泰国学龄前儿童的牙科护理长期成本通过使用系统动态模型
Songchai Thitasomakul1, Sukanya Tianviwat2, Tin Htet Oo3
1Department of Preventive Dentistry, Faculty of Dentistry, Prince of Songkla University, Hatyai, Songkhla, 90110, Thailand.
BMC oral health
|October 13, 2024
概括
系统动力学模型 (SDM) 可以比较牙损伤预防策略. 监督的牙刷 (STB) 和化漆 (FV) 降低了治疗成本,但整体节省取决于干预的有效率.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 牙科公共卫生 牙科公共卫生
背景情况:
- 系统动态模型 (SDM) 是模拟和比较医疗保健战略和政策的宝贵工具.
- 通过分析不同管理方法相关的成本,SDM有助于有效地分配资源.
研究的目的:
- 利用SDM来划分0-5岁儿童牙损伤的初级,二级和三级预防的成本.
- 为了比较监督牙刷 (STB) 和化漆 (FV) 干预措施的成本效益与没有干预的基本情况.
主要方法:
- 开发了一个SDM来模拟STB,FV和基础案例的成本.
- 包括初级和二级预防 (STB,FV),三级预防 (牙治疗) 和整体成本的成本.
主要成果:
- 在5岁时,基础病例下治疗费用最高 (576万泰),其次是FV (535万泰) 和STB (519万泰).
- 总成本最高的是FV (64.1万泰),然后是STB (60.9万泰),最低的是基准案例 (57.6万泰).
- 灵敏度分析表明,STB需要至少30%的有效性,FV至少50%的成本降低,相对于基准情况.
结论:
- 与基准案例相比,实施STB或FV降低了牙治疗成本.
- 虽然FV的总体成本最高,STB的总体成本第二高,但STB比FV节省了320万泰.
- 为了实现显著的总体成本降低,需要比本模型中观察到的更高的干预效率.
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