Covıd-19 Pandemisinin Toplum Ağız Diş Sağlığına Etkileri ve Etik Sorunlar

Abstract

COVID-19 pandemisi, ağız sağlığı eşitsizliklerinin artmasına, topluma yönelik ağız diş sağlığını geliştirme programlarının ve koruyucu ağız sağlığı hizmetlerinin kısıtlanmasına neden olmaktadır. Ortak risk yaklaşımına göre kronik sistemik hastalıklar ile aynı risk faktörlerini paylaşan ağız hastalıklarının yönetilebilmesi için ağız sağlığı hizmetlerinin birinci basamak sağlık hizmetlerine entegre edilmesi gerekmektedir. ‘Tek Sağlık’ konsepti benimsenerek halk sağlığı uygulamalarında multidisipliner çalışmalara ağırlık verilmelidir. Toplumun ağız sağlığı çıktılarını arttırmak için biyopsikososyal yaklaşım çerçevesinde sektörler arası işbirliği, çalışma esnekliği, kapasitesi, sosyal adalet, eşitlik ve insan hakları etik kuralları dikkate alınarak planlanan ağız sağlığını geliştirme programlarına ihtiyaç vardır. Toplumun “COVID-19 ve Ağız Sağlığı” konusunda okuryazarlığını arttırmak için enformasyon teknolojileri ve sosyal medya ağları kullanılmalıdır. Bu dönemde, sürveyans ve halk sağlığı çalışmaları vasıtasıyla toplumsal düzeyde ağız sağlığı ihtiyaç değerlendirilmesinin yapılması da önemlidir. Hareket kısıtlaması ve sağlığın sosyal belirteçleri nedeniyle ağız sağlığı hizmetlerine ulaşmada zorluk yaşayan dezavantajlı gruplar, çocuk ve yaşlılar için ağız sağlığının korunması ve geliştirilmesine yönelik programlara öncelik verilmelidir.

Keywords

• COVID-19
• toplum diş hekimliği
• sağlık hizmeti eşitsizlikleri
• sağlığı geliştirme
• koruyucu diş hekimliği
• bilişim teknolojisi

THE IMPACTS OF THE COVID-19 PANDEMIC ON DENTAL PUBLIC HEALTH AND ETHICAL ISSUES

Abstract

The COVID-19 pandemic causes an increase in oral health inequalities, restriction of oral health promotion programs and preventive oral health services for the community. According to the common risk approach, oral health services should be integrated into primary health care services in order to manage oral diseases that share the same risk factors with chronic systemic diseases. Multidisciplinary studies should be focused on public health practices by adopting the “One Health” concept. In order to increase the popuation based oral health outcomes, there is a need for oral health promotion programs that take into account the cooperation between sectors, working flexibility, capacity,the ethical rules of social justice, equality and human rights within the framework of the biopsychosocial approach. Information technologies and social media networks should be used to increase the literacy of the population on “COVID-19 and Oral Health”. In this period, it is also important to carry out oral health needs assessment at population level through surveillance and public health studies. Priority should be given to programs for the protection and improvement of oral health among disadvantaged groups, children and the elderly who have difficulty in accessing oral health services due to limitation of movement and social determinants of health.

Keywords

• COVID-19
• public health dentistry
• health care inequalities
• oral health inequality
• health promotion
• preventive dentistry
• information technology

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