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临床人员的特点与化物漆在健康儿童访问期间的应用有关
Kun Li1, Annie Yu-An Chen, Kimberley H Geissler
1RAND Corporation, 1200 S Hayes St, Arlington, VA 22202.
The American journal of managed care
|July 12, 2024
概括
在儿科临床医生中,化漆 (FV) 应用率很低,即使在医疗补助患者中也是如此. 临床医生决定使用FV与患者人口统计学有关,这表明需要有针对性的干预措施.
科学领域:
- 牙科公共卫生 牙科公共卫生
- 儿科初级护理 儿科初级护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 临床指南和保险授权建议化漆 (FV) 用于预防幼儿.
- 了解影响FV应用的因素对于改善口腔健康结果至关重要.
- 以前的研究还没有完全阐明儿科初级保健机构中FV利用的决定因素.
研究的目的:
- 确定与临床医生应用化漆 (FV) 的可能性和强度相关的因素.
- 对于医疗补助和私人保险所涵盖的访问,单独检查这些协会.
- 为旨在增加儿科初级保健中FV利用率的干预措施提供信息.
主要方法:
- 使用马萨诸塞州全付款人索赔数据库 (2016-2018) 的观察性研究.
- 对2911名临床医生进行分析,为1-5岁的儿童提供健康儿童访问.
- 零膨胀负二项式模型来评估FV应用概率和频率,控制共变量.
主要成果:
- 只有30.9%的临床医生年涉及至少一个FV申请;平均年度申请率为8.4%的健康儿童访问.
- 较高的医疗补助保险患者比例与FV申请的可能性 (OR,1.35) 和强度 (OR,1.05) 的增加有关.
- 1-5岁的患者比例较高与FV应用概率增加相关 (OR,1.20),但不是强度.
结论:
- 在儿科初级保健医生中,化漆的应用率仍然很低,尽管有建议和补偿.
- 临床医生FV应用行为受到患者小组特征的影响,特别是保险类型和患者年龄.
- 加强FV使用的干预措施应考虑并解决这些患者组特异性差异.
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