Abstract：
BACKGROUND: Oral diseases affect close to 3.5 billion people worldwide and there has been a call by the World Health Organization (WHO) to integrate oral health into the Universal Health Coverage (UHC) agenda.
OBJECTIVE: To collate and synthesise information regarding the status of integration of oral health into the health systems covered by UHC across the 11 countries in the South East Asian Regional Office.
METHODS: Drawing on the framework of the six building blocks of health systems as devised by WHO, we compared the public dental care coverage models, with a focus on outpatient dental care in these countries. We gathered this information from publicly available resources, databases and peer-reviewed publications to populate the template guided by the WHO Health System Building Blocks.
RESULTS: We found a poor access to oral health care, lopsided distribution of manpower, rickety health information systems, and private sector domination and inadequate or absent financing mechanisms for outpatient procedures. The private sector was dominant in all countries except Thailand and Srilanka. Financing was absent in most countries and deficient in Thailand and Indonesia. Dental workforce was deficient in most countries except India, Srilanka, and Thailand. Health information systems were weak with no dental items under price control. Better UHC indicators did not guarantee a lower oral disease burden.
CONCLUSIONS: Our review highlighted the close connection between service quality and human resources, governance, and finance. There is a need to establish standardised dental treatment guidelines that are uniformly adopted across countries, integrate oral health into national health and development programs, push for functional oral health research through collecting robust surveillance, economic, and social impact data and the development of cost-effective strategies tailored to each country\'s unique needs.
OBJECTIVE: To collate and synthesise information regarding the status of integration of oral health into the health systems covered by UHC across the 11 countries in the South East Asian Regional Office.
METHODS: Drawing on the framework of the six building blocks of health systems as devised by WHO, we compared the public dental care coverage models, with a focus on outpatient dental care in these countries. We gathered this information from publicly available resources, databases and peer-reviewed publications to populate the template guided by the WHO Health System Building Blocks.
RESULTS: We found a poor access to oral health care, lopsided distribution of manpower, rickety health information systems, and private sector domination and inadequate or absent financing mechanisms for outpatient procedures. The private sector was dominant in all countries except Thailand and Srilanka. Financing was absent in most countries and deficient in Thailand and Indonesia. Dental workforce was deficient in most countries except India, Srilanka, and Thailand. Health information systems were weak with no dental items under price control. Better UHC indicators did not guarantee a lower oral disease burden.
CONCLUSIONS: Our review highlighted the close connection between service quality and human resources, governance, and finance. There is a need to establish standardised dental treatment guidelines that are uniformly adopted across countries, integrate oral health into national health and development programs, push for functional oral health research through collecting robust surveillance, economic, and social impact data and the development of cost-effective strategies tailored to each country\'s unique needs.
摘要：
背景：口腔疾病影响全球近35亿人，世界卫生组织（WHO）呼吁将口腔健康纳入全民健康覆盖（UHC）议程。
目的：整理和综合有关将口腔健康纳入东南亚区域办事处11个国家UHC覆盖的卫生系统的状况的信息。
方法：借鉴世卫组织设计的卫生系统六个组成部分的框架，我们比较了公共牙科护理覆盖模式，这些国家的重点是门诊牙科护理。我们从公开资源中收集了这些信息，数据库和同行评审的出版物，以填充世卫组织卫生系统构建模块指导的模板。
结果：我们发现无法获得口腔保健，人力分布不平衡，摇摇欲坠的健康信息系统，和私营部门的统治以及门诊程序的融资机制不足或缺乏。除泰国和斯里兰卡外，私营部门在所有国家都占主导地位。大多数国家缺乏资金，泰国和印度尼西亚缺乏资金。除印度外，大多数国家的牙科劳动力不足，斯里兰卡,和泰国。卫生信息系统薄弱，没有价格控制下的牙科用品。更好的UHC指标并不能保证较低的口腔疾病负担。
结论：我们的审查强调了服务质量与人力资源之间的紧密联系，治理，和金融。有必要建立各国统一采用的标准化牙科治疗指南，将口腔健康纳入国家健康和发展计划，通过收集强有力的监测来推动功能性口腔健康研究，经济,和社会影响数据，并制定符合每个国家独特需求的成本效益战略。
目的：整理和综合有关将口腔健康纳入东南亚区域办事处11个国家UHC覆盖的卫生系统的状况的信息。
方法：借鉴世卫组织设计的卫生系统六个组成部分的框架，我们比较了公共牙科护理覆盖模式，这些国家的重点是门诊牙科护理。我们从公开资源中收集了这些信息，数据库和同行评审的出版物，以填充世卫组织卫生系统构建模块指导的模板。
结果：我们发现无法获得口腔保健，人力分布不平衡，摇摇欲坠的健康信息系统，和私营部门的统治以及门诊程序的融资机制不足或缺乏。除泰国和斯里兰卡外，私营部门在所有国家都占主导地位。大多数国家缺乏资金，泰国和印度尼西亚缺乏资金。除印度外，大多数国家的牙科劳动力不足，斯里兰卡,和泰国。卫生信息系统薄弱，没有价格控制下的牙科用品。更好的UHC指标并不能保证较低的口腔疾病负担。
结论：我们的审查强调了服务质量与人力资源之间的紧密联系，治理，和金融。有必要建立各国统一采用的标准化牙科治疗指南，将口腔健康纳入国家健康和发展计划，通过收集强有力的监测来推动功能性口腔健康研究，经济,和社会影响数据，并制定符合每个国家独特需求的成本效益战略。
