付款方式和人口统计影响牙科服务利用模式
Matthew Pendleton1, Mark E Moss, Qiang Wu
1School of Dental Medicine (Mr Pendleton, and Drs Moss, Tempel, and Al-Dajani) and Department of Public Health (Dr Wu), East Carolina University, Greenville, North Carolina; and Henry M. Goldman School of Dental Medicine, Boston University, Boston, Massachusetts (Dr Garcia).
概括
牙科保险支付方式对社会人口统计学群体的牙科服务使用有重大影响. 65岁以上的成年人表现出高自付,这表明需要扩大覆盖范围的选择.
科学领域:
- 牙科公共卫生 牙科公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 了解牙科服务使用模式对于解决口腔健康差异至关重要.
- 社会人口统计学因素和支付方式显著影响到牙科护理的获取和使用.
研究的目的:
- 描述北卡罗来纳州不同社会人口群体中牙科服务使用模式.
- 分析付款方式与所使用的牙科服务类型之间的关系.
主要方法:
- 一项描述性研究分析了来自东卡罗来纳大学牙科医学院诊所26,710名患者和534,983例手术 (2011-2020) 的未确定的临床数据.
- 数据包括患者社会人口统计,支付历史和当前牙科术语 (CDT) 代码.
- 奇方位分析检查了服务使用率,人口统计和支付方式之间的交叉表格.
主要成果:
- 付款方式与患者特征 (地点,年龄,种族,种族,) 和牙科服务类型 (P < .001) 有显著的相关性.
- 医疗补助受益者更有可能接受修复性,假肢或口腔手术服务,但显示预防性护理利用率低于预期.
- 私人保险或自支付的个人使用了更广泛的服务,包括特殊的程序,如内科医生和植入物.
结论:
- 付款方式是使用牙科服务的关键决定因素,与患者人口统计数据有关.
- 在65岁以上的成年人中,更高的比例为牙科护理自付费用,这凸显了这一年龄组支付选择中的潜在差距.
- 政策建议包括扩大老年人牙科覆盖范围,以改善获得和减少口腔健康差异.
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