国家口腔公共卫生项目对促进我国口腔卫生事业发展的作用及思考  

The role of the national oral health program in the development of oral health service and related thinkings

作　　者：刘雪楠[1] 岳林[2] 俞光岩[3] Liu Xuenan;Yue Lin;Yu Guangyan(Department of Preventive Dentistry,Peking University School and Hospital of Stomatology&National Center for Stomatology&National Clinical Research Center for Oral Diseases&National Engineering Research Center of Oral Biomaterials and Digital Medical Devices&Beijing Key Laboratory of Digital Stomatology,Beijing 100081,China;Department of Cariology and Endodontology,Peking University School and Hospital of Stomatology&National Center for Stomatology&National Clinical Research Center for Oral Diseases&National Engineering Research Center of Oral Biomaterials and Digital Medical Devices&Beijing Key Laboratory of Digital Stomatology,Beijing 100081,China;Department of Oral and Maxillofacial Surgery,Peking University School and Hospital of Stomatology&National Center for Stomatology&National Clinical Research Center for Oral Diseases&National Engineering Research Center of Oral Biomaterials and Digital Medical Devices&Beijing Key Laboratory of Digital Stomatology,Beijing 100081,China)

机构地区：[1]北京大学口腔医学院·口腔医院口腔预防保健科、国家口腔医学中心、国家口腔疾病临床医学研究中心、口腔生物材料和数字诊疗装备国家工程研究中心、口腔数字医学北京市重点实验室,北京100081 [2]北京大学口腔医学院·口腔医院牙体牙髓科、国家口腔医学中心、国家口腔疾病临床医学研究中心、口腔生物材料和数字诊疗装备国家工程研究中心、口腔数字医学北京市重点实验室,北京100081 [3]北京大学口腔医学院·口腔医院口腔颌面外科、国家口腔医学中心、国家口腔疾病临床医学研究中心、口腔生物材料和数字诊疗装备国家工程研究中心、口腔数字医学北京市重点实验室,北京100081

出　　处：《中华口腔医学杂志》2023年第2期101-108,共8页Chinese Journal of Stomatology

摘　　要：公共卫生的概念最早由美国学者Winslow提出, 核心是保障和促进公众健康。口腔疾病被公认为公共卫生问题, 龋病是最常见、多发的口腔疾病, 因其可防可治, 一直被世界卫生组织列为可由公共卫生有效干预的疾病。我国政府也将其纳入重点防治的主要慢性病。2008年, 由原卫生部启动的"中西部地区儿童口腔疾病综合干预试点项目", 主要针对学龄儿童的第一恒磨牙施行窝沟封闭和口腔健康教育。覆盖国务院划归的中西部22个省、自治区、直辖市以及新疆生产建设兵团。这是我国首个以中央财政专项经费设置的口腔公共卫生项目, 委托中华口腔医学会管理并组织实施。经过6年的探索和经验积累, 原国家卫生计生委将该项目推广至全国31个省(区、市)和新疆生产建设兵团, 更名为"全国儿童口腔疾病综合干预项目"。项目运行10余年来, 对我国口腔公共卫生事业的发展和全国儿童口腔健康促进产生了重要影响。本文通过回顾项目设立的背景, 梳理项目涵盖内容、实施情况和取得的成效, 总结项目管理的经验, 分析我国口腔公共卫生工作在政策保障、经费保障、防治体系、人员能力、技术措施等方面面临的挑战, 提出未来口腔公共卫生事业发展的对策。Conception of public health was firstly put forward by American professor Winslow.Ensuring and promoting the health of general population is the key connotation for the definition of public health.Oral disease has become a public health problem.Caries which preventable and curable is the most common oral disease and the etiology is also clear.Oral health comprehensive intervention program for children in central and western regions was set up in 2008 by Chinese government.The program included sealing on the first permanent molar and oral health education towards primary school children covering mid-west area.This was the first oral health program invested by government and managed by Chinese Stomatological Association.Six years later,the program was popularized to the whole nation,and renamed as national oral health comprehensive intervention program for children in China.The program had made deep impact on development of oral health service in China.The study tries to analyze the challenges of oral health service through reviewing the background,content,organization and effectiveness of the program,aiming to provide suggestions on policy,financing,system,ability and technology for the future development.

关 键 词：公共卫生 口腔公共卫生 口腔疾病 窝沟封闭 口腔健康 健康教育 疾病预防 

分 类 号：R78[医药卫生—口腔医学]