Abstract: Background　Community oral health service is one of the most important contents of community health service.Over the last 15 years，a number of different agencies have conducted comprehensive surveys about the situation of oral health service resources allocation and business development in Pudong New Area of Shanghai.However，it has been six years since the last survey.It is necessary to carry out a new round of investigation to allocate the resources of community stomatology accurately and efficiently，and to construct a community oral health service model meeting the current demand.Objective　To investigate the resource allocation and service development situation of the stomatology department in community health centers（CHCs） in Pudong New Area，to provide a reference for the development of community-based oral health care delivery modes.Methods　A questionnaire survey was conducted in 45 stomatology department leaders from 45 CHCs（each was selected from one CHC） in Pudong New Area in May 2017.The questionnaire developed by our research group consists of three parts：（1）general information and 3-year（2014—2016） operation of the stomatology department；（2）general information about dental medical staff in 2014—2016 of the stomatology department；（3） implementation of stomatology services of the stomatology department during 2014—2016.All of them handed in responsive questionnaires，achieving a response rate of 100.0%.Results　All these CHCs have a stomatology department.The average annual outpatient dental visits in all the CHCs during 2014-2016 were 10 105，9 927，9 828，respectively，increasing year by year，but the average annual profit derived from dental services showing a gradual increasing trend（834 483.9 yuan，860 954.1 yuan，929 379.4 yuan in 2014—2016，respectively）．By the end of 2016-12-31，there were 124 dentists and 41 dental nurses in total（14 CHCs had no dental nurses yet）．Of the dentists，69.7% of had a college degree，41.8% had a junior professional and technical title，and 50.0% had an intermediate professional and technical title.Of the dental nurses，57.5% had a junior college degree，50% had a junior professional and technical title，and 50.0% had an intermediate professional and technical title.Primary and secondary prevention of dental diseases were carried out in all the CHCs，and 42 CHCs，respectively.Only 22 CHCs had a good understanding of tertiary prevention of dental diseases.Conclusion　The overall development of oral health services in CHCs in Pudong New Area in the period of 2014—2016 showed a shrinking status.Moreover，the number of dental care providers was insufficient，and the their professional levels were unsatisfied.In addition，primary and secondary prevention services accounted most of the total programs of dental disease prevention care，while tertiary prevention services were relatively insufficient.In views of this，the professional levels of the dental care providers should be enhanced，and hardware support should be strengthened，to comprehensively improve the quality of community-based oral health services.

Key words: Oral health, Community health services, Health Resources, Service development, Shanghai

摘要： 背景　社区口腔卫生服务是社区卫生服务的重要内容之一，针对上海市浦东新区口腔卫生服务的资源配置情况和业务开展情况，过去15年间有不同机构均进行了全面的摸底调研，但最近一次调研距今已有6年，为了更准确、更高效地合理配备社区卫生服务中心（以下简称社区）口腔科资源，并建设符合需求现状的社区口腔卫生服务模式，开展新一轮摸底调研十分必要。目的　了解浦东新区社区口腔科资源配置情况及业务开展现状，为今后建设社区口腔卫生服务模式提供基础。方法　2017年5月，对上海市浦东新区45家社区口腔科负责人进行面对面问卷调查，每个机构调查1人。调查问卷包含3个部分：（1）社区口腔科概况及其2014—2016年运营情况；（2）2014—2016年社区口腔科医务人员概况；（3）2014—2016年社区口腔科服务开展情况。共发放调查问卷45份，回收有效问卷45份，调查有效率为100.0%。结果　浦东新区45家社区全部开设有口腔科。2014—2016年，各社区口腔科平均年门诊量分别为10 105、9 927、9 828人次，逐年下降；而3年间的平均年业务总收入分别为834 483.9、860 954.1、929 379.4元，逐年增加。截至2016-12-31，浦东新区45家社区卫生服务中心共有124名口腔科医生和41名口腔科护士，其中14家社区未配备口腔科护士。口腔科医生以本科学历为主，占69.7%；职称以初级职称和中级职称为主，各占41.8%、50.0%。口腔科护士中，57.5%护理人员为大专学历；职称上初级职称护士和中级职称护士各占50.0%。45家社区口腔科均开展了一级预防；42家社区口腔科开展了二级预防；22家社区口腔科对三级预防有全面的了解。结论　浦东新区社区口腔卫生服务的总体业务呈萎缩状态，口腔科人力资源不足、人员素质有待提升，且预防工作以一、二级预防工作为主，三级预防保健工作较为缺乏，需要提高社区口腔专业人员的技术能力，加强对社区口腔科的硬件支持，全面提升服务质量。

关键词: 口腔保健, 社区卫生服务, 卫生资源, 业务开展, 上海