牙医报告的公共牙医保险与私人牙医保险为患者提供的服务的差异
Julie Reynolds1, Aparna Ingleshwar2, Pamela Nwachukwu3
1University of Iowa College of Dentistry, 221 South Quad, 310 S. Grand Ave., Iowa City, IA, 52242, USA. julie-reynolds@uiowa.edu.
BMC oral health
|June 29, 2023
概括
与私人保险患者相比,牙医对成年医疗补助计划患者提供更少的假牙服务. 这种差异影响了公共保险人获得全面牙科护理的机会.
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:
- 患者保险类型可以影响牙医提供的牙科服务.
- 这种差异可能会影响不同人群获得全面口腔卫生保健的平等机会.
研究的目的:
- 为了比较医疗补助和私人保险对成年患者提供的牙科服务类型.
- 为了确定私人实践普通牙医之间提供服务的差异.
主要方法:
- 利用了来自爱荷华州 (n=264) 一般牙医的2019年调查数据.
- 包括最近参与爱荷华州成人医疗补助计划的牙医.
- 采用两种类型的分析来比较公共 versus 私人保险患者的服务类型.
主要成果:
- 根据保险类型,观察到对患者进行的假牙手术 (完全假牙,部分假牙,皇冠和桥梁) 的显著差异.
- 在这两组患者中,内牙服务是最不常见的.
- 在城市和农村的牙医之间,服务提供模式是一致的.
结论:
- 评估医疗补助计划成员获得牙科护理的机会需要考虑提供的服务类型,而不仅仅是牙医参与率.
- 假牙服务提供方面的差异可能会限制公共保险成年人的综合护理.
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