PRUDENT: Prioritization, incentives and Resource use for sUstainable DENTistry

口腔疾病和病症是欧盟第三大最昂贵的治疗疾病。它们影响了大约一半的欧盟人口。正如《2021年世卫组织口腔卫生决议》所强调的那样，在口腔卫生保健的融资方面存在重大挑战：与联合国和世卫组织全民健康覆盖的目标背道而驰，许多欧盟公民无法在没有经济困难的情况下获得基本的口腔卫生保健。这对公民个人造成了不利影响，同时在宏观层面上增加了成本并浪费了资源。研究政策差距和研究实践差距不断引发惰性和不作为，而不是解决口腔疾病的持续负担，尽管这在很大程度上是可以预防的。为此，PRUDENT（可持续牙科的优先顺序、激励措施和资源利用）项目旨在制定和实施一个创新的、适应环境的框架，以优化口腔护理的融资。PRUDENT将来自著名大学、公共当局和决策者、民间社会和患者组织、健康保险公司和卫生专业人员的顶级研究人员聚集在一起，以实现集体解决问题的逐步改变。鉴于该主题的全面性，PRUDENT采用了一种有针对性的方法，完全侧重于当前口腔护理融资限制的四个主要根本原因。采用混合方法研究方法，PRUDENT将：(i)共同制定口腔卫生系统绩效指标，并在欧盟范围内的监测框架中实施；（ii）进行现实世界和实验室实验，以确定改进的口腔护理融资机制；（iii）利用监管学习、适应需求的资源规划和审慎确定优先事项，加强改善口腔护理融资。所获得的知识将与政策简报和决策援助工具合并到审慎融资伙伴中，以具体可行和适应环境的口腔护理融资改进。

Oral diseases and conditions are the 3rd most expensive diseases to treat in the EU. They affect about half of the EU population. As highlighted in the 2021 WHO Oral Health Resolution, there are major challenges in the financing of oral health care: in deviation from the UN and WHO goal of Universal Health Coverage, many EU citizens do not have access to essential oral health care without financial hardship. This causes detrimental impacts for the individual citizen, while increasing costs and wasting resources on the macro level. Research-policy gaps and research-practice gaps keep triggering inertia and inaction instead of addressing the persistent, albeit largely preventable, burden of oral diseases. To this end, the PRUDENT (Prioritization, incentives and Resource use for sUstainable DENTistry) project aims to develop and implement an innovative and context-adaptive framework for optimized financing of oral care. PRUDENT bringstogether top investigatorsfrom prestigious universities, public authorities and policymakers, civilsociety and patient organizations, health insurers, and health professionals, to achieve a step change in collective problem solving. Given the comprehensiveness of the topic, PRUDENT uses a targeted approach that is entirely focused on four major root-causes underlying the current limitations of oral care financing. Using a mixed-methods research approach, PRUDENT will: (i) co-develop oral health system performance indicators and implement them in EU-wide monitoring framework; (ii) conduct real-world and lab experiments to identify improved oral care financing mechanisms; (iii) leverage regulatory learning, needs-adaptive resource planning and deliberative priority setting to enhance the improvement of oral care financing. The knowledge gained will be merged into the PRUDENT Financing Companion with policy briefs and decision aid tools for concretely actionable and context-adaptive improvement of oral care financing.