Ardakani Mohsen Sharif Zadeh, Bayati Mohsen
Department of Dental Public Health, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.
Health Human Resources Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Prev Med Rep. 2025 Sep 1;58:103227. doi: 10.1016/j.pmedr.2025.103227. eCollection 2025 Oct.
This study investigates the status of Universal Health Coverage in oral/dental services from the perspectives of population, service, and cost coverage, as well as other aspects of financing, using a scoping review.
A scoping review of published articles from 2000 to 2024 was conducted, utilizing scientific databases including PubMed, Scopus, Web of Science, Embase, and ProQuest, along with other sources such as grey literature and Google Scholar.
The initial search identified 58,778 articles, with 28 articles included in the final analysis after screening and full-text review. The included countries were Australia, Bulgaria, Canada, China, Finland, France, Germany, Greece, India, Iran, Ireland, Italy, Japan, Netherlands, Poland, Romania, Spain, Sudan, Sweden, Thailand, Turkey, United Kingdom, Ukraine, and the United States. The condition of oral health coverage was reported by factors such as dental health expenditure, coverage type, service and cost coverage, coverage of age/specific groups, and cost sharing.
Dental services are mainly provided by the private sector, do not have adequate public coverage and are mainly financed by out-of-pocket payments. However, Dental health expenditure and coverage vary significantly across countries, influenced by diverse healthcare systems, economic conditions, and public health priorities. Countries like Sweden and the United Kingdom demonstrate strong public funding commitments, providing comprehensive coverage for preventive and basic services. In contrast, countries like Australia and the United States rely more on private insurance, leading to higher out-of-pocket costs for individuals. Addressing high out-of-pocket payments and ensuring equitable access to oral health care remain key challenges.
本研究采用范围综述，从人群、服务和成本覆盖以及融资的其他方面调查口腔/牙科服务中全民健康覆盖的状况。
对2000年至2024年发表的文章进行范围综述，利用包括PubMed、Scopus、科学网、Embase和ProQuest在内的科学数据库，以及灰色文献和谷歌学术等其他来源。
初步检索识别出58778篇文章，经过筛选和全文审查后，最终分析纳入28篇文章。纳入的国家有澳大利亚、保加利亚、加拿大、中国、芬兰、法国、德国、希腊、印度、伊朗、爱尔兰、意大利、日本、荷兰、波兰、罗马尼亚、西班牙、苏丹、瑞典、泰国、土耳其、英国、乌克兰和美国。口腔健康覆盖状况通过牙科保健支出、覆盖类型、服务和成本覆盖、年龄/特定群体覆盖以及成本分担等因素来报告。
牙科服务主要由私营部门提供，公共覆盖不足，主要通过自付费用融资。然而，各国的牙科保健支出和覆盖情况差异很大，受到不同的医疗保健系统、经济状况和公共卫生重点的影响。瑞典和英国等国家表现出强大的公共资金投入，为预防和基本服务提供全面覆盖。相比之下，澳大利亚和美国等国家更多地依赖私人保险，导致个人自付费用更高。解决高额自付费用并确保公平获得口腔保健仍然是关键挑战。
