将萨尔兹曼指数与自动合格条件进行比较,在选择医疗必要的正牙患者时
Matthew Roche1, Daniel Rinchuse2, Thomas Zullo2
1Private practice, Columbus, Ga.
概括
萨尔兹曼指数 (SI) 和自动资格条件 (AQC) 不确定相同的患者需要医疗必要的正牙护理 (MNOC). 将SI替换为AQC将大大改变宾夕法尼亚州医疗补助基金资助的正牙治疗的资格.
科学领域:
- 矯正牙科 矯正牙科是一種矯正牙科.
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
背景情况:
- 在宾夕法尼亚州,医疗必要的正统牙科护理 (MNOC) 资格是由萨尔兹曼指数 (SI) 分数 (≥25) 或自动资格条件 (AQC) 决定的.
- SI和AQC代表了评估 ортодонтической治疗需要的不同标准.
- 本研究评估了这两种患者选择方法之间的一致性.
研究的目的:
- 为了比较萨尔兹曼指数 (SI) 的患者选择结果与美国正牙医协会 (AQC) 对于医疗必要的正牙护理 (MNOC) 的自动资格条件.
- 确定SI和AQC是否识别出相同的患者队列,以符合正牙治疗的资格.
- 评估将SI替换为AQC对患者获得医疗补助资助的正牙护理的潜在影响.
主要方法:
- 对139名年龄在10-17岁的参与者的正牙记录进行了回顾性分析.
- 计算所有参与者的萨尔兹曼指数 (SI) 分数.
- 确定每个参与者是否存在任何自动资格条件 (AQC).
- 应用McNemar的同意测试来比较SI与AQC的患者选择.
主要成果:
- 只有8.6%的患者达到治疗的SI值 (≥25),而31.7%的患者至少有一次AQC.
- 观察到一个显著的差异:在44名AQC患者中,只有11名患者也符合SI标准 (P < 0.001).
- 在SI和AQC方法中,选择了显著不同的患者群体,以满足 ортодонтической治疗需求.
结论:
- 萨尔兹曼指数和自动资格条件是不可互换的,用于确定正义牙科治疗的资格.
- 专门实施AQC可能会大大改变宾夕法尼亚州患者获得医疗补助资助的牙科护理的情况.
- 需要进一步评估,以了解这些不同的选择标准的临床影响.
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