정설화 메인 Basic oral health goals for spain 20152020

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정설화 메인 Basic oral health goals for spain 20152020

  1. 1. Basic oral health goalsfor Spain2015/2020폴리클 3조 51번 정설화
  2. 2. 1. 개요 및 목적1) The absence of oral health goals makes it impossible toassess & analyse the response of the health system to oralhealth problems2) Health goals represent the difference between the presentday situation & that desired for the future& are an essential tool for promoting action & change
  3. 3. 1. 개요 및 목적3)- preventive activities in permanent dentition(6-15yr)- sharp increase in the Spanish dental workforce:Dentist : population ratio (from 1:9,506 to 1:1,918)- population that has visited a dentist within the last threemonths has risen from 13.5% (1987) to 17.2% (1997)4) continuous improvement achievedregarding many oral health indicatorsex) DMFT index at 12 years : a drop from 4.20(1984) to1.12(2000), a stabilisation to 1.33(2005)5) a project to define goals (basic goals) regarding oralhealth in Spain for the years 2015-2020 by theprofessionals & public and private dentists
  4. 4. 2. Methods a qualitative research technique compliance with the SMART conditions-> Specific, Measurable, Achievable, Realistic, Time-bound The most relevant Documents• Spanish Oral Health Surveys 1984-200511-16• The joint document published by WHO, FDI andIADR establishing an open guide for each countryto define oral health goals for 20201• The WHO Oral Health Goals for the year 20003already achieved by Spain15• A selection of indicators from the European Global OralHealth Indicators Development (EGOHID) Project20
  5. 5. 2. Methods The variables used to set up goals were based on• Caries history: dft index (decayed and filled deciduous teeth), DMFT index,SiC index (the mean DMFT of the population with the highest DMFT),Restoration Index (filled fraction of the DMFT index).• Gingival health: the CPI (Community Periodontal Index)• Daily tooth brushing & difficulty in eating/chewing
  6. 6. 3. Results
  7. 7. 3. Results all indicators related to the objectives-> these represents…• an increase in tooth brushing• an increase in the percentage of people with healthy gingiva• a decrease in the prevalence of caries• a decrease in the number of teeth affected (decayed or missing)• an increase in caries restoration
  8. 8. 4. Discussion Qualitative methods (vs quantitative methods)- very useful in subjects(controversial or have a high degree of uncertainty) 10 basic goals- fundamental to oral health- serve as a starting-point for an indepth analysis of oral health in Spain- acting as a reference point for a future evaluation
  9. 9. 4. Discussion oral cancer (not target): a wider field than the dental areadesirable to improve dental profession such as health educationprogrammes (tobacco and alcohol consumption)or early detection of cancerous and precancerous oral lesions the achievement of all the proposed goals: combined effortto develop health promotion activities &to deliver cost-effective, evidence-based, health services The involvement of all health system personnel(health authorities, dental profession, universities, population)in the maintenance and/or development of neworal health programmes & strategiesis recommended & desirable
  10. 10. 5. Reference 1. Hobdell M, Petersen PE, Clarkson J et al. Global goals fororal health 2020. Int Dent J 2003 53: 285-288. 2. Ziller B, Micheelis W, Osterreich D et al. Goals for oralhealth in Germany 2020. Int Dent J 2006 56: 29-32. 3. WHO. WHO Oral Health Country/Area Profile Programme.Geneva: WHO Headquarters, Oral Health Programme (NPH)[cited Dec-25 2007]. Available at:http:///www.whocollab.od.mah.se/.외 31편

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