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      A definition of global oral health: An expert consensus approach by the Consortium of Universities for Global Health’s Global Oral Health Interest Group

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          ABSTRACT

          Definitions can generate actionable consensus for a given subject matter by resolving important differences in philosophy and best practices and by streamlining activities for a stronger strategic direction. Interest in the global dimensions of oral health, a generally neglected area of global health, is growing; yet, no previously published research has defined the term ‘global oral health.’ As such, the Global Oral Health Interest Group of the Consortium of Universities for Global Health determined a need for an introductory definition of ‘global oral health’ to guide program planning, implementation, and evaluation. With the oversight of an expert senior Task Force for the Definition of Global Oral Health, we employed a mixed-methods approach using the more common expert consensus-building Delphi technique combined with the lesser utilized Q methodology. This approach allowed us to identify the interconnectedness of global oral health themes and integrate multiple, seemingly disparate, topics into a single streamlined concept. Our resulting definition is as follows: Global Oral Health aims for optimal oral health for all people and elimination of global health inequities through health promotion, disease prevention, and appropriate oral care approaches that consider common determinants and solutions and acknowledge oral health as part of overall health . The purpose of this short communication is to generate a narrative around our proposed definition of global oral health to support establishing guidelines and developing best practices for academic global oral health programs, policies, and practices that aim to achieve a goal of oral health globally.

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          Most cited references23

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          Oral diseases: a global public health challenge

          Oral diseases are among the most prevalent diseases globally and have serious health and economic burdens, greatly reducing quality of life for those affected. The most prevalent and consequential oral diseases globally are dental caries (tooth decay), periodontal disease, tooth loss, and cancers of the lips and oral cavity. In this first of two papers in a Series on oral health, we describe the scope of the global oral disease epidemic, its origins in terms of social and commercial determinants, and its costs in terms of population wellbeing and societal impact. Although oral diseases are largely preventable, they persist with high prevalence, reflecting widespread social and economic inequalities and inadequate funding for prevention and treatment, particularly in low-income and middle-income countries (LMICs). As with most non-communicable diseases (NCDs), oral conditions are chronic and strongly socially patterned. Children living in poverty, socially marginalised groups, and older people are the most affected by oral diseases, and have poor access to dental care. In many LMICs, oral diseases remain largely untreated because the treatment costs exceed available resources. The personal consequences of chronic untreated oral diseases are often severe and can include unremitting pain, sepsis, reduced quality of life, lost school days, disruption to family life, and decreased work productivity. The costs of treating oral diseases impose large economic burdens to families and health-care systems. Oral diseases are undoubtedly a global public health problem, with particular concern over their rising prevalence in many LMICs linked to wider social, economic, and commercial changes. By describing the extent and consequences of oral diseases, their social and commercial determinants, and their ongoing neglect in global health policy, we aim to highlight the urgent need to address oral diseases among other NCDs as a global health priority.
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            Research guidelines for the Delphi survey technique.

            Consensus methods such as the Delphi survey technique are being employed to help enhance effective decision-making in health and social care. The Delphi survey is a group facilitation technique, which is an iterative multistage process, designed to transform opinion into group consensus. It is a flexible approach, that is used commonly within the health and social sciences, yet little guidance exists to help researchers undertake this method of data collection. This paper aims to provide an understanding of the preparation, action steps and difficulties that are inherent within the Delphi. Used systematically and rigorously, the Delphi can contribute significantly to broadening knowledge within the nursing profession. However, careful thought must be given before using the method; there are key issues surrounding problem identification, researcher skills and data presentation that must be addressed. The paper does not claim to be definitive; it purports to act as a guide for those researchers who wish to exploit the Delphi methodology.
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              Towards a common definition of global health

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                Author and article information

                Journal
                Glob Health Action
                Glob Health Action
                Global Health Action
                Taylor & Francis
                1654-9716
                1654-9880
                3 September 2020
                2020
                : 13
                : 1
                : 1814001
                Affiliations
                [a ]Global Health Discipline Director, Harvard School of Dental Medicine; , Boston, MA, USA
                [b ]Kintegra Health; , Charlotte, NC, USA
                [c ]Chapel Hill Adams School of Dentistry, University of North Carolina; , Chapel Hill, NC, USA
                [d ]Associate Dean, Global and Community Health, Harvard School of Dental Medicine; , Boston, MA, USA
                [e ]Department of Anthropology, University College London; , Manchester, UK
                [f ]Department of Orthodontics and Pediatric Dentistry, Stony Brook School of Dental Medicine; , Stony Brook, NY, USA
                [g ]Craniofacial Development, Associate Dean for Internationalisation, School of Dentistry, University of Dundee, Nethergate; , Dundee, Scotland, UK
                [h ]Global Oral Health Interest Group, Consortium of Universities for Global Health; , Boston, MA, USA
                Author notes
                CONTACT Brittany Seymour Brittany_Seymour@ 123456hsdm.harvard.edu Global Health Discipline Director, Harvard School of Dental Medicine; , Boston, MA, 02115, USA
                [*]

                These authors contributed equally to this work.

                [**]

                Task Force for the Definition of Global Oral Health.

                Author information
                https://orcid.org/0000-0003-0214-4414
                Article
                1814001
                10.1080/16549716.2020.1814001
                7782349
                32878587
                9fbbda5b-22d0-45d2-a420-0436fd19c6d2
                © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Page count
                Figures: 1, Tables: 3, References: 21, Pages: 1
                Categories
                Research Article
                Short Communication

                Health & Social care
                dr. raman preet, umeå university,global oral health,oral health,definitions

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