全民健康覆盖中的口腔健康措施。
Oral health approach in universal health coverage.
机构信息
Postgraduate Program in Public Health, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.
Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.
出版信息
BMC Public Health. 2024 Sep 27;24(1):2633. doi: 10.1186/s12889-024-19874-z.
OBJECTIVE
This study aimed to map how oral health is addressed within the universal health coverage (UHC).
METHODS
This scoping review followed the Joanna Briggs Institute methodology. Searches included the WHO Library and PubMed, Scopus, Embase, LILACS, and Cochrane databases. Quantitative and qualitative studies were included without publication date and language restrictions.
RESULTS
A total of 486 studies were retrieved, of which 292 were excluded in the title and abstract screening phase; 121 full-texts were assessed. After the removal of duplicates and unavailable documents, 50 studies were included in the review and categorized according to the level of scientific evidence.
CONCLUSION
Few studies discussed oral health within the UHC, mostly because this coverage does not include oral health adequately. When offered, oral health packages are limited and include specific populations. Access and use of oral health services remain guided by economic factors, exposing the theoretical financial protectionism that perpetuates health inequalities.
目的
本研究旨在绘制口腔健康在全民健康覆盖（UHC）中的体现方式。
方法
本 scoping 综述遵循 Joanna Briggs 研究所的方法。检索包括世界卫生组织图书馆和 PubMed、Scopus、Embase、LILACS 和 Cochrane 数据库。纳入了无出版日期和语言限制的定量和定性研究。
结果
共检索到 486 篇研究，其中 292 篇在标题和摘要筛选阶段被排除；评估了 121 篇全文。在去除重复和不可用的文件后，有 50 项研究被纳入综述，并根据科学证据水平进行了分类。
结论
很少有研究在 UHC 范围内讨论口腔健康，这主要是因为这种覆盖范围没有充分涵盖口腔健康。当提供口腔健康服务时，口腔健康套餐是有限的，并且只针对特定人群。口腔卫生服务的可及性和使用仍然受到经济因素的影响，这暴露了理论上的财政保护主义，这种保护主义使健康不平等现象长期存在。
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