2022-11-17-世界卫生组织-Oral_Health_Israel_2022_country_profile_2页_660kb

报告摘要

Israel: Oral Health System Profile Overview

I. ORAL DISEASE BURDEN

Prevalence (2019):
- Untreated Caries (Deciduous Teeth, Children 1-9 years): 38.7% per 10,000 population
- Untreated Caries (Permanent Teeth, >5 years): Prevalence rate defined (>5 years) but no specific % given. Caries data aggregates rates based on GBD methodology applied to IHME population figures.
- Untreated Caries (Permanent Teeth, >5 years, IHME data initial figures): ~64.9%, ~75.5%, ~70.4% for males, females, total population projections respectively.
- Severe Periodontal Disease (>15 years): 15.5% prevalence
- Edentulism (>20 years): 10.9% prevalence
- Lip and Oral Cavity Cancer (2020): Incidence rates ~1.7/100,000 for males, 1.6/100,000 for females, 1.6/100,000 overall.
Key Risk Factors:
- Tobacco Use (15+ years): Rate 21.6% (13.9F, 29.3M)
- Other Factors Mentioned: High sugar consumption (~91 grams per person per day); alcohol consumption (total population avg: 4.4 L pure alcohol/year); national health expenditure (PPP $202 per capita); noma not recognized; key NHWA benchmark figures (workers/labs/health exp).
- Prevalence data for Caries (Deciduous<1, Permanent>5, Periodontal>15, Edentulism>20) preceded by estimates from IHME/GBD based on UN/WPP data.

II. NATIONAL HEALTH SYSTEM RESPONSE

Health System Strengths/Structure: Data points include:
- Oral Health Policy: National policy/action plan exists (operational or drafting stage).
- Dental Workforce: Approximately 6000 dentists identified by NHWA (~7.3 per 10,000 pop for dentists, NHWA standard). Other roles: dental assistants/therapists, hygienists/nurses, prosthetists.
- Coverage: Health insurance is widespread (Mandatory, National Insurance <50%), implying significant health financing scheme with potential for NH coverage as primary payers.
- Resources: High per capita NH expenditure on dental care (US$~202). Separate categories for routine, preventive, essential curative, advanced, and rehabilitative care are prominent NHWA tracks.
- Availability of Diagnostics/Procedures: Screening available at public primary care facilities; basic restorative, emergency oral care/pain relief, potentially advanced procedures available in primary care.
- Integrates NCDs?: Dedicated NH technical/professional staff exist focusing on oral health within NCD units.
- Health Benefit Packages: Presence and type of oral health interventions included, but not detailed.
Restrictions/Findings:
- No tax implemented on SSBs.
- Fluoride toothpaste affordability is not explicitly detailed via HCSS workforce metrics but has a defined threshold (≤1 vs >1 day of labor).

III. ECONOMIC IMPACT

Prevention/Expenditure: Moderate preventive budget component (routine/preventive care) relative to overall curative.
Treatment/Expenditure: Considerable expenditure on dental healthcare (US$1,827M/yr) and productivity losses (563M dental care costs vs ~1.31B productivity losses). Estimated 5 most impactful untreated oral conditions contribute significantly to economic burden.

IV. KEY CONSIDERATIONS