在怀孕期间测量牙科护理质量
Journal of the American Dental Association (1939)
|January 5, 2024
概括
这项研究开发了可靠的措施,用于医疗补助和CHIP受益者在怀孕期间获得牙科护理. 在各个项目中,绩效差异很大,突出了口腔卫生服务的差异.
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:
- 在怀孕期间制定可靠的牙科护理准入措施对于改善母亲和儿童口腔健康结果至关重要.
- 现有的数据来源,如医疗补助和儿童健康保险计划 (CHIP) 索赔,提供了评估怀孕期间牙科护理利用率的机会.
研究的目的:
- 开发和验证两个牙科质量联盟措施,以评估怀孕期间的牙科护理准入:怀孕期间使用服务和怀孕期间口腔评估.
- 报告这些措施的表现,使用大量的医疗补助和CHIP受益人群的索赔和入学数据.
- 为了识别不同州计划的牙科护理准入的差异.
主要方法:
- 利用转型医疗补助统计信息系统 (T-MSIS) 在2018年为7,767,806名受益人提供了5个州医疗补助和CHIP计划的入学和索赔数据.
- 使用分半可靠性测试来评估开发的措施的一致性.
- 计算了95%的置信区间 (CI),以评估项目之间的绩效在统计学上显著的差异.
主要成果:
- 这两项措施都显示出高可靠性,怀孕期间使用服务的类内相关系数为0.992,怀孕期间口服评估的系数为0.983.
- 报告的绩效得分表明使用率低:20%至34%的受益人接受任何牙科服务,14%至23%的受益人在怀孕期间接受口腔评估.
- 研究计划之间观察到显著的绩效差异,表明获得牙科护理的机会存在差异.
结论:
- 开发的措施可靠地评估怀孕期间获得牙科服务的机会,并有效地区分不同计划之间的绩效差异.
- 这些经过验证的措施为旨在改善公共保险计划所涵盖的孕妇获得牙科护理的国家倡议提供了基础.
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