PDF(Pubmed)
Abstract：
The 2021 Resolution on Oral Health by the 74th World Health Assembly supports an important health policy direction: inclusion of oral health in universal health coverage. Many healthcare systems worldwide have not yet addressed oral diseases effectively. The adoption of value-based healthcare (VBHC) reorients health services towards outcomes. Evidence indicates that VBHC initiatives are improving health outcomes, client experiences of healthcare, and reducing costs to healthcare systems. No comprehensive VBHC approach has been applied to the oral health context. Dental Health Services Victoria (DHSV), an Australian state government entity, commenced a VBHC agenda in 2016 and is continuing its efforts in oral healthcare reform. This paper explores a VBHC case study showing promise for achieving universal health coverage that includes oral health. DHSV applied the VBHC due to its flexibility in scope, consideration of a health workforce with a mix of skills, and alternative funding models other than fee-for-service.
摘要：
第74届世界卫生大会通过的《2021年口腔健康决议》支持一项重要的卫生政策方向：将口腔健康纳入全民健康覆盖。全球许多医疗保健系统尚未有效解决口腔疾病。基于价值的医疗保健（VBHC）的采用使卫生服务朝着结果重新定向。证据表明，VBHC计划正在改善健康结果，医疗保健的客户体验，并降低医疗保健系统的成本。尚未将全面的VBHC方法应用于口腔健康环境。维多利亚牙科健康服务（DHSV），澳大利亚州政府实体，于2016年开始VBHC议程，并继续努力进行口腔医疗改革。本文探讨了VBHC案例研究，显示了实现包括口腔健康在内的全民健康覆盖的希望。DHSV由于其范围的灵活性而应用了VBHC，考虑到拥有混合技能的卫生劳动力，以及服务收费以外的替代融资模式。
