Measuring Oral Disease Burden for Planning Services

描述：(申请人提供)：本提案属于 1999年NIDCR战略计划中概述的第六个研究领域-- 行为、健康促进与环境。这是一项考虑到 与口腔的行为、社会和环境方面有关的问题 健康。它还探讨了与口腔健康中的不平等有关的问题。使用 不断扩大的贫富差距(包括国家内部和国家之间) 需要一种能够可靠地用于 制定适用于多种社会和经济的口腔健康计划 设置是最重要的。假设不再是合理的吗？一个计划符合 全部？这里提出的规划口腔健康服务的方法将 允许以更公平和更适当的方式分配资源和 因此，这将对解决卫生方面的不平等问题作出重大贡献。 目前，世界各地的专业人士最常将他们的 规划口腔健康服务对其规范性需求的评估。这 导致了许多计划和战略，这些计划和战略要么没有完全解决 人们确定了需求，或者没有得到适当的实施，因为他们的 人力和财力成本高。这些问题在以下方面最为严重 弱势群体。这项规划建议旨在开发更多的 确定牙科护理需求的可靠和现实的方法，从而 改进口腔健康服务规划方法。它开发了 利用社会-牙科的方法，更好地辨认人？S需要。这需要 考虑到要提供服务的环境。钥匙 计划阶段工作的组成部分是测试理解 和建议问卷的效度(社会-牙齿测量 仪器)和其使用的可行性，以及临床 审查，在四个合作国家的实地条件下， 进行前期测试和初步研究。建议使用的社会牙科器械 用于适应和测试的是日常表现的口头影响测量。 首席调查员常驻美国得克萨斯州休斯敦， 合作者设在开普敦(南非)、达累斯萨拉姆(坦桑尼亚)、 和伦敦(英国)。

DESCRIPTION: (provided by applicant): This proposal falls under the rubric of the sixth of the research areas outlined in the 1999 NIDCR Strategic Plan - Behavior, Health Promotion and Environment. It is a proposal that considers issues pertinent to behavioral, social and environmental aspects of oral health. It also explores issues relevant to inequalities in oral health. With the increasing gap (both within and between countries), between rich and poor the need for a robust planning methodology that can be reliably used for the development of oral health plans suitable in a variety of social and economic settings, is paramount. No longer is it reasonable to assume ?one plan fits all?. The approach proposed here to the planning of oral health services will allow the allocation of resources in a fairer and more appropriate fashion and thus, will make a major contribution to addressing inequalities in health. Currently professionals, throughout the world, most commonly base their planning of oral health services on their assessment of normative need. This has resulted in many plans and strategies that either do not fully address peoples identified needs or that are not implemented properly, because of their high costs in human and financial resources. These problems are most severe in disadvantaged communities. This planning proposal sets out to develop a more reliable and realistic method for determining dental care needs and thence to improvements in the method of planning oral health services. It develops the use of a socio-dental approach, to better identify people?s needs. It takes into account the context in which services are to be provided. The key components of the work during the planning phase are to test the understanding and validity of the proposed questionnaire (the socio-dental measurement instrument) and the feasibility of its use, together with a clinical examination, under the field conditions in the four collaborating countries, undertaking pre-tests and pilot studies. The socio-dental instrument proposed for adaptation and testing is the Oral Impacts of Daily Performance measure. The principal investigator is based in Houston, Texas (USA) and the collaborators are based in Cape Town (South Africa), Dar es Salaam (Tanzania), and London (UK).