2024 年 73 巻 5 号 p. 384-390
令和4年の基本的事項(第一次)最終評価の結果等を踏まえ,令和5年に歯科口腔保健の推進に関する基本的事項(第二次)「歯・口腔の健康づくりプラン」が策定された.「歯・口腔の健康づくりプラン」では,基本的事項(第一次)の第五に含まれていた重要事項を独立させ「第四 歯科口腔保健を担う人材の確保・育成に関する事項」が新設された.この事項において「人材の確保及び資質の向上を図るため,国において総合的な企画及び調整等に係る能力の養成に重点を置いた研修の充実を図るとともに,都道府県において,市町村,医療保険者,地域の歯科医師会・医師会等の関係団体と連携しつつ,最新の科学的知見に基づく研修の充実を図ること」の必要性が明記されている. 国立保健医療科学院では,地域の状況に応じた計画策定,および評価に基づく計画の見直しができる能力の修得を目標として,地域歯科保健に携わる自治体職員を対象とした「歯科口腔保健の推進のための企画・運営・評価研修」を実施している.本稿では,基本的事項において特出された歯科口腔保健を担う人材育成について,国立保健医療科学院で行っている養成訓練の状況を,過去の実績を踏まえて概説する.
The Basic Matters (Secondary) of the Dental and Oral Health Promotion Plan regarding the promotion of dental and oral health in 2023 were formulated based on the results of the final evaluation of the Basic Matters (First Phase) in 2022. In the Dental and Oral Health Promotion Plan, important matters included in Part 5 of the Basic Matters (First Phase) were addressed separately, while Part 4, “Matters related to securing and developing human resources responsible for dental and oral health care” was newly established. These matters specified the need “for the Japanese government to work to enhance training that focuses on developing skills required for comprehensive planning and coordination in order to secure human resources and improve their quality, and for prefectural governments to cooperate with municipalities, health insurers, local dental and medical associations, and other relevant organizations to improve training based on the latest scientific knowledge.” The National Institute of Public Health of Japan has set itself the goal of developing the ability to formulate plans tailored to local circumstances and to review plans based on evaluations, and is carrying out training in planning, managing, and evaluating dental and oral health promotion for local government employees who are involved in local dental health care. This paper provides an overview of the current state of human development training at the National Institute of Public Health in relation to the development of human resources that are responsible for dental and oral health care, which received special attention in the Basic Matters, while taking into account past achievements.