{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T18:28:58Z","timestamp":1788200938250,"version":"build-2803163510"},"reference-count":12,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T00:00:00Z","timestamp":1787961600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Community Dental Health"],"abstract":"<jats:p>To compare how official sources specify public oral-health delivery arrangements, territorial extensions, care pathways and reporting across Spain, without inferring actual delivery or access. Comparative documentary analysis of the 17 autonomous communities and the two INGESA-managed cities. Delivery architecture was separated from seven documentary domains. Codes denoted explicit inclusion (E), restricted provision (R), explicit exclusion (X), not identified (N) or insufficiently verifiable evidence (U), relative to the national common baseline. The final evidence set comprised 43 official records: three national and 40 territorial. Twelve territories documented mixed, selective or contracted routes and seven predominantly direct public arrangements. Age-based extensions were explicit in 10 territories and restricted in one. Endodontic provision beyond the national trauma exception was explicit in five and restricted in eight; advanced restorative endpoints were restricted in 11. Orthodontics was restricted in six and explicitly excluded in six; prosthetic provision was restricted in seven and excluded in five. Disability\/special-care pathways were explicit in 17 territories. Cervicofacial oncology pathways were explicit in four and restricted in three. Official documents show heterogeneous territorial specification of a common national entitlement, but do not establish utilisation, effective access, quality or outcomes. Delivery architecture was not a proxy for documented clinical scope.<\/jats:p>","DOI":"10.1177\/0265539x261485622","type":"journal-article","created":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T13:43:40Z","timestamp":1788011020000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Documented territorial specification of publicly funded oral-health benefits in Spain: Delivery models and care pathways"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-5107-652X","authenticated-orcid":false,"given":"Manuel Jes\u00fas","family":"Enciso-Ripoll","sequence":"first","affiliation":[{"name":"Department of Dentistry, Faculty of Health Sciences, Universidad Cardenal Herrera-CEU, CEU Universities, Alfara del Patriarca, Valencia, Spain"},{"name":"Conselleria de Sanitat"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Enrique","family":"Iranzo-Cort\u00e9s","sequence":"additional","affiliation":[{"name":"Universitat de Val\u00e8ncia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Granero-Ortells","sequence":"additional","affiliation":[{"name":"Universitat Polit\u00e8cnica de Val\u00e8ncia"},{"name":"Generalitat Valenciana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Bravo","sequence":"additional","affiliation":[{"name":"Universidad de Granada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7858-7735","authenticated-orcid":false,"given":"Francisco J.","family":"Silvestre","sequence":"additional","affiliation":[{"name":"Universitat de Val\u00e8ncia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,29]]},"reference":[{"key":"e_1_3_7_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1988.03410120089033"},{"key":"e_1_3_7_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-018-1089-4"},{"key":"e_1_3_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/cdoe.12992"},{"key":"e_1_3_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2023.104913"},{"key":"e_1_3_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2025.105248"},{"key":"e_1_3_7_7_1","first-page":"32650","article-title":"Real Decreto 1030\/2006, de 15 de septiembre, por el que se establece la cartera de servicios comunes del Sistema Nacional de Salud y el procedimiento para su actualizaci\u00f3n","volume":"222","author":"Spain","year":"2006","unstructured":"Spain (2006) Real Decreto 1030\/2006, de 15 de septiembre, por el que se establece la cartera de servicios comunes del Sistema Nacional de Salud y el procedimiento para su actualizaci\u00f3n. Bolet\u00edn Oficial del Estado 222: 32650\u201332679. (consolidated text accessed 29 July 2026).","journal-title":"Bolet\u00edn Oficial del Estado"},{"key":"e_1_3_7_8_1","first-page":"70588","article-title":"Orden SND\/606\/2024, de 13 de junio, por la que se modifican los anexos I, II, III, VI y VII del Real Decreto 1030\/2006","volume":"147","author":"Spain","year":"2024","unstructured":"Spain (2024) Orden SND\/606\/2024, de 13 de junio, por la que se modifican los anexos I, II, III, VI y VII del Real Decreto 1030\/2006. Bolet\u00edn Oficial del Estado 147: 70588\u201370609.","journal-title":"Bolet\u00edn Oficial del Estado"},{"key":"e_1_3_7_9_1","first-page":"61801","article-title":"Orden SND\/454\/2025, de 9 de mayo, por la que se modifican los anexos I, II, III y VI del Real Decreto 1030\/2006","volume":"115","author":"Spain","year":"2025","unstructured":"Spain (2025) Orden SND\/454\/2025, de 9 de mayo, por la que se modifican los anexos I, II, III y VI del Real Decreto 1030\/2006. Bolet\u00edn Oficial del Estado 115: 61801\u201361826.","journal-title":"Bolet\u00edn Oficial del Estado"},{"key":"e_1_3_7_10_1","volume-title":"Oral Health Care in Europe: Financing, Access and Provision","author":"Winkelmann J","year":"2022","unstructured":"Winkelmann J, G\u00f3mez Rossi J, van Ginneken E (eds) (2022) Oral Health Care in Europe: Financing, Access and Provision. WHO Regional Office for Europe and European Observatory on Health Systems and Policies."},{"key":"e_1_3_7_11_1","volume-title":"Global Oral Health Status Report: Towards Universal Health Coverage for Oral Health by 2030","author":"World Health Organization","year":"2022","unstructured":"World Health Organization (2022) Global Oral Health Status Report: Towards Universal Health Coverage for Oral Health by 2030. World Health Organization."},{"key":"e_1_3_7_12_1","volume-title":"Global Strategy and Action Plan on Oral Health 2023-2030","author":"World Health Organization","year":"2024","unstructured":"World Health Organization (2024a) Global Strategy and Action Plan on Oral Health 2023-2030. World Health Organization."},{"key":"e_1_3_7_13_1","volume-title":"Developing the Global Oral Health Monitoring Framework Report: A Set of Indicators Towards Universal Health Coverage by 2030","author":"World Health Organization","year":"2024","unstructured":"World Health Organization (2024b) Developing the Global Oral Health Monitoring Framework Report: A Set of Indicators Towards Universal Health Coverage by 2030. World Health Organization."}],"container-title":["Community Dental Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0265539X261485622","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0265539X261485622","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0265539X261485622","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T17:47:47Z","timestamp":1788198467000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0265539X261485622"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,29]]},"references-count":12,"alternative-id":["10.1177\/0265539X261485622"],"URL":"https:\/\/doi.org\/10.1177\/0265539x261485622","relation":{},"ISSN":["0265-539X","2515-1746"],"issn-type":[{"value":"0265-539X","type":"print"},{"value":"2515-1746","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,29]]},"article-number":"0265539X261485622"}}