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在安大略省,牙科护理成本障碍的自我报告趋势
Mona Abdelrehim1, Vahid Ravaghi1,2, Carlos Quiñonez1,3
1Faculty of Dentistry, University of Toronto, Toronto, Canada.
PloS one
|July 7, 2023
概括
在加拿大安大略省,牙科护理的负担能力是一个日益关注的问题. 成本障碍显著增加,特别是对于那些缺乏保险,收入较低或年龄在20-39岁的人来说.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 牙科经济学 牙科经济学
背景情况:
- 牙科护理的负担能力是加拿大的一个重要问题,私人融资影响了牙科护理的获取.
- 保险覆盖和自费支出是使用牙科护理的关键决定因素.
研究的目的:
- 为了检查在安大略省的牙科护理自我报告的成本障碍趋势.
- 评估面临牙科费用障碍的安大略省居民的人口变化.
- 为了确定在安大略省报告牙科费用障碍的预测因素.
主要方法:
- 加拿大社区健康调查 (CCHS) 的五个周期 (2003-2018) 的二次数据分析.
- 使用单变量和双变量分析来描述报告成本障碍的个体.
- 采用波桑回归来确定成本障碍预测指标的流行率.
主要成果:
- 由于成本原因而避免牙科护理的安大略省居民比例从2003年的22%上升到2014年的34%.
- 缺乏牙科保险是成本障碍的主要预测因素.
- 年轻的成年人 (20-39岁) 和收入较低的个人也显示,报告成本障碍的可能性增加.
结论:
- 自我报告的牙科护理成本障碍在安大略省升级.
- 这些障碍不成比例地影响了没有保险的个人,低收入者和20-39岁的年龄组.
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