医疗补助管理护理和儿科牙科急诊部访问访问
Lawrence Baker1,2, Elizabeth L Munnich3, Ashley M Kranz4
1RAND Corporation, Boston, Massachusetts.
JAMA health forum
|June 14, 2024
概括
佛罗里达州的医疗补助计划
科学领域:
- 医疗保健服务研究 医疗服务研究
- 儿科牙科 儿科牙科
- 公共卫生政策 公共卫生政策
背景情况:
- 数以百万计的儿童依靠医疗补助计划获得牙科护理.
- 各州的医疗补助牙科福利交付模式各不相同 (服务费与管理护理).
- 有限的研究存在于管理护理对牙医准入的影响.
研究的目的:
- 评估佛罗里达州的医疗补助管理护理采用和儿科牙科急诊室访问之间的关联.
- 检查对相关医疗费用的影响.
主要方法:
- 使用佛罗里达州医疗补助数据 (2010-2014) 的事件研究差异设计.
- 包括医疗补助计划支付的儿科 (≤17岁) 非创伤性牙科急诊.
- 分析了每10万名儿科医疗补助计划注册人次访问率和费用.
主要成果:
- 管理护理的采用与非创伤性牙科急诊次数增加11.3%有关.
- 没有观察到每次访问平均费用的显著变化.
- 这项研究分析了佛罗里达州的34414次儿科牙科紧急诊所.
结论:
- 佛罗里达州的医疗补助管理护理对儿科牙科服务的采用与急诊室访问的增加有关.
- 这种增加可能表明儿童及时获得牙科护理的机会减少.
- 需要进一步的研究来了解对儿童口腔健康的影响.
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