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根据访问目的分层的牙科利用:日本的一项基于人口的研究
Miho Ishimaru1, Takashi Zaitsu2, Shiho Kino2
1Department of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan; Department of Health Services Research, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
International dental journal
|July 6, 2023
概括
在日本,预防性牙科护理的使用率很低,地区差异很大,影响儿童和老年人. 改善获得预防服务的机会对于在全国范围内改善口腔健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 牙科流行病学 牙科流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 日本的牙科诊所使用模式需要详细分析.
- 了解牙科护理获取的人口和区域差异至关重要.
研究的目的:
- 在日本,按年龄,性别,县和访问目的分层对牙科访问的使用情况进行分层.
- 根据社会经济因素,确定牙科护理获取方面的差异.
主要方法:
- 全国医疗保险索赔数据库的横截面分析 (日本,2018年4月至2019年3月).
- 按年龄,性别和县区划分牙科护理使用的分层.
- 斜率不平等指数 (SII) 和相对不平等指数 (RII) 的估计,以评估区域差异.
主要成果:
- 18.6%的日本人口使用预防性牙科护理;5-9岁儿童的比例最高.
- 在所有环境中,预防性牙科访问的SII和RII比治疗访问更高.
- 报告指出,在获得预防护理方面存在很大的区域差异,特别是在幼儿,30多岁的男性和老年女性中.
结论:
- 在日本,预防性牙科护理的使用率很低,并且呈现出区域差异.
- 提高预防性牙科服务的可访问性和可用性对于改善人口口腔健康至关重要.
- 调查结果为政策制定提供了基础,以优化居民的牙科护理.
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