基于学校的化物口腔冲洗计划和牙损伤治疗费用:NDB的生态研究 开放数据 日本
Daisuke Tadokoro1, Kazue Honda1, Taro Kusama1
1Department of International and Community Oral Health, Tohoku University Graduate School of Dentistry, Sendai, Japan.
Community dentistry and oral epidemiology
|December 25, 2024
概括
在日本,以学校为基础的化物口腔冲洗 (S-FMR) 显著降低了牙损伤治疗成本. 这种公共卫生干预证明是具有成本效益的,尽管牙科护理的医疗保险覆盖范围普遍.
科学领域:
- 公共卫生干预措施 公共卫生干预措施
- 牙科流行病学 牙科流行病学
- 卫生经济学 卫生经济学
背景情况:
- 在日本,牙腐烂的高发病率导致了大量的治疗费用.
- 基于学校的化物口腔冲洗 (S-FMR) 是一项公共卫生战略,用于打击.
- 在日本的全民医疗保健系统中,S-FMR的成本效益需要评估.
研究的目的:
- 评估日本S-FMR覆盖率与牙损伤治疗支出之间的关联.
- 估计实施S-FMR作为公共卫生干预措施的成本效益.
主要方法:
- 生态研究分析了来自日本所有47个县的数据.
- 利用了国家健康保险索赔和特定健康检查数据库 (NDB Open Data Japan) 和S-FMR流行调查.
- 线性回归分析调整了牙科诊所密度,县级收入和儿童人口统计数据 (5-14岁).
主要成果:
- 覆盖率较高的S-FMR县,每名儿童 (5-14岁) 的牙损伤治疗费用平均年均较低.
- 与覆盖率最低的组相比,最高的S-FMR覆盖率与每人牙损伤治疗成本的显著降低有关.
- 据估计,如果所有县都实现高S-FMR覆盖率,每人成本为200日元,每年可能节省90亿日元.
结论:
- 基于学校的化物口腔冲洗 (S-FMR) 是一个具有成本效益的公共卫生干预措施,用于减少日本的牙损伤治疗费用.
- 即使在提供广泛,低成本牙科保险覆盖的系统中,S-FMR也证明了它的价值.
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