Measuring Oral Disease Burden for Planning Services

描述：（由申请人提供）：本建议书属于以下类别：福尔斯 1999年NIDCR战略计划中概述的第六个研究领域- 行为，健康促进和环境。这是一个考虑到 与口腔疾病的行为、社会和环境方面有关的问题 健康它还探讨了与口腔健康不平等有关的问题。与 贫富差距（国家内部和国家之间）日益扩大 需要一个强大的规划方法，可以可靠地用于 制定适合各种社会经济条件的口腔健康计划 设置，是最重要的。不再是合理的假设吗？一个计划适合 所有？本文提出的口腔健康服务规划方法将 以更公平和更适当的方式分配资源， 因此，这将为解决保健方面的不平等问题作出重大贡献。 目前，在世界各地，专业人士最常见的基础是他们的 根据对规范性需求的评估来规划口腔健康服务。这 导致许多计划和战略要么没有充分解决 人们确定的需求或没有得到适当落实，因为他们 人力和财力资源成本高。这些问题在下列国家最为严重： 弱势群体。这项规划建议旨在发展一个更 确定牙齿护理需求的可靠和现实的方法， 改善规划口腔保健服务的方法。开发了 使用社会牙科方法，以更好地识别人？s的需要。需要 考虑到提供服务的背景。关键 在规划阶段的工作组成部分是测试的理解 和有效性的建议问卷（社会牙科测量 仪器）及其使用的可行性，以及临床 在四个合作国家的实地条件下， 进行预测试和试点研究。建议的社会牙科工具 适应和测试是日常表现的口头影响措施。 主要研究者位于美国德克萨斯州休斯顿， 合作者位于开普敦（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).