Advancing Universal Oral Health Coverage via Person-Centred Outcomes

The World Health Organization member states proposed a comprehensive “Global Strategy on Oral Health,” which includes achieving universal oral health coverage by 2030. Challenges and barriers, including persistent inequalities, will hamper the achievement of universal oral health coverage. In low- a...

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Main Authors: Gustavo G. Nascimento, Eero Raittio, Vanessa Machado, Fábio R.M. Leite, João Botelho
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:International Dental Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0020653923000977
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author Gustavo G. Nascimento
Eero Raittio
Vanessa Machado
Fábio R.M. Leite
João Botelho
author_facet Gustavo G. Nascimento
Eero Raittio
Vanessa Machado
Fábio R.M. Leite
João Botelho
author_sort Gustavo G. Nascimento
collection DOAJ
description The World Health Organization member states proposed a comprehensive “Global Strategy on Oral Health,” which includes achieving universal oral health coverage by 2030. Challenges and barriers, including persistent inequalities, will hamper the achievement of universal oral health coverage. In low- and middle-income countries, the oral health of a large proportion of the population has been neglected, increasing oral health inequalities. In high-income countries, some receive excessive dental treatment, whilst particularly those with higher needs receive too little dental care. Therefore, an analysis of individual countries’ needs, encompassing the training of oral health professionals in a new philosophy of care and attention and the optimisation of the existing resources, is necessary. Distancing from a person-centred focus has prompted individual and societal issues, including under-/overdiagnosis and under-/overtreatment. The person-centred approach considers the perceptions, needs, preferences, and circumstances of individuals and populations. Patient-reported outcome measures, such as self-rated and -reported health, reflect an individual's overall perception of health and are designed to mediate human biology (ie, the disease) and psychology. The usage of patient-reported outcome measures in dentistry to place the individual at the centre of treatment is delayed compared to other areas. This paper discusses some challenges and potential solutions of patient-reported outcome measures in dentistry for achieving universal oral health coverage.
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spelling doaj.art-927e4f2870f74f06a70a505c2fdfcf072023-11-01T04:45:47ZengElsevierInternational Dental Journal0020-65392023-12-01736793799Advancing Universal Oral Health Coverage via Person-Centred OutcomesGustavo G. Nascimento0Eero Raittio1Vanessa Machado2Fábio R.M. Leite3João Botelho4National Dental Research Institute Singapore, National Dental Centre Singapore, Singapore; Oral Health Academic Clinical Programme, Duke-NUS Medical School, SingaporeDepartment of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark; Institute of Dentistry, University of Eastern Finland, Kuopio, Finland; Corresponding author. Department of Dentistry and Oral Health, Aarhus University, Vennelyst Boulevard 9, 8000 Aarhus, Denmark.Egas Moniz Center for Interdisciplinary Research, Egas Moniz School of Health and Science, Caparica, PortugalNational Dental Research Institute Singapore, National Dental Centre Singapore, Singapore; Oral Health Academic Clinical Programme, Duke-NUS Medical School, SingaporeEgas Moniz Center for Interdisciplinary Research, Egas Moniz School of Health and Science, Caparica, PortugalThe World Health Organization member states proposed a comprehensive “Global Strategy on Oral Health,” which includes achieving universal oral health coverage by 2030. Challenges and barriers, including persistent inequalities, will hamper the achievement of universal oral health coverage. In low- and middle-income countries, the oral health of a large proportion of the population has been neglected, increasing oral health inequalities. In high-income countries, some receive excessive dental treatment, whilst particularly those with higher needs receive too little dental care. Therefore, an analysis of individual countries’ needs, encompassing the training of oral health professionals in a new philosophy of care and attention and the optimisation of the existing resources, is necessary. Distancing from a person-centred focus has prompted individual and societal issues, including under-/overdiagnosis and under-/overtreatment. The person-centred approach considers the perceptions, needs, preferences, and circumstances of individuals and populations. Patient-reported outcome measures, such as self-rated and -reported health, reflect an individual's overall perception of health and are designed to mediate human biology (ie, the disease) and psychology. The usage of patient-reported outcome measures in dentistry to place the individual at the centre of treatment is delayed compared to other areas. This paper discusses some challenges and potential solutions of patient-reported outcome measures in dentistry for achieving universal oral health coverage.http://www.sciencedirect.com/science/article/pii/S0020653923000977Patient-centred outcomesUniversal health insuranceOral healthSelf-report
spellingShingle Gustavo G. Nascimento
Eero Raittio
Vanessa Machado
Fábio R.M. Leite
João Botelho
Advancing Universal Oral Health Coverage via Person-Centred Outcomes
International Dental Journal
Patient-centred outcomes
Universal health insurance
Oral health
Self-report
title Advancing Universal Oral Health Coverage via Person-Centred Outcomes
title_full Advancing Universal Oral Health Coverage via Person-Centred Outcomes
title_fullStr Advancing Universal Oral Health Coverage via Person-Centred Outcomes
title_full_unstemmed Advancing Universal Oral Health Coverage via Person-Centred Outcomes
title_short Advancing Universal Oral Health Coverage via Person-Centred Outcomes
title_sort advancing universal oral health coverage via person centred outcomes
topic Patient-centred outcomes
Universal health insurance
Oral health
Self-report
url http://www.sciencedirect.com/science/article/pii/S0020653923000977
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AT fabiormleite advancinguniversaloralhealthcoverageviapersoncentredoutcomes
AT joaobotelho advancinguniversaloralhealthcoverageviapersoncentredoutcomes