解释公共牙科服务的利用:一个理论模型
Maria Helena Rodrigues Galvão1,2, Angelo Giuseppe Roncalli1
1Postgraduate Program in Public Health, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.
PloS one
|September 1, 2023
概括
较低的社会经济地位与较差的口腔健康和更多地使用公共牙科服务有关. 这项研究将这些关系模拟为公平的公共卫生政策提供信息.
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
- 牙科公共卫生 牙科公共卫生
背景情况:
- 了解牙科服务利用的决定因素对于制定公平的健康政策至关重要.
- 社会经济因素对获得和使用医疗保健服务,包括牙科护理有很大影响.
- 现有的模型往往缺乏对社会经济地位,口腔健康和公共牙科服务利用之间的相互作用的全面检查.
研究的目的:
- 构建和验证一个理论模型,解释牙科服务利用率与关键社会经济和健康指标之间的关系.
- 确定与使用公共牙科服务相关的特定社会经济特征.
- 为提高公共口腔健康政策的公平性和有效性提供一个证据基础.
主要方法:
- 基于现有文献的理论概念模型的开发.
- 使用部分最小平方结构方程建模 (PLS-SEM) 验证模型.
- 来自2019年巴西国家健康调查数据的分析 (n=41,664,年龄15岁以上).
主要成果:
- 成功建立了利用公共牙科服务的理论模型.
- 社会经济状况与口腔健康状况 (β = -0.376),初级保健入学 (β = -0.254) 和公共牙科咨询使用 (β = -0.251) 有负相关性.
- 少数民族 (黑人,土著) 和农村人口表现出较低的社会经济地位和更高的公共牙科服务利用率.
结论:
- 经过验证的模型阐明了影响公共牙科服务使用的系统关系.
- 调查结果强调了公共获取政策对口腔健康公平性的影响.
- 该研究支持制定更有效,更公平的口腔保健公共卫生政策.
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