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成年人使用牙科护理服务的部门差异:11年的基于登记册的观察
Miira M Vehkalahti1, Ulla Palotie2, Sinikka Varsio3
1Department of Oral and Maxillofacial Diseases, University of Helsinki, Helsinki, Finland.
International dental journal
|February 7, 2025
概括
赫尔辛基的成年人显示牙科护理使用的转变,从2007-2017年间从私人服务转向公共服务. 牙周护理增加,而修复性护理减少,表明潜在的过度治疗或治疗不足.
科学领域:
- 公共卫生 公共卫生
- 牙科流行病学 牙科流行病学
- 医疗保健服务研究 医疗保健服务研究
背景情况:
- 了解成人牙科护理使用模式对于公共卫生规划至关重要.
- 在牙科服务提供方面,特定部门的差异可能会影响护理的获得和质量.
- 纵向数据分析对于识别牙科治疗寻求行为的趋势至关重要.
研究的目的:
- 为了评估成年人使用牙科护理的特定部门差异,芬兰赫尔辛基.
- 从2007年到2017年,分析私营和公共部门之间使用牙科服务的趋势.
- 调查不同部门成年人接受的牙科治疗类型的变化.
主要方法:
- 一项基于登记的研究,使用了赫尔辛基所有20岁以上居民的数据 (2007-2017年).
- 分析包括患者出院率和接受牙周,修复性,内牙和口腔手术治疗的比例.
- 使用线性回归模型分析治疗年趋势.
主要成果:
- 总体而言,成年人牙科护理出勤率保持稳定 (2007年为49.5%,2017年为48.8%).
- 从私人到公共的牙科服务使用发生了显著的转变.
- 牙周护理的利用率在两个部门都增加,而修复性护理则下降;口腔手术和内牙治疗在私营部门较少.
结论:
- 在牙科治疗中观察到的特定部门差异可能表明在修复性和牙周护理中可能存在过度或不足的治疗.
- 转向公共牙科服务的转变需要进一步调查其驱动因素和影响.
- 调查结果强调需要监测和潜在地调整牙科护理提供策略.
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