[Nature and magnitude of the need for dental care in Belgium: the point of view of dentists].
In most countries, oral and dental problems (decay, gingivitis, parodontitis,..) are frequent and impact on overall health. Such problems can often be avoided and treated. Health professionals and patients become gradually more aware of the importance of oral health. Oral hygiene and other measures may prevent several problems, which is beneficial to individuals and to public health, since the consequences of oral diseases are very expensive for all. Our study aims to analyze the features of the profession and to assess their possible evolution in the future. The design of our study combines two approaches: a quantitative study -based on data of the national health insurance scheme regarding utilization of care- and a qualitative study based on deep-interviews of dentists. According to the latter, dental care is expensive for the patient and also for professionals. The workload becomes heavier because patients expect too much. It is expanding, due to longer life expectancy and to medical progress which enables to conserve natural dentition, thus requiring extra care for the surviving teeth. These factors explain the increase of dental services which we highlight for the last 20 years; for the future, most of services are expected to expand, mainly for elderly (65 + years), One exception is noticeable: a probable decrease of "traditional care" for young and adult populations (<65 years). The authorities should take these trends into account in order to cover such new requirements, while also introducing measures in order to limit potential undue demand. However, a few socioeconomic groups remain out of the care system: all disabled persons living in institutions (inter alia elderly in nursing homes); furthermore, the population of low socioeconomic status is unaware of the benefits of a good oral hygiene; professionals denounce these gaps of the system and suggest improvements. Education about oral hygiene should also be promoted; consequently, the profession of oral hygienist should obtain an official license.
Gobert
Micheline
M
Socio-économie de la santé, Ecole de santé publique Université catholique de Louvain. gobert@sesa.ucl.ac.be
Deliège
Denise
D
D001291:Attitude of Health Personnel; D001530:Belgium; D003729:Dental Care; D005544:Forecasting; D006301:Health Services Needs and Demand; D006801:Humans; D011215:Practice Management, Dental; D012051:Reimbursement Mechanisms