PDF(Pubmed)
Abstract：
The World Health Organization (WHO) has recently devoted special attention to oral health and oral health care recommending the latter becoming part of universal health coverage (UHC) so as to reduce oral health inequalities across the globe. In this context, as countries consider acting on this recommendation, it is essential to develop a monitoring framework to measure the progress of integrating oral health/health care into UHC. This study aimed to identify existing measures in the literature that could be used to indicate oral health/health care integration within UHC across a range of low-, middle- and high-income countries.
A scoping review was conducted by searching MEDLINE via Ovid, CINAHL, and Ovid Global Health databases. There were no quality or publication date restrictions in the search strategy. An initial search by an academic librarian was followed by the independent reviewing of all identified articles by two authors for inclusion or exclusion based on the relevance of the work in the articles to the review topic. The included articles were all published in English. Articles concerning which the reviewers disagreed on inclusion or exclusion were reviewed by a third author, and subsequent discussion resulted in agreement on which articles were to be included and excluded. The included articles were reviewed to identify relevant indicators and the results were descriptively mapped using a simple frequency count of the indicators.
The 83 included articles included work from a wide range of 32 countries and were published between 1995 and 2021. The review identified 54 indicators divided into 15 categories. The most frequently reported indicators were in the following categories: dental service utilization, oral health status, cost/service/population coverage, finances, health facility access, and workforce and human resources. This study was limited by the databases searched and the use of English-language publications only.
This scoping review identified 54 indicators in a wide range of 15 categories of indicators that have the potential to be used to evaluate the integration of oral health/health care into UHC across a wide range of countries.
A scoping review was conducted by searching MEDLINE via Ovid, CINAHL, and Ovid Global Health databases. There were no quality or publication date restrictions in the search strategy. An initial search by an academic librarian was followed by the independent reviewing of all identified articles by two authors for inclusion or exclusion based on the relevance of the work in the articles to the review topic. The included articles were all published in English. Articles concerning which the reviewers disagreed on inclusion or exclusion were reviewed by a third author, and subsequent discussion resulted in agreement on which articles were to be included and excluded. The included articles were reviewed to identify relevant indicators and the results were descriptively mapped using a simple frequency count of the indicators.
The 83 included articles included work from a wide range of 32 countries and were published between 1995 and 2021. The review identified 54 indicators divided into 15 categories. The most frequently reported indicators were in the following categories: dental service utilization, oral health status, cost/service/population coverage, finances, health facility access, and workforce and human resources. This study was limited by the databases searched and the use of English-language publications only.
This scoping review identified 54 indicators in a wide range of 15 categories of indicators that have the potential to be used to evaluate the integration of oral health/health care into UHC across a wide range of countries.
摘要：
背景：世界卫生组织（WHO）最近特别关注口腔健康和口腔保健，建议后者成为全民健康覆盖（UHC）的一部分，以减少全球口腔健康不平等。在这种情况下，当各国考虑根据这项建议采取行动时，必须制定一个监测框架，以衡量将口腔健康/保健纳入全民健康覆盖的进展。本研究旨在确定文献中的现有措施，这些措施可用于指示UHC范围内的口腔健康/医疗保健整合，中高收入国家。
方法：通过Ovid搜索MEDLINE进行范围审查，CINAHL,和Ovid全球卫生数据库。搜索策略中没有质量或发布日期限制。由学术图书馆员进行初步搜索，然后由两位作者根据文章中的工作与评论主题的相关性对所有已确定的文章进行独立审查，以纳入或排除。收录的文章均以英文发表。审稿人不同意列入或排除的文章由第三作者审查，随后的讨论达成了关于应包括和排除哪些条款的一致意见。对纳入的文章进行了审查，以确定相关指标，并使用指标的简单频率计数对结果进行了描述性映射。
结果：包含的83篇文章包括来自32个国家的广泛工作，并在1995年至2021年之间发表。审查确定了54项指标，分为15类。最常报告的指标有以下几类：牙科服务利用率，口腔健康状况,成本/服务/人口覆盖率，金融,医疗机构准入，以及劳动力和人力资源。这项研究受到搜索的数据库和仅使用英语出版物的限制。
结论：本范围审查确定了15类指标中的54项指标，这些指标有可能用于评估口腔健康/保健与UHC的整合。
方法：通过Ovid搜索MEDLINE进行范围审查，CINAHL,和Ovid全球卫生数据库。搜索策略中没有质量或发布日期限制。由学术图书馆员进行初步搜索，然后由两位作者根据文章中的工作与评论主题的相关性对所有已确定的文章进行独立审查，以纳入或排除。收录的文章均以英文发表。审稿人不同意列入或排除的文章由第三作者审查，随后的讨论达成了关于应包括和排除哪些条款的一致意见。对纳入的文章进行了审查，以确定相关指标，并使用指标的简单频率计数对结果进行了描述性映射。
结果：包含的83篇文章包括来自32个国家的广泛工作，并在1995年至2021年之间发表。审查确定了54项指标，分为15类。最常报告的指标有以下几类：牙科服务利用率，口腔健康状况,成本/服务/人口覆盖率，金融,医疗机构准入，以及劳动力和人力资源。这项研究受到搜索的数据库和仅使用英语出版物的限制。
结论：本范围审查确定了15类指标中的54项指标，这些指标有可能用于评估口腔健康/保健与UHC的整合。
