Sustainable oral health interventions.

Sustainable oral health interventions.
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可持续的口腔健康干预措施。

DOI:
10.1111/j.1752-7325.2011.00230.x
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发表时间:
2011
影响因子:
2.3
通讯作者:
Weintraub,JaneA
Weintraub,JaneA
中科院分区:
医学4区
文献类型:
--
作者:
Weintraub,JaneA

文献摘要

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How can we best implement evidence-based health promoting interventions that are sustainable, scalable and are either self-supporting (eg reimbursable services) or require few continuing resources? Simpson (1) provides an excellent multi-stage model based on four stages: training, adoption, implementation and practice improvement. His model is most applicable to private practice settings with office-based institutional resources and emphasis on staff needs, attributes, and acceptance. Simpson's model does not specifically include a public health perspective. The intervention's public health characteristics should be considered as should larger system-level factors in which public health programs operate. Meeting consumer needs and active community engagement are also critical.As described in Jong's text (2),“an ideal public health measure [intervention] should be:(1) of proven efficacy in the reduction of the targeted disease;(2) medically and dentally safe;(3) easily and efficiently implemented, utilizing a relatively small amount of materials, supplies, and equipment;(4) readily administered by nondental personnel;(5) attainable by the beneficiaries regardless of their socioeconomic, educational, income and occupational status;(6) readily available and accessible to large numbers of individuals;(7) inexpensive, therefore affordable by the majority;(8) uncomplicated and easily learned by the utilizers;(9) administered with maximum acceptance on the part of the patient (s); and (10) administered with minimum compliance on the part of the patient (s).”