上海交通大学学报(医学版)

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上海市居民口腔卫生服务需要、需求与利用情况

李存荣,王 艳   

  1. 上海市口腔病防治院 口腔预防保健处, 上海 200001
  • 出版日期:2014-02-28 发布日期:2014-03-25
  • 通讯作者: 王 艳, 电子信箱: serene2000@163.com。
  • 作者简介:李存荣(1955—), 男, 硕士, 副主任医师; 电子信箱: licunrong16823@126.com。
  • 基金资助:

    上海市卫生和计划生育委员会委级重点科研项目(2013402)

Status of oral health service needs, demands, and utilization of Shanghai residents

LI Cun-rong, WANG Yan   

  1. Department of Preventive Dentistry, Shanghai Municipal Hospital for Oral Health, Shanghai 200001, China
  • Online:2014-02-28 Published:2014-03-25
  • Supported by:
    Key Scientific Research Project of Shanghai Municipal Commission of Health and Family Planning, 2013402

摘要:

目的 了解上海市居民口腔卫生服务需要、需求与利用情况,为制定和调整口腔卫生政策提供依据。方法 对第三次全国口腔健康流行病学调查中有关上海市居民口腔卫生服务需要、需求和利用的数据进行描述性统计分析。结果 4个年龄组的龋病患病率在34.6%~99.2%。35~44岁组牙龈出血和牙石检出率接近90.0%,65~74岁人群牙周袋检出率高达66.1%,65~74岁组无牙颌百分率为10.8%。在口腔卫生服务需求和利用方面,居民6个月内的就诊率在10.0%~20.4%,5岁组有60.4%的儿童从未就医;就医流向方面,居民的选择主要集中在县级以上口腔专科医院、卫生院或社区中心或社区站或医务室和牙病防治所。就医费用方面,35~44岁组63.9%没有任何保险,65~74岁组65.5%有医疗保险。结论 上海口腔卫生服务存在极大的需要量,而且需要和需求不匹配,口腔卫生服务利用率低下。建议加强区县级牙病防治所机构建设和上海口腔卫生服务网络和体系建设,巩固和提高口腔病防治保障水平,广泛开展居民口腔健康教育。

关键词: 口腔卫生服务, 需要, 需求, 利用

Abstract:

Objective To understand Shanghai residents′ needs, demands, and utilization of oral health services, and to provide references for making and regulating oral health policies. Methods The data of Shanghai residents′ needs, demands, and utilization of oral health services from the third national oral health epidemiological sampling survey was statistically analyzed. Results Caries prevalence rates of 4 age groups was between 34.6%-99.2%. Gingival bleeding and calculus detection rate of the 35-44 years of age group was nearly 90%. Periodontal pocket detection rate of the 65-74 years of age group was as high as 66.1%, and the edentulous jaw rate of the 65-74 years of age group was 10.8%. The hospital visit rate within 6 months was 10%-20.4%. And 60.4% of the 5 years of age group had never visited dentists. Most residents would choose stomatological hospitals above count level, health centers, community centers, and district dental centers. For medical fees, 63.9% of the 35-44 years of age group had no medical insurances, while 65.5% of the 65-74 years of age group had medical insurances. Conclusion Shanghai residents′ oral health service needs are huge. Oral health demands and needs do not match. Oral health service utilization rate is low. It is necessary to strengthen the construction of district dental centers and Shanghai oral health service network and system, and extensively carry out oral health education.

Key words: oral health service, needs, demands, utilization