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Updated: Sep 15, 2025
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加拿大改善牙科护理获得权的公平:政策变革的历史教训
Christiana Martine1, Carlos Quiñonez2, Gregory P Marchildon3
1Dental Public Health, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada.
Journal of public health dentistry
|July 17, 2025
概括
萨斯喀彻温省的情况
科学领域:
- 公共卫生 公共卫生
- 牙科政策 牙科政策
- 医疗保健服务研究 医疗服务研究
背景情况:
- 检查加拿大70年代的省级牙科护理计划.
- 专注于萨斯喀彻温省的儿童牙科计划及其政策影响.
- 评估与当前加拿大牙科政策转变的相关性.
研究的目的:
- 从20世纪70年代开始,主要的省级牙科护理计划进行比较.
- 分析萨斯喀彻温省创新的儿童牙科项目.
- 评估它们对当代加拿大牙科政策的影响.
主要方法:
- 使用了叙事审查方法.
- 在多个数据库 (MEDLINE,Scopus,ProQuest,Google Scholar) 进行了雪球搜索.
- 从历史期刊,档案,政府报告,汉莎德辩论和报纸中收集主要数据.
主要成果:
- 在20世纪70年代,萨斯喀彻温省和安大略省代表了牙科政策频谱的对立端.
- 萨斯喀彻温省通过另一种交付模式成功实施了全省范围的儿童牙科计划,克服了专业的反对.
- 其他省份的举措处于这些极端之间,经常受到牙科专业对牙科治疗师和传统模式的抵制所阻碍,影响了获得护理的机会.
结论:
- 目前的加拿大牙科护理计划促进了牙科护理平等,但可能无法完全解决接入障碍.
- 建议探索其他交付模式,这些交付模式在历史上改善了获得牙科护理的机会.
- 建议进一步研究牙科治疗师的监督水平和程序格式,以增加有组织牙科的接受度.
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