Herman N G, Rosenthal M, Franklin D M
Office of Oral Health, Programs and Policy, New York City Health and Hospitals Corp., USA.
N Y State Dent J. 1997 Apr;63(4):36-41.
In 1990, the Bureau of Dental Health Services of the New York City Department of Health launched a major initiative to modernize a network of school-based dental clinics located throughout the city. Since 1913, the bureau has provided dental care to public school children; however, the clinics were not properly maintained or upgraded, and were in a state of disrepair and obsolescence. Anticipating that the survival of the program was in question, the school program was converted to a fleet of state-of-the-art portable dental clinics permitting targeting of underserved, high-risk poor and immigrant populations. Demographics had changed dramatically over the years; the program could now situate services where they were needed most, and provide a broader array of care where access was a problem. This paper presents a six-year analysis of the program and builds a strong case to show that a portable delivery system can equal or in many ways surpass the effectiveness and capabilities of a fixed-state approach.
1990年，纽约市卫生部门的牙科保健服务局发起了一项重大举措，以使遍布全市的校内牙科诊所网络实现现代化。自1913年以来，该局一直为公立学校儿童提供牙科护理；然而，这些诊所没有得到妥善维护或升级，处于失修和过时的状态。鉴于该项目的存续受到质疑，学校项目被转变为一批最先进的便携式牙科诊所，以便针对服务不足、高风险的贫困和移民人群。多年来人口结构发生了巨大变化；该项目现在可以将服务定位到最需要的地方，并在获取服务存在问题的地方提供更广泛的护理。本文对该项目进行了为期六年的分析，并有力地证明了便携式服务系统在很多方面能够等同于或超越固定场所模式的有效性和能力。
