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So, we are now talking dentistry - And it will indeed be a mouthful. 所以，我们现在谈论的是牙科，它确实会很拗口。
Future healthcare journal Pub Date : 2026-09-30 eCollection Date: 2026-09-01 DOI: 10.1016/j.fhj.2026.100569
Jasmine Ho
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引用次数: 0
Special care dentistry: The quiet crisis at the margins of modern healthcare. 特殊护理牙科：现代医疗保健边缘的无声危机。
Future healthcare journal Pub Date : 2026-09-30 eCollection Date: 2026-09-01 DOI: 10.1016/j.fhj.2026.100561
Yvonne M Rooney, Zahra Shehabi
{"title":"Special care dentistry: The quiet crisis at the margins of modern healthcare.","authors":"Yvonne M Rooney, Zahra Shehabi","doi":"10.1016/j.fhj.2026.100561","DOIUrl":"10.1016/j.fhj.2026.100561","url":null,"abstract":"<p><p>Special care dentistry (SCD) provides oral healthcare for adults who are unable to accept routine dental care due to physical, intellectual, medical, emotional, sensory, mental, or social impairments. In England, demand for SCD services is increasing in the context of population ageing, rising multimorbidity, improved tooth retention into later life, and persistent inequalities in access to National Health Service dental care. Recent national survey data highlight substantial levels of untreated dental disease, increasing oral-health-related impacts on quality of life, and significant barriers to accessing care, with these burdens disproportionately affecting individuals with disabilities. Against this backdrop, this paper examines the growing challenges facing SCD in England and argues that these pressures provide a critical lens through which to evaluate equity, integration and resilience within the wider healthcare system. It highlights opportunities to improve service delivery and enable more equitable access to oral healthcare for medically and socially vulnerable populations.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 3","pages":"100561"},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13669745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The future of dentistry in England: A vision for 2050 - From access crisis to health creation: Prevention, integration and public value. 英国牙科的未来：2050年的愿景-从获得危机到健康创造：预防，整合和公共价值。
Future healthcare journal Pub Date : 2026-09-30 eCollection Date: 2026-09-01 DOI: 10.1016/j.fhj.2026.100562
Sara Hurley
{"title":"The future of dentistry in England: A vision for 2050 - From access crisis to health creation: Prevention, integration and public value.","authors":"Sara Hurley","doi":"10.1016/j.fhj.2026.100562","DOIUrl":"10.1016/j.fhj.2026.100562","url":null,"abstract":"<p><p>By 2050, dentistry could be transformed by regenerative science, artificial intelligence, remote monitoring and more integrated digital records. The central question is whether those advances translate into better oral health for all or widen existing inequalities in access and outcomes. Many of the enabling technologies are already emerging; the more important question is how they are organised, commissioned and distributed. This paper argues for a shift from episodic repair towards health creation: preventing disease, identifying risk earlier, preserving tissue and function, and connecting oral health with wider care across the life course. It contrasts two possible futures and proposes five commissioning imperatives: commission for health, build connected pathways, strengthen dental data infrastructure, use the whole workforce and translate innovation equitably. The future of dentistry will depend less on scientific capability than on how systems organise and distribute it.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 3","pages":"100562"},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13669762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The forgotten organ: Why the oral microbiome belongs in every physician's toolkit. 被遗忘的器官：为什么口腔微生物群属于每个医生的工具箱。
Future healthcare journal Pub Date : 2026-09-30 eCollection Date: 2026-09-01 DOI: 10.1016/j.fhj.2026.100560
Victoria Sampson
{"title":"The forgotten organ: Why the oral microbiome belongs in every physician's toolkit.","authors":"Victoria Sampson","doi":"10.1016/j.fhj.2026.100560","DOIUrl":"10.1016/j.fhj.2026.100560","url":null,"abstract":"<p><p>The oral cavity is the most densely colonised microbial niche in the human body after the gut - over 700 species and an estimated two billion bacteria (Deo and Deshmukh, 2019) - yet it remains conspicuously absent from the systemic health conversation. Mounting evidence links oral microbial dysbiosis to more than 50 systemic conditions (Peng <i>et al</i>, 2022), including cardiovascular disease, type 2 diabetes (Preshaw <i>et al</i>, 2026), adverse pregnancy outcomes, rheumatoid arthritis and Alzheimer's. Despite this, dentistry and medicine continue to operate as parallel systems, with oral health excluded from most general health screens, NHS commissioning structures and undergraduate medical curricula. This narrative review analyses current evidence on the oral microbiome and oral-systemic disease, outlines three biological mechanisms by which the oral cavity drives systemic disease, and sets out five practical, author-proposed steps physicians can take to integrate oral health into routine practice. The case for action is no longer scientific - it is structural.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 3","pages":"100560"},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13669751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The FHJ debate: Dental health is so crucial that it should be in the medical school curriculum. FHJ辩论：牙齿健康是如此重要，它应该被列入医学院的课程。
Future healthcare journal Pub Date : 2026-09-30 eCollection Date: 2026-09-01 DOI: 10.1016/j.fhj.2026.100556
Jasmine Ho, Clarissa Hjalmarsson
{"title":"The FHJ debate: Dental health is so crucial that it should be in the medical school curriculum.","authors":"Jasmine Ho, Clarissa Hjalmarsson","doi":"10.1016/j.fhj.2026.100556","DOIUrl":"10.1016/j.fhj.2026.100556","url":null,"abstract":"<p><p>This debate article evaluates whether dental health education should be more widely integrated into the undergraduate medical curriculum. The authors present evidence-informed arguments situated within an evolving landscape of healthcare delivery, professional expectations, and political system-level pressures. Central to both perspectives is the need to advocate for patients' best interests, along with the practicalities of implementing an integrated, cross-disciplinary healthcare curriculum. The discussion highlights the educational, clinical, and policy implications of closer alignment between medicine and dentistry, and considers of how best to prepare future doctors for holistic patient care.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 3","pages":"100556"},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13669767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What illness taught me about care: Delay, certainty and dignity in oral cancer. 疾病教会我的护理：口腔癌的延迟、确定性和尊严。
Future healthcare journal Pub Date : 2026-09-30 eCollection Date: 2026-09-01 DOI: 10.1016/j.fhj.2026.100555
Neil Shah
{"title":"What illness taught me about care: Delay, certainty and dignity in oral cancer.","authors":"Neil Shah","doi":"10.1016/j.fhj.2026.100555","DOIUrl":"10.1016/j.fhj.2026.100555","url":null,"abstract":"<p><p>Clinicians who develop cancer within their own specialty occupy a rare position, holding both the knowledge of the expert and the vulnerability of the patient. This article reflects on what that experience revealed about cancer care, not its biology or technique, but the conditions in which it is received. Three elements consistently shaped the experience of illness: how quickly care was delivered, how clearly it was explained, and how respectfully the patient was treated. These are described as delay, certainty, and dignity. Delay influences not only clinical outcomes but also psychological burden and trust. Certainty relates to communication, expectation-setting, and the patient's understanding of their trajectory through care. Dignity encompasses the preservation of identity, autonomy, and respect during treatment. Even when clinical decisions are appropriate, failures in these domains can carry significant cost. The article proposes that these three elements form a simple, transferable framework for understanding and improving patient experience across cancer pathways. Attention to delay, certainty and dignity may offer a practical means of aligning technical excellence with humane care.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 3","pages":"100555"},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13669740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Putting the mouth back into the body. 把嘴放回身体。
Future healthcare journal Pub Date : 2026-09-30 eCollection Date: 2026-09-01 DOI: 10.1016/j.fhj.2026.100566
Andrew Duncombe
{"title":"Putting the mouth back into the body.","authors":"Andrew Duncombe","doi":"10.1016/j.fhj.2026.100566","DOIUrl":"10.1016/j.fhj.2026.100566","url":null,"abstract":"","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 3","pages":"100566"},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13669750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From cordoned consultations to cohesive care: A service evaluation of a one-stop, multi-speciality, hospice-based Duchenne muscular dystrophy clinic, UK. 从封锁咨询到凝聚力护理：一站式，多专业，以临终关怀为基础的杜氏肌萎缩症诊所的服务评估，英国。
Future healthcare journal Pub Date : 2026-08-10 eCollection Date: 2026-09-01 DOI: 10.1016/j.fhj.2026.100554
Anna Mistry, Amanda Brain
{"title":"From cordoned consultations to cohesive care: A service evaluation of a one-stop, multi-speciality, hospice-based Duchenne muscular dystrophy clinic, UK.","authors":"Anna Mistry, Amanda Brain","doi":"10.1016/j.fhj.2026.100554","DOIUrl":"10.1016/j.fhj.2026.100554","url":null,"abstract":"<p><strong>Background: </strong>Duchenne muscular dystrophy (DMD) is a multimorbid recessive genetic disorder. In 2020, a novel one-stop multi-disciplinary (MDT) DMD clinic was piloted in Jack's Place Hospice (registered charity number 1002832), Winchester, UK. This service evaluation aimed to assess the level of National Neuroscience Advisory Group guideline adherence [NNAG, 2024], and the patient views of the clinic format.</p><p><strong>Methods: </strong>Ten semi-structured interviews with patients attending the clinic were recorded, with nine subsequently transcribed and analysed using Braun & Clarke's six-stage reflexive thematic approach.</p><p><strong>Results: </strong>Participants perceived that all eleven relevant NNAG guidelines were being either fully or partially met by the DMD clinic. Participants preferred both the one-stop format of the clinic, and the hospice venue compared to hospital counterparts. This was due to superior facilities, reduced appointments and perceived better MDT communication.</p><p><strong>Conclusion: </strong>The use of one-stop multi-speciality DMD clinics, utilising hospices as the forum, could improve guideline adherence, patient satisfaction, and engagement with palliative care.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 3","pages":"100554"},"PeriodicalIF":0.0,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13669754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Right care, right place, right now: The role of acute medicine in urgent and emergency care. 正确的护理，正确的地点，正确的时间：急性医学在紧急和紧急护理中的作用。
Future healthcare journal Pub Date : 2026-06-25 eCollection Date: 2026-06-01 DOI: 10.1016/j.fhj.2026.100541
Anika Wijewardane
{"title":"Right care, right place, right now: The role of acute medicine in urgent and emergency care.","authors":"Anika Wijewardane","doi":"10.1016/j.fhj.2026.100541","DOIUrl":"10.1016/j.fhj.2026.100541","url":null,"abstract":"","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 2","pages":"100541"},"PeriodicalIF":0.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13316378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acute internal medicine in focus: The people, the purpose, the progress. 急症内科学聚焦：以人为本，宗旨为本，进步为本。
Future healthcare journal Pub Date : 2026-06-25 eCollection Date: 2026-06-01 DOI: 10.1016/j.fhj.2026.100533
Vicky Anne Price
{"title":"Acute internal medicine in focus: The people, the purpose, the progress.","authors":"Vicky Anne Price","doi":"10.1016/j.fhj.2026.100533","DOIUrl":"10.1016/j.fhj.2026.100533","url":null,"abstract":"<p><p>Acute internal medicine (AIM) emerged in the 1990s in response to rising emergency admissions, constrained hospital capacity and fragmented models of care. This article traces the development of the specialty from its early conceptualisation through to its current role within modern urgent and emergency care systems. It explores the evolution of acute medical units, the expansion of ambulatory and same-day emergency care, the introduction of enhanced care areas and the maturation of a distinctive training pathway. Drawing on personal experience and national data, the article highlights how AIM has developed a unique skillset focused on managing undifferentiated illness, maintaining patient flow, and delivering patient-centred care in high-pressure environments. In the context of increasing multimorbidity and system strain, AIM is positioned not as an optional organisational model, but as a core clinical and operational mechanism essential to safe, efficient and sustainable acute care delivery.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"13 2","pages":"100533"},"PeriodicalIF":0.0,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13316377/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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