偏鄉居民、矯正機關收容人及特殊需求者（包含身心障礙者、發展遲緩兒童、高齡失能者與多重慢性病病人），長期面臨牙醫醫療可近性不足與口腔健康不平等之問題，常因交通不便、人力不足、跨單位合作困難及醫療風險高等因素而延誤就醫，導致疾病惡化並增加醫療照護負擔。衛生福利部桃園醫院身為公立區域醫院，肩負政策性醫療與照護弱勢族群之責任，自2017年成立「特殊需求者牙科醫療服務中心」以來，整合偏鄉牙醫外展服務、矯正機關牙醫醫療支援及特殊需求牙醫專科照護，建立以病人安全、醫療品質與服務可近性為核心之整合照護模式。透過專責團隊、標準化診療流程、跨專業合作及區域轉診網絡，提升高風險族群牙醫醫療可近性與照護連續性，並降低延誤治療與併發症風險。本文分享桃園醫院之實務經驗，期能作為其他醫療院所推動偏鄉與特殊需求牙醫醫療服務之參考，進一步促進口腔健康平權與醫療永續發展。

Residents in rural areas, individuals incarcerated in correctional facilities, and people with special healthcare needs—including those with physical or intellectual disabilities, children with developmental delays, older adults with functional impairment, and patients with multiple chronic illnesses—have long faced barriers to accessing dental care and achieving equitable oral health. These populations frequently experience delays in seeking care owing to factors such as limited transportation access,, workforce shortages, challenges in care coordination, and elevated clinical risks, all of which contribute to disease progression and increased healthcare burden. As a public regional hospital, Taoyuan General Hospital bears the responsibility of implementing health policies and serving medically underserved populations. Since establishing the Dental Service Center for Patients with Special Needs in 2017, the hospital has integrated outreach dental services for rural communities, dental support for correctional institutions, and specialist care in special needs dentistry. This integrated care model is built upon the core principles of patient safety, quality of care, and service accessibility. Through the efforts of dedicated multidisciplinary teams, standardized treatment protocols, interprofessional collaboration, and a regional referral network, the hospital has improved dental care accessibility and continuity for high-risk populations, while reducing delays in treatment and the risk of complications. This article shares the hospital’s practical experiences as a reference for other healthcare institutions seeking to enhance their dental care services for rural and special needs populations and to promote oral health equality and the sustainable development of healthcare systems.