Holloway P J, Davies G N, Downer M C
Int Dent J. 1983 Sep;33(3):238-44.
Aarhus in Denmark, Adelaide in Australia, Saskatchewan in Canada, Bristol in England and Limerick in Ireland were chosen as representing five different systems for improving the dental health of children. Fluoridation apart, the system of dental care delivery seems to have little influence on the level of dental disease, but appears to have remarkable cost implications. The most expensive system employs salaried dentists to carry out all the operative procedures. Employing dental therapists to do the simple operative procedures reduces costs materially, but utilizing private dentists in an insurance scheme that encourages efficient practice may be less expensive still. The results of this study highlight the need for more detailed comparison of delivery systems, in order to advise public dental health authorities on the most effective and efficient systems for children.
丹麦的奥胡斯、澳大利亚的阿德莱德、加拿大的萨斯喀彻温、英国的布里斯托尔以及爱尔兰的利默里克被选为代表五种不同改善儿童口腔健康体系的城市。除了氟化措施外，口腔医疗服务体系似乎对口腔疾病水平影响不大，但似乎具有显著的成本影响。最昂贵的体系是雇佣拿薪水的牙医来实施所有的手术操作。雇佣口腔治疗师来进行简单的手术操作能大幅降低成本，但在鼓励高效执业的保险计划中利用私人牙医可能成本更低。这项研究的结果凸显了对服务体系进行更详细比较的必要性，以便就针对儿童的最有效和高效的体系向公共口腔卫生当局提供建议。
