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Analyse du systeme de couverture des services dentaires au Quebec

机译:魁北克牙科服务覆盖系统分析

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摘要

The Quebec health care system is based on the principle of universality, one that ensures financial accessibility and equity of care. At a time when public financing of health care systems in countries facing economic constraints is at issue, dental health care, which organized and distributed by the private sector is often held up us an example of success in Quebec by those defend private financing. However as dental care is excluded from the universal health insurance, accessibility is restricted. Oral health is affected, and teeth loss is more widespread in the disadvantages (Brodeur, 2000). Indeed, several epidemiologic studies underline the poor oral health of underprivileged of populations (Brodeur, 1995; Mizrahi, 1994) whose needs in terms of dental care are greater (Damiano, 1992; Rizk, 1994).;Our research is focus on the exclusion of dental care in universal health insurance programs, the adoption of dental health programs. In the past, researchers have shown little interest in analysing public dental health policies and their evolution in spite of fragile attempts to regulate oral health care.;Through this project, we seek to understand the historical reasons and factors that determined the exclusion of dental care in the universal health program and vulnerability of the oral health programs that was established between 1974 and 1983. Our research is focus on intervention in terms of financing and payment of dental health care services, concentrating on the period between 1970 and 1996. Our methodology is based on conceptual model in which services financing terms stems from a compromise reached among the irreducible tensions of regulatory logic (professional logic, technocratic logic, economic logic and democratic logic) (Contandriopoulos, 1999). It is based on the semi-structured interview with the various interested parties and on the study of secondary and primary sources. The documentary study is focused on the primary sources and secondary concerning the period around the Commission Hall and the Commission Castonguay. Archives, Commission Reports, memories submitted to the commissions, official publications, professional press and national press are the subject of our examination. The triangulation of the data collected aimed at establishing their agreement.;Finding enable us to bring to light the dominating role of democratic logic. Thus, the absence of universal dental coverage and the vulnerability of targeted dental programs are the result of a absence of democratic pressure as dental health does not constitute an electoral stake for political parties. Social representation of dental health, marked by a little importance afforded dental health as opposed to general health, as well as commercial perception of dentists are the main factors underlying absence of pressure.;The social recognition, the evolution of abstracts knowledge coupled with a clearer understanding of the link between dental health and general health and the delimitation of the professional field constitute the three major issues that need to be addressed for the future of our profession.;Keywords: Dental health, dental services, dental insurance, dental profession, social representation, international comparison.
机译:魁北克卫生保健系统基于普遍性原则,该原则确保财务可及性和医疗公平性。在面临经济拮据的国家对卫生保健系统的公共筹资出现问题的时候,由私营部门组织和分配的牙科卫生保健常常被认为是捍卫私人筹资者在魁北克成功的典范。但是,由于牙科保健未包含在全民健康保险中,因此可及性受到限制。口腔健康受到影响,并且牙齿脱落的不利因素更为普遍(Brodeur,2000)。确实,一些流行病学研究强调了贫困人口的口腔健康状况不佳(Brodeur,1995; Mizrahi,1994),他们在牙科保健方面的需求更大(Damiano,1992; Rizk,1994)。全民健康保险计划中的牙科保健,采用牙科保健计划。过去,研究人员对分析公共牙齿健康政策及其演变过程的兴趣不大,尽管尝试调节口腔保健的努力很脆弱。通过该项目,我们试图了解决定排除牙齿保健的历史原因和因素。在1974年至1983年间建立的全民保健计划和口腔保健计划的脆弱性方面。我们的研究重点是在牙科保健服务的融资和支付方面进行干预,重点是1970年至1996年。基于概念模型,在这种模型中,服务融资术语源于在规制逻辑(专业逻辑,技术官僚逻辑,经济逻辑和民主逻辑)的不可消除的张力之间达成的折衷(Contandriopoulos,1999)。它基于与各有关方面进行的半结构化访谈以及对次要和主要来源的研究。纪录片研究的重点是涉及委员会大厅和卡斯顿圭委员会时期的主要资料和次要资料。档案,委员会报告,提交给委员会的回忆,官方出版物,专业媒体和国家媒体是我们检查的主题。对收集到的数据进行三角剖分旨在建立它们的共识。发现使我们能够揭示民主逻辑的主导作用。因此,缺乏普遍的牙科保险以及目标牙科计划的脆弱性是缺乏民主压力的结果,因为牙科健康对政党而言并不构成选举的利益。牙齿健康的社会代表性(以一点点重要性标记)提供了牙齿健康而不是一般健康,以及对牙医的商业认知是缺乏压力的主要因素。;社会认可,抽象知识的发展以及更清晰的认识对牙齿健康与一般健康之间的联系的理解以及对专业领域的界定构成了我们行业未来需要解决的三个主要问题。关键词:牙齿健康,牙科服务,牙科保险,牙科专业,社会代表性,国际比较。

著录项

  • 作者

    Msefer-Laroussi, Souad.;

  • 作者单位

    Universite de Montreal (Canada).;

  • 授予单位 Universite de Montreal (Canada).;
  • 学科 Public health.;Dentistry.
  • 学位 Ph.D.
  • 年度 2007
  • 页码 263 p.
  • 总页数 263
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 肿瘤学;
  • 关键词

  • 入库时间 2022-08-17 11:40:19

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