），牙科技术员和护士明显短缺。大约 40%的牙医在私营和公共部门工作。政府为公共部门提供资金，但私营部门自筹资金。没有报告特定的目标群体（或）明确的政策。然而，该系统是围绕初级卫生保健作为一项总体政策建立的。龋齿是利比亚学龄前儿童最常见的口腔问题，约有 70%的儿童受到影响，是成年人牙齿缺失的最常见原因。