世界的な口腔衛生への無視をなくす: 根本的な行動の時間
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Updated: Jan 21, 2026

08:47
Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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Richard G Watt1, Blánaid Daly2, Paul Allison3
1WHO Collaborating Centre in Oral Health Inequalities and Public Health, Department of Epidemiology and Public Health, University College London, London, UK.
Lancet (London, England)
|July 23, 2019
まとめ
現在の歯科医療制度は 口腔疾患と健康格差の根本的な原因に対処できていません 歯科医療と初等保健医療を統合し,砂糖の消費などの共通のリスク要因に対処するシステム改革が緊急に必要です.
科学分野:
- 公衆衛生
- 健康政策
- 歯科科学
背景:
- 口腔疾患は 世界中で何十億人もの人々に 深刻な公衆衛生問題をもたらしています
- 現在の歯科医院は 特に高所得国では 治療に焦点を当てており 根本的な原因や健康上の不平等を 解決していません
- 低所得国や中所得国 (LMIC) では 歯科治療は ほとんどの人が入手できず,手元に届かないし,適していません.
研究 の 目的:
- 現在の歯科医療制度の限界を批判し 根本的な改革を提唱する
- 歯科医療を主流の医療,特にプライマリケアに統合する必要性を強調する.
- 口腔疾患と非伝染性疾患 (NCD) の共通の危険因子に対処する重要性を強調し,砂糖の消費に重点を置く.
主な方法:
- 高所得国および低所得国における既存の歯科医療モデルを体系的に批判する.
- 産業の影響を含む口腔疾患の社会的および商業的決定因子の分析
- 砂糖消費を削減し,企業の影響を緩和するための政策戦略の検討.
主要な成果:
- 現在の介入的で専門的な歯科のアプローチは 病気の起源と健康上の格差に対処するのに 効果的ではありません
- 歯科医療をプライマリサービスに統合するチャンスです.
- 砂糖産業は歯科の研究,政策,専門団体に大きな影響を及ぼし,より強力な利益相反政策を必要とします.
結論:
- 口腔衛生の促進,維持,公平性への重点を移すため,緊急にシステムレベルの改革が必要である.
- 歯科医療をプライマリヘルスケアに統合することは,アクセスと成果の改善に不可欠です.
- 特に砂糖の消費を規制することによって,口腔疾患の商業的決定因子と闘うことは,政策上の優先事項でなければならない.
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