Study on Oral Health Project in Japanease Local Government

  • TAKAKU Satoru
    Department of Dental Hygiene, Saitama College of Health
  • KAMIJO Hideyuki
    Medical Economics Division, Health Insurance Bureau, Ministry for Health and Welfare
  • AOYAMA Jun
    Department of Epidemiology, National Institute of Public Health
  • OSADA Hitoshi
    Medical Planning Division, Bureau of Public Health, Tokyo Metropolitan Government
  • OZAKI Tetsunori
    Department of Oral Health, School of Dentistry, Nihon University
  • FUKUDA Masaomi
    Department of Preventive and Community Dentistry, School of Dentistry at Tokyo, The Nippon Dental University
  • YASUI Toshikazu
    Department of Oral Health, School of Dentistry, Meikai University
  • NIWA Motoo
    Department of Preventive and Community Dentistry, School of Dentistry at Tokyo, The Nippon Dental University
  • MIYATAKE Kokichi
    Department of Social Dentistry, Tokyo Dental College
  • NAKAO Shunichi
    Department of Oral Health, School of Dentistry, Meikai University

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Other Title
  • 都道府県における歯科保健事業に関する調査研究

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Abstract

Few studies have been conducted for the analysis of oral health services by local governments. The purpose of study is to evaluate the oral health service of Japanese local governments. The department of health of 44 local governments are replied to our questionnaire. The results are as follows ; 1. From 1989 to 1994, the number of oral health projects and the budgets for oral health were rapidly increased due to the project 8020, revision of the dental hygienist law, and other factors. 2. Oral health service for child and mother (70.5%), oral health service for the bed-ridden aged (61.4%), and project 8020 (56,8%) had higher rates than other service. 3. Many oral health projects of Japanese local governments are financially supported only by the local government. It is necessary to consider improvements for the continuation of these projects. 4. 63.6% of local government offices have a dentist or dental hygienist as dental officer and project health manager. 5. 9.1% of the health departments have a dental section, 22.7% have a child and mother or another dental section, and 13.6% have only a dental officer. A non-dental section has charge of dental health in 54.5% of local governments. 6. All of the local governments which have a dental section have a dentist or dental hygienist for dental officer and project manager. 7. 56.8% of local governments have a committee for Promoting Oral Health. 67.9% of local governments which have projects managed by a dental health officer (dentist or dental hygienist) have this committee. On the other hand, only 37.5% of local governments without a dental health officer have such committee. 8. The average number of oral health services by local governments which have a dental health officer is 9.5. On the other hand, the average number of such services by local governments without a dental health officer is only 6.2. 9. It is necessary to develop of the oral health system of local governments to improve the oral health service.

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