芬兰的电子口腔健康和远程牙科——综述

A. Palander, A. Holopainen, Tiina Rantamo Rantamo
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引用次数: 0

摘要

尽管全民健康覆盖和强大的公共卫生系统,芬兰的口腔健康状况仍落后于与年龄相匹配的国际口腔疾病流行率。口腔保健系统主要由市政当局组织和资助。其他利益相关者包括芬兰学生健康服务基金会(FSHS)、政府和私人机构,芬兰社会保险机构在资助方面发挥着重要作用。近年来,由于假牙老龄化人口的增加,治疗需求的增加对医疗系统提出了挑战。政府对这一需求的回应是,自2004年以来,正在进行社会和医疗改革,并增加口腔健康专业教育。然而,目前和未来的治疗需求并不仅仅通过传统的预防策略和提供身体服务来满足。多年来,芬兰一直支持建立数字医疗架构的坚定政策。这也适用于口腔保健的所有领域:虚拟教育、数字诊断、数字临床工作流程、国家电子病历、患者生成的数据登记、电子处方、远程会诊、数字服务管理,以及研究和大数据挖掘。这些工具可以在改善国民口腔健康和提高公平性方面发挥重要作用。这是根据当前的科学文献、国家报告、战略和立法对芬兰上述电子口腔健康和远程牙科领域的概述。
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e-Oral Health and Teledentistry in Finland - an Overview
Despite universal health coverage and a strong public health system, the oral health profile of Finland falls behind in an international age-matched prevalence of oral diseases. The oral healthcare system is organised and funded mainly by municipalities. Other stakeholders include the Finnish Student Health Service foundation (FSHS), government and private practices, where the Social Insurance Institution of Finland plays a major role in funding. Rise in the treatment need in recent years due to the increasing dentulous ageing population has challenged the healthcare system. Governmental response to the demand is an ongoing social and healthcare reform and increase of oral health professional education since 2004. However, the current and future treatment need is not met only by conventional prevention strategies and physical service provision. Finland has over the years supported a determined policy of building a digital healthcare architecture. This applies also to all fields of oral healthcare: virtual education, digital diagnostics, digital clinical workflow, national electronic patient records, patient-generated data registers, electronic prescriptions, remote consultation, digital service  management, as well as research and big data mining. These tools could play an important role in improving national oral health and increasing equity. This is an overview of the above-mentioned fields of e-Oral health and teledentistry in Finland based on current scientific literature, national reports, strategies and legislation.      
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