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Updated: Jun 20, 2025

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
日本成年人口腔疾病所产生的健康效益
Yusuke Matsuyama1, Takahiro Tabuchi2,3
1Department of Oral Health Promotion, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.
与口腔健康相关的生活质量显著影响日本成年人的实用价值. 口腔健康影响概况-14 (OHIP-14) 可以预测这些值,尽管对于口腔健康较差的人来说不那么准确.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 口腔健康研究研究 口腔健康研究
背景情况:
- 实用值对于医疗保健资源分配至关重要.
- 与口腔健康相关的生活质量 (OHRQoL) 显著影响整体福祉和医疗保健效用.
- 量化OHRQoL的影响对于全面的健康经济评估至关重要.
研究的目的:
- 在日本成年人中量化与OHRQoL相关的效用值.
- 开发预测模型,将口腔健康影响概况-14 (OHIP-14) 评分转换为EuroQoL 5维5级 (EQ-5D-5L) 实用值.
主要方法:
- 横截面研究利用一个大规模的互联网调查28405日本成年人.
- 多重线性回归分析以评估OHIP-14分数与EQ-5D-5L实用值之间的关联.
- 使用分割样本方法开发和验证转换模型.
主要成果:
- 较高的OHIP-14评分与较低的效用值相关 (系数: -0.0053).
- 由于OHRQoL差,估计的功用损失是相当大的 (-1000人中-23.3),超过了高血压和糖尿病等疾病的损失.
- 开发的转换模型,包括OHIP-14,年龄,性别和自我评估的健康状况,显示出良好的平均预测,但对于健康相关生活质量下降的人来说,准确性较低.
结论:
- OHRQoL对公用价值具有显著的人口层面的影响.
- OHIP-14是基于口腔健康状况估计平均效用值的有希望的工具.
- 预测效用值的模型性能在与健康相关的生活质量较低的个体中是有限的.
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