台湾的住院牙科护理覆盖范围:使用全民医疗覆盖框架评估提供者参与和地理分布
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Updated: Jan 27, 2026

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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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1School of Dentistry, Chung Shan Medical University, Taichung, Taiwan.
Journal of dental sciences
|January 26, 2026
概括
台湾 台湾 台湾 台湾
科学领域:
- 公共卫生 公共卫生
- 口腔卫生政策 口腔卫生政策
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 全民健康覆盖 (UHC) 旨在提供基本的医疗服务,而没有经济困难.
- 台湾已经实现了近乎全民医疗覆盖,但在将家庭牙科护理 (DDC) 纳入全民医疗保障框架中,却面临着困难.
- 评估DDC覆盖率对于了解弱势群体在UHC中的差距至关重要.
研究的目的:
- 评估台湾家庭牙科护理 (DDC) 的覆盖率和可访问性.
- 分析台湾国家医疗保险 (NHI) 区域内DDC服务的地理分布和公平性.
- 在需要长期护理的个人中识别DDC提供和利用的障碍.
主要方法:
- 分析2024年关于牙科机构,牙医,DDC提供者和长期护理人口的公开数据.
- 通过提供者密度,洛伦茨曲线和吉尼系数对台湾各行政区的地理分布进行检查.
- 评估与长期护理总人口和特殊需要牙科服务预算相对使用DDC服务的情况.
主要成果:
- 只有1.3%的牙科机构和1.0%的牙医提供DDC服务.
- 只有2.6%的长期护理人口获得了DDC,占特殊需要牙科预算的3.1%.
- 虽然地理分布显示出高的股权 (吉尼系数为0.064-0.082),但在服务提供方面存在显著差异,三个地区的覆盖率为零,区域参与率差异很大.
结论:
- 在家用牙科护理 (DDC) 中提供者参与率极低,造成了大量的供应限制,限制了那些需要长期护理的人的获取.
- 台湾已经实现了DDC的公平地理分布,但缺乏足够的供应,突出了弱势群体在UHC中的重大差距.
- 需要紧急的政策干预,以增加DDC提供者的参与,并确保所有人获得全面的口腔保健服务.
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