Oral health policy model for Turkey: how to deliver preventive services?

IF 2.7 Q3 HEALTH CARE SCIENCES & SERVICES
Frontiers in health services Pub Date : 2025-07-22 eCollection Date: 2025-01-01 DOI:10.3389/frhs.2025.1513688
Ayşegül Doğan, Serap Durukan Köse
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Abstract

Background: Oral health is considered a neglected area in Turkey. To date, therapeutic services have dominated the provision of oral health care, while preventive services have been underfunded and inconsistently delivered. This study aims to elicit the need for the integration of preventive oral health services into the Turkish public health system by revealing the viewpoints of dentists, citizens, health managers and experts in Turkey.

Methods: A snowball sampling method was used, and qualitative semi-structured interviews were conducted with 47 participants. Data were collected between April and August 2023. Both content and descriptive analyses were conducted, with content analysis performed using the MAXQDA 2023 software.

Results: The codes were grouped into three main themes: opinions on the provision of preventive oral and dental health services, opinions about family dentistry, current problems in oral and dental health services in Turkey. Results indicate that there is an urgent need to provide preventive oral health services in a systematic way and that the public is unaware of oral health. Provision of oral health services within primary health care services should be presented through the family dentistry system.

Conclusion: A roadmap for integrating preventive oral health services into the Turkish public health system was developed, incorporating preventive practices targeting both individuals and communities, using a public health approach.

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土耳其口腔卫生政策模式:如何提供预防服务?
背景:口腔健康在土耳其被认为是一个被忽视的领域。迄今为止,治疗服务在提供口腔保健方面占主导地位,而预防服务资金不足,而且提供的服务不一致。本研究旨在通过揭示土耳其牙医、公民、卫生管理人员和专家的观点,引发将预防性口腔卫生服务纳入土耳其公共卫生系统的需要。方法:采用滚雪球抽样法,对47名被试进行定性半结构化访谈。数据收集于2023年4月至8月。内容分析和描述性分析均进行,内容分析使用MAXQDA 2023软件进行。结果:守则分为三个主题:关于提供预防性口腔和牙科保健服务的意见、关于家庭牙科的意见、土耳其口腔和牙科保健服务的当前问题。结果表明,我国迫切需要提供系统的口腔预防保健服务,公众对口腔健康的认识不足。初级卫生保健服务中的口腔卫生服务应通过家庭牙科系统提供。结论:制定了将预防性口腔卫生服务纳入土耳其公共卫生系统的路线图,采用公共卫生方法,将针对个人和社区的预防措施纳入其中。
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