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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.

DOI:10.1186/s12889-024-19874-z
PMID:39334093
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11438094/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86ec/11438094/d4c0cea1ebc8/12889_2024_19874_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86ec/11438094/4807140743a3/12889_2024_19874_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86ec/11438094/71d097d35482/12889_2024_19874_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86ec/11438094/d4c0cea1ebc8/12889_2024_19874_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86ec/11438094/4807140743a3/12889_2024_19874_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86ec/11438094/71d097d35482/12889_2024_19874_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86ec/11438094/d4c0cea1ebc8/12889_2024_19874_Fig3_HTML.jpg

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Community Dent Oral Epidemiol. 2023 Oct;51(5):908-917. doi: 10.1111/cdoe.12785. Epub 2022 Aug 29.
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Toward mandatory health insurance in low-income countries? An analysis of claims data in Tanzania.在低收入国家推行强制性医疗保险?坦桑尼亚索赔数据分析。
Health Econ. 2022 Oct;31(10):2187-2207. doi: 10.1002/hec.4568. Epub 2022 Aug 7.
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'Toothless'-the absence of political priority for oral health: a case study of Ireland 1994-2021.
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BMC Oral Health. 2022 Mar 27;22(1):95. doi: 10.1186/s12903-022-02125-1.
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Perspectives on Social and Environmental Determinants of Oral Health.口腔健康的社会和环境决定因素透视
Int J Environ Res Public Health. 2021 Dec 20;18(24):13429. doi: 10.3390/ijerph182413429.
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Universal oral health coverage - Perspectives from a developing country.全民口腔健康覆盖 - 发展中国家的视角。
Int J Health Plann Manage. 2022 Mar;37(2):610-618. doi: 10.1002/hpm.3361. Epub 2021 Oct 26.
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Japan's Dental Care Facing Population Aging: How Universal Coverage Responds to the Changing Needs of the Elderly.日本的牙科护理面临人口老龄化:全民覆盖如何应对老年人不断变化的需求。
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Inequality in dental services: a scoping review on the role of access toward achieving universal health coverage in oral health.不平等的牙科服务:关于获得普遍健康覆盖对口腔健康的影响的范围综述。
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