从2000年到2020年,台湾的牙科服务利用和支出趋势
Ting-Chen Chen1, Wen-Chi Liu2, Shih-Jung Cheng3,4,5
1Department of Oral Health, Ministry of Health and Welfare, Taipei, Taiwan.
Journal of dental sciences
|January 14, 2025
概括
台湾国家医疗保险 (NHI) 改善了牙科诊所的门诊率,尤其是儿童,但老年人的门诊率仍然很低. 政策调整是必要的,以满足不同年龄组的口腔健康需求.
科学领域:
- 公共卫生 公共卫生
- 牙科公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 自1995年以来,台湾国家健康保险 (NHI) 已为99%以上的人口提供全面的牙科保险.
- 分析重点关注2000年至2020年的牙科服务利用率和支出趋势.
研究的目的:
- 根据性别,年龄和服务类型分析牙科服务利用率和支出趋势.
- 评估台湾NHI系统中不同人口群体的资源配置.
主要方法:
- 从2000年到2020年使用了全国范围的NHI行政数据.
- 评估了11个服务类别的牙科访问率,每个用户的平均访问量和人均支出.
- 考虑到全球预算系统的波动,并按人口群体和服务类型计算支出.
主要成果:
- 在所有年龄组中,牙科访问率增加,在0-14岁年龄组显著增长 (37.0%至66.9%).
- 老年人 (65岁以上) 的访问率较低 (2020年为39.5%),与儿童相比,人均支出较低.
- 手术和内牙治疗的支出份额下降,而预防和牙周护理的支出份额增加.
结论:
- 台湾已经改善了牙科的利用,特别是对于儿童,但对老年人来说需要注意.
- 政策调整是必要的,以使牙科护理与不同年龄组的口腔健康需求保持一致.
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