Traebert J L
Centro de Estudos de Odontologia em Saúde Coletiva de Santa Catarina, Florianópolis, Brasil.
Rev Saude Publica. 1996 Dec;30(6):519-26. doi: 10.1590/s0034-89101996000600005.
The implications in terms of dental manpower and costs of applying the Scandinavian system of dental care in Brazil are specified and analysed. Two societies were chosen for study: those of Sweden, in Scandinavia and Santa Catarina, State in southern Brazil. The theoretical analysis of the implications was undertaken on the basis of an estimate of dental and auxiliary manpower required to deal with the high levels of oral disease and needs (caries, teeth needing extraction, periodontal diseases and the need for full dentures) in Santa Catarina. This estimate was undertaken by means of the World Health Organization-Fédération Dentaire Internationale (WHO-FDI) Model "Health Through Oral Health" (1989). The implications in costs, taking the total Swedish expenditure per dentist as a basis, were calculated and applied to the manpower calls for by the WHO-FDI model. The high costs resulting showed that the application of the Swedish model of dental care to Santa Catarina would be unrealistic. The implications in terms of manpower were calculated by applying the manpower ratios considered desirable in Sweden to Santa Catarina. In order to achieve the Swedish dentist: population ration, Santa Catarina would need 85% more dentists that it had in 1990. Regarding auxiliary personnel, the Brazilian State of Santa Catarina would need to train a large number of new personnel in order to attain the Swedish auxiliary: dentist ratio. In the light of the findings of this study, the adoption of the Swedish model of providing dental care by Santa Catarina in terms of costs and manpower is not feasible. Therefore, alternative approaches for the improvement of oral health in Santa Catarina and in the rest to Brazil should be sought. These approaches should take consider political, cultural and socio-economic aspects of Brazilian society into consideration.
本文详细阐述并分析了在巴西应用斯堪的纳维亚牙科护理体系对牙科人力和成本的影响。研究选取了两个社会群体：斯堪的纳维亚半岛的瑞典以及巴西南部圣卡塔琳娜州。基于对圣卡塔琳娜州高水平口腔疾病和需求（龋齿、需要拔除的牙齿、牙周疾病以及全口假牙需求）所需牙科和辅助人力的估计，对这些影响进行了理论分析。该估计通过世界卫生组织 - 国际牙科联合会（WHO - FDI）的“通过口腔健康促进健康”模型（1989年）进行。以瑞典每位牙医的总支出为基础计算成本影响，并将其应用于WHO - FDI模型所需的人力需求。结果显示成本过高，表明将瑞典牙科护理模式应用于圣卡塔琳娜州是不现实的。通过将瑞典认为理想的人力比例应用于圣卡塔琳娜州来计算人力影响。为了达到瑞典牙医与人口的比例，圣卡塔琳娜州在1990年所需的牙医数量要比当时多85%。关于辅助人员，巴西圣卡塔琳娜州需要培训大量新人员才能达到瑞典辅助人员与牙医的比例。鉴于本研究的结果，圣卡塔琳娜州在成本和人力方面采用瑞典牙科护理模式是不可行的。因此，应寻求改善圣卡塔琳娜州及巴西其他地区口腔健康的替代方法。这些方法应考虑巴西社会的政治、文化和社会经济方面。
