没有私人牙科保险的社会人口预测因素:机器学习算法可能有助于识别弱势群体
Venkata R Duvvuri1,2, Mona Abdelrehim3, Sonica Singhal1,4
1Public Health Ontario, Toronto, ON, Canada.
BMC public health
|May 23, 2024
概括
许多安大略省人缺乏私人牙科保险,面临着负担能力问题. 关键的风险因素包括低收入,失业和年龄,为未来的公共牙科护理计划提供信息.
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
- 卫生经济学 卫生经济学
背景情况:
- 在加拿大,获得牙科护理的机会分布不均,很大一部分人口依赖自付费用.
- 了解与负担不起的牙科护理相关的社会人口因素对于开发有效的公共牙科护理计划至关重要.
研究的目的:
- 确定缺乏私人牙科保险的安大略省居民的社会人口统计特征.
- 为制定更全面的公共资助牙科护理计划提供信息.
主要方法:
- 2017-18年加拿大社区健康调查数据的二次分析.
- 利用双变量分析和机器学习 (使用SHAP的梯度提升) 来识别缺乏私人牙科保险的风险指标.
主要成果:
- 大约三分之一的安大略省人没有私人牙科保险.
- 缺少牙科保险的危险因素包括收入低于20,000美元,失业或兼职,70岁以上,住房不安全等.
结论:
- 识别的风险指标可以指导政府资助的计划,以确定获得公共资助的牙科护理的资格.
- 基于这些特征的有针对性的干预措施对于确保加拿大平等获得牙科护理至关重要.
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