The status of hospital dentistry in Taiwan in October 2019
The status of hospital dentistry in Taiwan in October 2019
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DOI：
10.1016/j.jds.2020.07.003
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发表时间：
2020-12-01
影响因子：
3.5
通讯作者：
Chiang, Chun-Pin
中科院分区：
文献类型：
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作者：
Cheng, Feng-Chou;Chang, Julia Yu-Fong;Chiang, Chun-Pin
背景/目的：自2015年起，牙科护理已正式纳入台湾的医院认证体系。牙医与人口的比例显示，牙医人手的地理分布仍然不平衡。本研究试图从医院牙科的现况来评估牙科人力的问题，并因此提供两个组织层级的建议及其政策意涵。材料与方法：本研究利用二手资料分析法，评估2019年10月台湾不同地区医疗中心、区域医院与地区医院牙科部门的牙科人力。结果发现，牙科人力，包括牙科医生和牙科专家的数量是最高的医疗中心，其次是区域医院和地区医院。此外，牙科资源及人力主要集中于台湾北方地区，其次为中南部地区、东部地区及离岛地区。结论：台湾地区医院牙科向规模化、专业化方向发展。医院全科医师与专科医师都集中在医疗中心，尤其是台湾北方地区的医疗中心，显示台湾北方地区的医师供应过剩，且各地区间的医师分布不均。因此，大都市地区医院的责任是发展老年人及残障牙科，并协助偏远地区的口腔健康促进及口腔疾病预防，以缩小台湾牙科资源的城乡差距。(C)2020中华民国口腔医学会。
Background/purpose: Dental care has been officially incorporated into the hospital accreditation system in Taiwan since 2015. The geographical distribution of dentist manpower still remains in an unbalanced status as shown by the dentist-to-population ratio. This study tried to assess the dental manpower issue in terms of the status of hospital dentistry, and hence provided two organizational-level suggestions with their policy implications.Materials and methods: This study utilized the secondary data analysis to evaluate the dental manpower in dental departments of medical centers, regional hospitals, and district hospitals in different regions of Taiwan in October 2019.Results: Our results found that the dental manpower including the numbers of general dentists and dental specialists was highest in medical centers, followed by regional hospitals and district hospitals. Moreover, the dental resources and manpower were mostly concentrated in the northern region of Taiwan, followed by the central and southern regions of Taiwan, the eastern region of Taiwan, and offshore islands.Conclusion: The hospital dentistry in Taiwan develops toward large-scale and specialization. Both hospital general dentists and dental specialists are concentrated in the medical centers, especially the medical centers in the northern region of Taiwan, indicating the problem of oversupply in the northern Taiwan and unbalanced distribution of dentists among the regions in Taiwan. Therefore, the responsibilities of the hospitals in metropolitan areas are to develop the elderly and disabled dentistry and to assist with oral health promotion and oral disease prevention in remote areas to reduce the urban-rural gap in dental resources in Taiwan. (C) 2020 Association for Dental Sciences of the Republic of China.