Abstract
Since 2015, a series of papers which describe the systems for the provision of health and oral healthcare in nine European Union (EU) countries (France, Germany, Greece, Ireland, Italy, Poland, Romania, Spain and Sweden) have been published in this journal. This tenth and final paper in the series compares aspects of the systems for each country, with each other and with that in the United Kingdom (UK). The topics which have been covered are the organisation and funding of oral healthcare, national populations and oral healthcare workforce, education of dentists, uptake of oral healthcare, expenditure on oral healthcare and oral epidemiology. The comparison shows that there are wide differences between the care provision systems between the individual countries. In all of them, oral healthcare continues to operate outside the mainstream healthcare systems. In particular, the proportion of costs paid for them from public funds, raised through taxation or through compulsory social insurances, and those paid for by individual patients varies greatly. No comparable data exist on quality of care.
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References
Pegon-Machal E, Faulks D, Eaton K A, Widström E, Hugues P, Tubert-Jeannin S. The healthcare system and the provision of oral healthcare in European Union member states: France. Br Dent J 2016; 220: 197-203.
Ziller S, Eaton K A, Widström E. The healthcare system and the provision of oral healthcare in European Union member states: Part1: Germany. Br Dent J 2015; 218: 239-244.
Damaskinos P, Koletsi-Kounari H, Economou C, Eaton K A, Widström E. The healthcare system and the provision of oral healthcare in European Union member states: Part 4: Greece. Br Dent J 2016; 220: 253-260.
Woods N, Ahern S, Burke F, Eaton K A, Widström E. The healthcare system and the provision of oral healthcare in European Union member states: Part 7: Ireland. Br Dent J 2017; 222: 541-548.
Bindi M, Paganelli C, Eaton K A, Widström E. The healthcare system and the provision of oral healthcare in European Union member states: Part 8: Italy. Br Dent J 2017; 222: 809-817.
Malkiewicz K, Malkiewicz E, Eaton K A, Widström E. The healthcare system and the provision of oral healthcare in European Union member states: Part 6: Poland. Br Dent J 2016; 221: 501-507.
Oancea R, Amariei C, Eaton K A, Widström E. The healthcare system and the provision of oral healthcare in European Union member states: Part 5: Romania. Br Dent J 2016; 220: 361-366.
Bravo M, Martin L S, Casals E, Eaton K A, Widström E. The healthcare system and the provision of oral healthcare in European Union member states: Part 2: Spain. Br Dent J 2015; 219: 547-551.
Pälvärinne R, Widström E, Forsberg B.C, Eaton K A, Birkhed D. The healthcare system and the provision of oral healthcare in European Union member states: Part 8: Sweden. Br Dent J 2018; 224: 647-651.
Widström E, Eaton K A. Systems for the Provision of Oral Health Care, Workforce and Costs in the European Union, European Economic Area and Accession States in 2003 - A Council of European Chief Dental Officers Survey. Oral Health Prev Dent 2004; 2: 155-194.
Kravitz A, Bullock A, Cowpe J, Barnes E. EU Manual of Dental Practice 2015. Brussels: Council of European Dentists, 2015. Available at http://www.eudental.eu/library/eu-manual.html (accessed August 2018).
European Council Directive Number 05/36/EC. Off J Eur Communities 2005; L255: 0022-0142.
European Commission. TNS Opinion & Social Special Eurobarometer. 330/72.3: Oral Health. Brussels, 2009. Available at http://ec.europa.eu/commfrontoffice/publicopinion/archives/ebs/ebs_330_en.pdf (accessed July 2019).
Patel R. The State of Oral Health in Europe - Report Commissioned by the Platform for Better Oral Health in Europe. 2012. Available at www.oralhealthplatform.eu (accessed August 2019).
Mintel. UK Dentistry Market Report. 2016. Available at https://store.mintel.com/dentistry-uk-june-2016 (accessed August 2019).
Patel R N, Eaton K A, Pitts N B, Schulte A, Pieper K, White S. Variation in methods used to determine national mean DMFT scores for 12yearold children in European countries. Comm Dent Health 2016; 34: 286-291.
National Institute for Health and Care Excellence. Dental checks: intervals between oral health reviews. 2004. Available at https://www.nice.org.uk/guidance/cg19 (accessed August 2019).
Sinclair E, Stagnell S, Shah S. Brexit and dentistry. Br Dent J 2016; 220: 509-512.
Brack I. EU Exit: Implications for the dental workforce. 2018. Available at http://www.the-dentist.co.uk/eu-exit-implications-for-the-dental-workforce/gdc-oped/ (accessed August 2019).
General Dental Council. Dentists and dental care professional by age, gender and country of qualification at 31 December 2018. 2019.
United Nations Department of Economic and Social Affairs, Population Division. World Population 2017 Wall chart. 2017.
Council of European Chief Dental Officers. CECDO Database. Available at www.cecdo.org (accessed August 2019).
Acknowledgements
The authors thank the authors of the first nine papers in this series for their work and for reviewing this tenth and final paper in the series. The cost of producing this paper and the others in the series was self-funded.
Contribution of the authors
Edward Sinclair produced the first draft of this paper and has proof read and approved the final draft. Kenneth Eaton produced subsequent drafts and together with Eeva Widström, planned and edited this paper and the others in the series. Eeva Widström co-planned and edited this paper and the others in the series.
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Sinclair, E., Eaton, K. & Widström, E. The healthcare systems and provision of oral healthcare in European Union member states. Part 10: comparison of systems and with the United Kingdom. Br Dent J 227, 305–310 (2019). https://doi.org/10.1038/s41415-019-0661-4
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DOI: https://doi.org/10.1038/s41415-019-0661-4
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