Access to Oral Health Care: A National Crisis and Call for Reform.
Access to Oral Health Care: A National Crisis and Call for Reform.
复制标题
获得口腔保健：国家危机和改革呼声。
DOI：
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发表时间：
2017
期刊：
影响因子：
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通讯作者：
Catherine H. Bersell
中科院分区：
文献类型：
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作者：
Catherine H. Bersell
目的：根据《2020年健康人群报告》，口腔健康是整体健康不可或缺的一部分，获得牙科服务对于促进和维持良好的口腔健康至关重要。然而，那些最需要牙科护理的人往往最不可能得到牙科护理。口腔卫生专业准备在解决口腔健康差距方面发挥关键作用。这份手稿的目的是从不同的角度研究美国获得口腔保健的关键问题，并考虑对牙科专业人员和口腔保健系统的潜在影响。这份报告侧重于服务不足和易受伤害的主要人群，并强调了几个显著影响获得和导航口腔卫生保健系统的能力的障碍。这些问题包括社会经济地位低；牙医短缺和分布不均；缺乏关于当前循证口腔健康指南的专业培训；由于跨学科合作不足，护理的连续性不足；口腔健康素养低；以及患者对预防性牙科护理的看法和误解。这份报告还包含医疗补助提供者参与的最新情况；儿童口腔健康状况；以及新兴劳动力模式、州倡议和立法改革。建议增加获得护理的机会需要地方、州和联邦利益攸关方联合起来，利用现有的牙齿卫生劳动力，利用创新的提供模式，改善许可证互惠，减少禁止性监督，并扩大牙齿卫生的执业范围。未来研究的主要重点将是实施中等水平的口腔保健提供者。牙科卫生员是Access to Care解决方案不可或缺的一部分，他们有很好的机会领导行动号召，并履行美国牙科卫生师协会的使命，即口腔卫生保健是所有人的权利。
Purpose: According to the report Healthy People 2020, oral health is integral to overall health and access to dental services is essential to promoting and maintaining good oral health. Yet, those who need dental care the most are often the least likely to receive it. The dental hygiene profession is poised to play a pivotal role in the resolution of oral health disparities. The purpose of this manuscript is to examine the critical issue of access to oral health care in the United States from various perspectives and consider potential implications for dental professionals and the oral health care system. This report focuses on major underserved and vulnerable populations and highlights several barriers that significantly affect the ability to access and navigate the oral health care system. These include low socioeconomic status; the shortage and maldistribution of dentists; a lack of professional training regarding current evidence-based oral health guidelines; deficient continuity of care due to inadequate interdisciplinary collaboration; low oral health literacy; and patient perceptions and misconceptions about preventive dental care. This report also contains an update on provider participation in Medicaid; the state of children's oral health; and emerging workforce models, state initiatives, and legislative reforms. Recommendations increasing access to care require local, state, and federal stakeholders to combine forces that take advantage of the existing dental hygiene workforce, utilize innovative delivery models, improve license reciprocity, reduce prohibitive supervision, and expand the dental hygiene scope of practice. The major focus of future research will be on the implementation of mid-level oral health care providers. Dental hygienists are an integral part of the access to care solution and have a great opportunity to lead the call to action and fulfill the American Dental Hygienists' Association's mandate that oral health care is the right of all people.