Canadian opinions on publicly financed dental care
Canadian opinions on publicly financed dental care
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DOI：
10.1007/bf03405446
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发表时间：
2007-11-01
影响因子：
4.3
通讯作者：
Locker, David
中科院分区：
文献类型：
--
作者：
Quinonez, Carlos R.;Locker, David
背景：加拿大长期以来一直认识到口腔健康和护理方面的不平等，公共卫生环境日益关注公平和获得护理的问题。加拿大如何为基本上可以预防的疾病提供公共保险，大多数人很少经历这些疾病，但仍然给社会边缘化人群造成巨大痛苦？我们通过询问加拿大人对公共资助的牙科保健的意见来考虑这一动态。方法：通过随机数字拨号和计算机辅助电话访谈技术对1006名加拿大成年人进行电话访谈调查，收集数据，进行简单的描述性和双变量分析来评估变量之间的关系，对显著关系计算逻辑回归比值比。结果：加拿大人支持牙科保健全民覆盖的想法，也需要对特定群体进行护理。一般来说，加拿大人更喜欢通过私营部门获得公共医疗服务，他们支持选择退出的想法，并希望那些获得这种医疗服务的人在服务点上做出经济贡献。结论：对公费牙科保健的支持表明对保健基本权利的普遍支持。在经济、口腔疾病的分布和加拿大对健康的价值观的限制下，我们仍然面临的挑战是确定我们认为在卫生保健系统的这一部门是什么。这个问题最终无法通过任何调查或统计手段得到回答，必须在社会舞台上公开促进和辩论，使加拿大人及其个人和社会责任感参与其中。
Background: Inequalities in oral health and care are long recognized in Canada, with public health environments increasingly focusing on issues of equity and access to care. How does Canada publicly insure for diseases that are largely preventable, minimally experienced by the majority, but that still cause tremendous suffering among the socially marginalized? We consider this dynamic by asking Canadians their opinions on publicly financed dental care.Methods: Data were collected from 1,006 Canadian adults through a telephone interview survey using random digit dialling and computer-assisted telephone interview technology Simple descriptive and bivariate analyses were undertaken to assess relationships among variables, with logistic regression odds ratios calculated for significant relations.Results: Canadians support the idea of universal coverage for dental care, also the need for care to specific groups. Generally preferring to access public care through the private sector, Canadians support the idea of opting out, and expect those who access such care to financially contribute at point of service.Conclusion: Support for publicly financed dental care is indicative of a general support for a basic right to health care. Within the limits of economy, the distribution of oral disease, and Canadian values on health, the challenge remains to define what we think is within this sector of the health care system. This question is ultimately unanswerable through any survey or statistical means, and must, to become relevant, be openly promoted and debated in the social arena, engaging Canadians and their sense of individual and social responsibility.