Changes in oral care in

health systems

CHINA

Dra. Eva Cortes

Carolina Herrera

II CO 2014

With a population of around 1.3 billion

people China is one of the most

populous countries in the world and

one of the largest countries with high

economic growth. Life expectancy is

around 70 years old, about 5% of the

national wealth is spent on health.

China a socialist system

which states:

Posed by the distribution of public

goods, either for political power

distributed to the benefit of society.

China has 22 provinces, of which, 5 autonomous

regions and 4 municipalities, taking levels of

government, cities, counties and districts, the

lowest levels are the districts and villages.

Since 1949 the Republic of China was

established which brought benefits in terms of

health, around 2000s a health service run by

hospitals, although it can provide only a small

part of these services at the level of oral health

occurred.

With regard to the practice of exercising a

degree is required, the government is also

supervisor of operators that dental assistants are

well separated

With the foundation in 1949 of the

People's Republic of China (hereinafter

China), an important aspect of the

planned economy was that the

responsibility for health services primarily

rested with the state and state

enterprises.

Following the shift towards the

introduction of the market economy in

the early eighties, state enterprises could

no longer bear alone the financial costs

of social security and health services,

primarily because of competitive

pressures

Reform was urgent, because with the gradual

breakdown of the system of health services a

majority of rural residents and urban residents

unemployed no longer receiving medical care

and state should fund their own costs of health

services.

In 1998, a basic health insurance was established,

but coverage only urban workers was initially

extended.

To illustrate the coverage gap in the Chinese

system in the late 1990s, about 50 percent of the

urban population and 80 percent of the rural

population were not covered by health insurance

or did not have access to health services

The knowledge of the professionals on preventive dentistry was outdated.

Until 1980 they had not taken courses in preventive dentistry in dental schools in China,

when the first Department of Preventive Dentistry was established in the Faculty of

Stomatology, Beijing Medical College (now Faculty of Stomatology, Peking University) .

According to a recent study 90% of the population practicing the correct

toothbrushing expected.

In 1988 a system (NCOH), which

has created the following tasks:

Assist the Ministry of Health policies for prevention and

treatment of oral diseases

The development of dental manpower plans

Coordinate activities for oral health care

There are more than 30,000 dentists in China, and

there are more than 40 universities that provide career

for people who have education up to twelve years.

A WHO report in 2003 documented that cavities

are decreasing in younger than 12 years in

developed countries, but increasing in developing

countries, where most children live why the

Chinese government has provided great benefits

as what bloom is water campaigns and health

promotion.

Most dentists are at the public level, whether in

private sector wealth for people that need it as

well as patients have great benefits.

CONCLUTION

In China for forty thousand inhabitants is a dentist,

while in our country there is great variety and number

of dentists, but compared Costa Rica offers the

advantage of studying in fewer years with a great

success rate thanks to the graduates.

Generally as dentists must keep prevention tool as well

as China and developed countries do, is the best

weapon against disease.

References

Pine, C. & Harris, R. (2007). Community Oral Health.

New Malden, U.K.: Quintessence

Zhang Z, Ling Z. (2003). Atención preventiva de la

salud oral en China. Reporte del cuidado oral.

http://www.colgateprofesional.com.ar/LeadershipAR/

NewsArticles/NewsMedia/PrevNews/ColgatePrevNew

s_14_3.pdf

Liu, B. D. (2013). El sistema de salud de China: entre la

privatización y los servicios de salud pública. Resvista

Internacional de Seguridad Social ISSA , Vol. 6.