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土耳其口腔健康政策模型:如何提供预防服务?

Oral health policy model for Turkey: how to deliver preventive services?

作者信息

Doğan Ayşegül, Durukan Köse Serap

机构信息

Ahmet Erdoğan Vocational School of Health Sciences, Department of Dentistry Services, Zonguldak Bulent Ecevit University, Zonguldak, Türkiye.

Faculty of Health Sciences, Department of Health Management, Mugla Sıtkı Kocman University, Mugla, Türkiye.

出版信息

Front Health Serv. 2025 Jul 22;5:1513688. doi: 10.3389/frhs.2025.1513688. eCollection 2025.

Abstract

BACKGROUND

Oral health is considered a neglected area in Turkey. To date, therapeutic services have dominated the provision of oral health care, while preventive services have been underfunded and inconsistently delivered. This study aims to elicit the need for the integration of preventive oral health services into the Turkish public health system by revealing the viewpoints of dentists, citizens, health managers and experts in Turkey.

METHODS

A snowball sampling method was used, and qualitative semi-structured interviews were conducted with 47 participants. Data were collected between April and August 2023. Both content and descriptive analyses were conducted, with content analysis performed using the MAXQDA 2023 software.

RESULTS

The codes were grouped into three main themes: opinions on the provision of preventive oral and dental health services, opinions about family dentistry, current problems in oral and dental health services in Turkey. Results indicate that there is an urgent need to provide preventive oral health services in a systematic way and that the public is unaware of oral health. Provision of oral health services within primary health care services should be presented through the family dentistry system.

CONCLUSION

A roadmap for integrating preventive oral health services into the Turkish public health system was developed, incorporating preventive practices targeting both individuals and communities, using a public health approach.

摘要

背景

口腔健康在土耳其被视为一个被忽视的领域。迄今为止,治疗服务在口腔卫生保健的提供中占据主导地位,而预防服务资金不足且提供不一致。本研究旨在通过揭示土耳其牙医、公民、卫生管理人员和专家的观点,引出将预防性口腔健康服务纳入土耳其公共卫生系统的必要性。

方法

采用滚雪球抽样方法,对47名参与者进行了定性半结构化访谈。数据收集于2023年4月至8月之间。进行了内容分析和描述性分析,内容分析使用MAXQDA 2023软件进行。

结果

编码分为三个主要主题:关于预防性口腔和牙齿健康服务提供的意见、关于家庭牙科的意见、土耳其口腔和牙齿健康服务当前的问题。结果表明,迫切需要以系统的方式提供预防性口腔健康服务,并且公众对口腔健康缺乏认识。应通过家庭牙科系统在初级卫生保健服务中提供口腔健康服务。

结论

制定了将预防性口腔健康服务纳入土耳其公共卫生系统的路线图,采用公共卫生方法,纳入针对个人和社区的预防措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/544e/12321786/ff8bd5af95fd/frhs-05-1513688-g001.jpg

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