Oral Health in America: Implications for dental practice.
Oral Health in America: Implications for dental practice.
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DOI：
10.1016/j.adaj.2022.04.002
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发表时间：
2022-07
期刊：
影响因子：
--
通讯作者：
Tinanoff N
中科院分区：
文献类型：
--
作者：
Fellows JL;Atchison KA;Chaffin J;Chávez EM;Tinanoff N
自 2000 年美国卫生局局长发布美国口腔健康报告以来，在获得和提供口腔保健方面取得了重要但还不够的进展。儿童和青少年获得护理的机会有所增加，但要公平地满足所有人的口腔保健需求，仍有大量工作要做。美国国立卫生研究院的报告《美国口腔健康：进展与挑战》回顾了美国口腔保健系统的状况、2000 年以来取得的成就以及仍然存在的挑战。在本文中，作者强调了口腔健康状况、获得护理和交付系统、口腔和全身健康一体化、口腔卫生保健融资以及口腔卫生劳动力方面的关键进展和持续挑战。自 2000 年以来，公共保险覆盖范围有所增加，但对于许多低收入、少数族裔和老年人口来说仍然有限。口腔保健人员队伍已扩大到包括新的牙科专业和联合专业模式，增加了获得健康促进和预防服务的机会。女性和亚裔美国人取得的实践成果尚未扩展到其他少数群体。口腔健康一体化模式正在改善一些弱势群体获得和提供以患者为中心的护理的机会。需要协调一致的政策和额外的资源来进一步改善获得护理的机会，制定牙科保险计划以减少低收入成年人的自付费用，并改善口腔和医疗保健服务的一体化，以实现以患者为中心的共同结果。牙科保健专业人员需要充分参与有意义的全系统变革，以公平地满足人们的需求。
Important, but insufficient, gains have been achieved in access to and delivery of oral health care since the 2000 US surgeon general’s report on oral health in America. Access to care has increased for children and young adults, but considerable work remains to meet the oral health care needs of all people equitably. The National Institutes of Health report, Oral Health in America: Advances and Challenges, reviews the state of the US oral health care system, achievements made since 2000, and remaining challenges. In this article, the authors highlight key advances and continuing challenges regarding oral health status, access to care and the delivery system, integration of oral and systemic health, financing of oral health care, and the oral health workforce. Public insurance coverage has increased since 2000 but remains limited for many low-income, minority, and older adult populations. The oral health care workforce has expanded to include new dental specialties and allied professional models, increasing access to health promotion and preventive services. Practice gains made by women and Asian Americans have not extended to other minority demographic groups. Oral health integration models are improving access to and delivery of patient-centered care for some vulnerable populations. Coordinated policies and additional resources are needed to further improve access to care, develop dental insurance programs that reduce out-of-pocket costs to lower-income adults, and improve the integration of oral and medical health care delivery targeting a common set of patient-centered outcomes. Dental care professionals need to fully participate in meaningful and system-wide change to meet the needs of the population equitably.
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影响因子：
6.3
作者：
Quandt SA;Chen H;Bell RA;Anderson AM;Savoca MR;Kohrman T;Gilbert GH;Arcury TA
通讯作者：
Arcury TA
影响因子：
3.9
作者：
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通讯作者：
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影响因子：
3.9
作者：
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通讯作者：
Bashir, Nasir Zeeshan
影响因子：
4.5
作者：
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通讯作者：
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影响因子：
2.8
作者：
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通讯作者：
Ward, Angela