China's Oral Care System in Transition: Lessons to be Learned from Germany
Identifieur interne : 004D90 ( Main/Exploration ); précédent : 004D89; suivant : 004D91China's Oral Care System in Transition: Lessons to be Learned from Germany
Auteurs : Ruediger Saekel [Allemagne]Source :
- International Journal of Oral Science [ 1674-2818 ] ; 2010.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Allemagne (épidémiologie), Assurance maladie, Bouche édentée (épidémiologie), Caries dentaires (épidémiologie), Chine (épidémiologie), Couverture maladie universelle (organisation et administration), Dentisterie communautaire, Dentistes (ressources et distribution), Enfant, Enfant d'âge préscolaire, Humains, Jeune adulte, Maladies parodontales (épidémiologie), Mécanismes de remboursement, Odontologie préventive, Perte dentaire (épidémiologie), Philosophie dentaire, Politique de santé, Prestations des soins de santé (organisation et administration), Priorités en santé, Réforme des soins de santé, Santé buccodentaire, Services de santé buccodentaire (organisation et administration), Sujet âgé, Transition sanitaire, Évaluation de résultat (soins).
- MESH :
- organisation et administration : Couverture maladie universelle, Prestations des soins de santé, Services de santé buccodentaire.
- ressources et distribution : Dentistes.
- épidémiologie : Allemagne, Bouche édentée, Caries dentaires, Chine, Maladies parodontales, Perte dentaire.
- Adolescent, Adulte, Adulte d'âge moyen, Assurance maladie, Dentisterie communautaire, Enfant, Enfant d'âge préscolaire, Humains, Jeune adulte, Mécanismes de remboursement, Odontologie préventive, Philosophie dentaire, Politique de santé, Priorités en santé, Réforme des soins de santé, Santé buccodentaire, Sujet âgé, Transition sanitaire, Évaluation de résultat (soins).
- Wicri :
- geographic : République populaire de Chine, Allemagne.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Child, Child, Preschool, China (epidemiology), Community Dentistry, Delivery of Health Care (organization & administration), Dental Caries (epidemiology), Dental Health Services (organization & administration), Dentists (supply & distribution), Germany (epidemiology), Health Care Reform, Health Policy, Health Priorities, Health Transition, Humans, Insurance, Health, Middle Aged, Mouth, Edentulous (epidemiology), Oral Health, Outcome Assessment (Health Care), Periodontal Diseases (epidemiology), Philosophy, Dental, Preventive Dentistry, Reimbursement Mechanisms, Tooth Loss (epidemiology), Universal Coverage (organization & administration), Young Adult.
- MESH :
- geographic , epidemiology : China, Germany.
- epidemiology : Dental Caries, Mouth, Edentulous, Periodontal Diseases, Tooth Loss.
- organization & administration : Delivery of Health Care, Dental Health Services, Universal Coverage.
- supply & distribution : Dentists.
- Adolescent, Adult, Aged, Child, Child, Preschool, Community Dentistry, Health Care Reform, Health Policy, Health Priorities, Health Transition, Humans, Insurance, Health, Middle Aged, Oral Health, Outcome Assessment (Health Care), Philosophy, Dental, Preventive Dentistry, Reimbursement Mechanisms, Young Adult.
Abstract
The objective of this discussion paper is to investigate whether the experience gained through the German paradigm shift in dental care can be of benefit in China's deliberations on the introduction of universal dental care for its people.
A comparison of representative oral health outcome data from China and Germany, two countries at different stages in their development, is presented here in order to analyse whether the findings meet expected outcome and confirm the presumption that more developed countries perform better.
The epidemiological comparison reveals surprising findings concerning the severity of dental diseases and, in particular, missing teeth per person in adults and rates of total edentulousness in seniors. In all of these areas German adults and seniors show significantly inferior outcomes compared with the Chinese population. The main reason for these striking discrepancies, as it turned out, is the decisive role played by the treatment philosophies and strategies of German dentists.
If dentists take a less interventionist approach, checking as well as treating dental diseases with preventive and strictly tooth-preserving methods, dental treatment results in oral health. Under these conditions it can be assumed that modern dentistry is generally good for the teeth. These findings are important for developing countries that are seeking to integrate dental care into their health care system. On the basis of long-term experience from highly industrialized Western countries and especially from Germany we will attempt to put forward proposals for creating an effective and efficient dental care system in China.
Url:
DOI: 10.4248/IJOS10054
PubMed: 21125794
PubMed Central: 3475601
Affiliations:
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Le document en format XML
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<term>Community Dentistry</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
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<term>Mouth, Edentulous</term>
<term>Periodontal Diseases</term>
<term>Tooth Loss</term>
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<term>Services de santé buccodentaire</term>
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<term>Dental Health Services</term>
<term>Universal Coverage</term>
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<term>Maladies parodontales</term>
<term>Perte dentaire</term>
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<term>Adult</term>
<term>Aged</term>
<term>Child</term>
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<term>Adulte d'âge moyen</term>
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<term>Politique de santé</term>
<term>Priorités en santé</term>
<term>Réforme des soins de santé</term>
<term>Santé buccodentaire</term>
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<front><div type="abstract" xml:lang="en"><sec><title>Aim</title>
<p>The objective of this discussion paper is to investigate whether the experience gained through the German paradigm shift in dental care can be of benefit in China's deliberations on the introduction of universal dental care for its people.</p>
</sec>
<sec sec-type="methods"><title>Methodology</title>
<p>A comparison of representative oral health outcome data from China and Germany, two countries at different stages in their development, is presented here in order to analyse whether the findings meet expected outcome and confirm the presumption that more developed countries perform better.</p>
</sec>
<sec sec-type="results"><title>Results</title>
<p>The epidemiological comparison reveals surprising findings concerning the severity of dental diseases and, in particular, missing teeth per person in adults and rates of total edentulousness in seniors. In all of these areas German adults and seniors show significantly inferior outcomes compared with the Chinese population. The main reason for these striking discrepancies, as it turned out, is the decisive role played by the treatment philosophies and strategies of German dentists.</p>
</sec>
<sec><title>Conclusion and recommendations</title>
<p>If dentists take a less interventionist approach, checking as well as treating dental diseases with preventive and strictly tooth-preserving methods, dental treatment results in oral health. Under these conditions it can be assumed that modern dentistry is generally good for the teeth. These findings are important for developing countries that are seeking to integrate dental care into their health care system. On the basis of long-term experience from highly industrialized Western countries and especially from Germany we will attempt to put forward proposals for creating an effective and efficient dental care system in China.</p>
</sec>
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