PDF(Pubmed)
Abstract：
BACKGROUND: This study aims to describe the Libyan oral health care system in terms of its structure, function, workforce, funding, reimbursement and target groups.
METHODS: A single descriptive case study approach and multiple sources of data collection were used to provide an in-depth understanding of the Libyan oral health care system. A purposeful sample of the key informants (Managers of oral health centers, dentists of various specialties with experience in the field, dentists, nurses, dental technicians, and officials in the affairs of medical insurance) was recruited. The case and its boundaries were guided by the study\'s aim. Both qualitative and quantitative analyses were conducted. Descriptive statistics were used for quantitative data. Framework analysis, informed by the study objectives, was used to analyze interviews and documents.
RESULTS: The analysis showed that oral health services are integrated into medical services. The provision of dental care is mainly treatment-based, in the private sector. The oral health services in the public sector are mainly emergency care and exodontia. The dental workforce included in the study were mostly dentists (89% General Dental Practitioners (GDPs), 11% specialists), with a marked deficiency in dental technicians and nurses. Around 40% of dentists work in both the private and public sectors. The government provides the funding for the public sector, but the private sector is self-funded. No specific target group(s) nor clear policies were reported. However, the system is built around primary health care as an overarching policy. Dental caries is the most common oral problem among Libyan preschool children affecting around 70% and is the most common cause of tooth loss among adults.
CONCLUSIONS: The oral health care system in Libya is mainly privatized. The public health services are poorly organized and malfunctioning. There is an urgent need to develop policies and plans to improve the oral health care system in Libya.
METHODS: A single descriptive case study approach and multiple sources of data collection were used to provide an in-depth understanding of the Libyan oral health care system. A purposeful sample of the key informants (Managers of oral health centers, dentists of various specialties with experience in the field, dentists, nurses, dental technicians, and officials in the affairs of medical insurance) was recruited. The case and its boundaries were guided by the study\'s aim. Both qualitative and quantitative analyses were conducted. Descriptive statistics were used for quantitative data. Framework analysis, informed by the study objectives, was used to analyze interviews and documents.
RESULTS: The analysis showed that oral health services are integrated into medical services. The provision of dental care is mainly treatment-based, in the private sector. The oral health services in the public sector are mainly emergency care and exodontia. The dental workforce included in the study were mostly dentists (89% General Dental Practitioners (GDPs), 11% specialists), with a marked deficiency in dental technicians and nurses. Around 40% of dentists work in both the private and public sectors. The government provides the funding for the public sector, but the private sector is self-funded. No specific target group(s) nor clear policies were reported. However, the system is built around primary health care as an overarching policy. Dental caries is the most common oral problem among Libyan preschool children affecting around 70% and is the most common cause of tooth loss among adults.
CONCLUSIONS: The oral health care system in Libya is mainly privatized. The public health services are poorly organized and malfunctioning. There is an urgent need to develop policies and plans to improve the oral health care system in Libya.
摘要：
背景：这项研究旨在从结构上描述利比亚口腔保健系统，函数,劳动力，资金,报销和目标群体。
方法：使用单一描述性案例研究方法和多种数据收集来源，以深入了解利比亚口腔保健系统。有目的的关键线人样本(口腔健康中心经理，具有该领域经验的各种专业的牙医，牙医,护士,牙科技术员,以及医疗保险事务中的官员)被招聘。案例及其界限以研究的目的为指导。进行了定性和定量分析。描述性统计用于定量数据。框架分析,根据研究目标，用于分析采访和文件。
结果：分析表明，口腔健康服务已整合到医疗服务中。提供牙科护理主要以治疗为主,在私营部门。公共部门的口腔保健服务主要是紧急护理和拔牙。研究中包括的牙科劳动力主要是牙医(89%的普通牙科从业人员(GDPs)，11%的专家)，牙科技术员和护士明显缺乏。大约40％的牙医在私营和公共部门工作。政府为公共部门提供资金，但是私营部门是自筹资金的。没有具体的目标群体或明确的政策报告。然而,该系统是围绕初级卫生保健作为一项总体政策而建立的。龋齿是利比亚学龄前儿童中最常见的口腔问题，影响约70％，并且是成人牙齿脱落的最常见原因。
结论：利比亚的口腔保健系统主要是私有化的。公共卫生服务组织不善，出现故障。迫切需要制定政策和计划，以改善利比亚的口腔保健系统。
方法：使用单一描述性案例研究方法和多种数据收集来源，以深入了解利比亚口腔保健系统。有目的的关键线人样本(口腔健康中心经理，具有该领域经验的各种专业的牙医，牙医,护士,牙科技术员,以及医疗保险事务中的官员)被招聘。案例及其界限以研究的目的为指导。进行了定性和定量分析。描述性统计用于定量数据。框架分析,根据研究目标，用于分析采访和文件。
结果：分析表明，口腔健康服务已整合到医疗服务中。提供牙科护理主要以治疗为主,在私营部门。公共部门的口腔保健服务主要是紧急护理和拔牙。研究中包括的牙科劳动力主要是牙医(89%的普通牙科从业人员(GDPs)，11%的专家)，牙科技术员和护士明显缺乏。大约40％的牙医在私营和公共部门工作。政府为公共部门提供资金，但是私营部门是自筹资金的。没有具体的目标群体或明确的政策报告。然而,该系统是围绕初级卫生保健作为一项总体政策而建立的。龋齿是利比亚学龄前儿童中最常见的口腔问题，影响约70％，并且是成人牙齿脱落的最常见原因。
结论：利比亚的口腔保健系统主要是私有化的。公共卫生服务组织不善，出现故障。迫切需要制定政策和计划，以改善利比亚的口腔保健系统。
