Oral health policies in the context of non-communicable diseases: a pending challenge in Chile
Journal: Advances in Medicine and Engineering Interdisciplinary Research DOI: 10.32629/ameir.v4i2.5255
Abstract
Non-communicable diseases constitute the greatest burden of disease in Chile and the world. The close preventive and therapeutic relationship between oral diseases and systemic diseases in the context of non-communicable diseases, highlights the urgent need to design health policies that allow the incorporation of oral health in the control of these diseases. Despite the implementation of programs in Chile for the treatment of the main oral diseases in prioritized groups, through explicit guarantees in health and other dental programs, these benefits are not aimed at people with cardiovascular diseases, diabetes or other non-communicable diseases with high impact on the population. The available evidence and the recommendations of international scientific organizations support the incorporation of oral health in general health plans and programs. Unfortunately, a more integrated medical-dental approach in the control and management of non-communicable diseases remains a pending challenge in Chile.
Keywords
non-communicable diseases; oral health; public policies
Funding
National Agency for Research and Development/Scholarship Program/National Doctoral Scholarship/2018–21180023
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[3] Fisher J, Selikowitz H-S, Mathur M, Varenne B. Strengthening oral health for universal health coverage. Lancet [Internet]. 2018 Sep;392(10151):899-901. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0140673618317070.
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[9] PNUD. Capítulo 1. In: Informe Desarrollo Humano en Chile 1998 Las paradojas de la modernización [Internet]. 1998. Available from: https://www.cl.undp. org/content/chile/es/home/library/human_development/las-paradojas-de-la-modernizacion.html.
[10] Corvalán J. Las Transformaciones educativas recientes y los cambios de la política social en Chile y América Latina. Hipótesis sobre los discursos dominantes. Rev Estud Soc. 2001;108:9-34.
[11] Perret B, Roustang G. Segunda Parte: Reintegrarla Economía en la Cultura. Cap. V: Encauzar lo Económico. La Difícil Búsqueda de un Equilibrio entre la Economía, la Cultura y lo Político. In: La Economía contra la Sociedad: Crisis de la Integración Social y Cultural. Santiago de Chile: Fondo de Cultura Económica; 2000.
[12] Ministerio de Salud de Chile. Indicadores Básico de Salud. Chile 2013 [Internet]. 2013 [cited 2020 Mar 14]. Available from: http://www.deis.cl/wp-content/ uploads/2013/12/IBS-2013.pdf.
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[14] Ministerio de Salud de Chile. Estudios de la OCDE sobre salud pública: Chile. Hacia un futuro más sano. 2019.
[15] Ministerio de Salud de Chile. Encuesta Nacional de Salud 2016- 2017. Primeros resultados [Internet]. 2017 [cited 2020 Mar 25]. Available from: https://www.minsal. cl/wp-content/uploads/2017/11/ENS-2016-17_PRIMEROS-RESULTADOS.pdf.
[16] Gutiérrez L. Neoliberalismo y Modernización del Estado en Chile: Emergencia del Gobierno Electrónico y desigualdad social. Cult-hombre-soc. 2019;29(2):259-80.
[17] Ministerio de Salud de Chile. Orientaciones para la planificación y programación en Red 2020 [Internet]. 2019 [cited 2020 Mar 7]. Available from: https://www. minsal.cl/wp-content/uploads/2019/09/2019.09.09_ORIENTACIONES-PARA-LA-PLANIFICACION-EN-RED-2020_v3.pdf.
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[19] Morales A, Bravo J, Baeza M, Werlinger F, Gamonal J. Las enfermedades periodontales como enfermedades crónicas no transmisibles: cambios en los paradigmas. Rev Clin Periodoncia Implant Rehabil Oral. 2016;9(2):203-7.
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[29] Sanz M, Marco del Castillo A, Jepsen S, Gonzalez-Juanatey JR, D'Aiuto F, Bouchard P, et al. Periodontitis and cardiovascular diseases: Consensus report. J Clin Periodontol. 2020;47(3):268-88.
[30] EFP. EFP Manifesto. Perio and General Health [Internet]. 2018 [cited 2020 Mar 14]. Available from: https://www.efp.org/efp-manifesto/EFP_manifesto_display_2018.pdf.
[31] Ministerio de Salud de Chile. Orientaciones técnico administrativas para la ejecución del Programa de Mejoramiento del Acceso 2020 [Internet]. 2019 [cited 2020 Mar 7]. Available from: https://diprece.minsal.cl/programas-de-salud/salud-bucal/informacion-al-profesional-salud-bucal/documentos-publicados/.
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