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Updated: Jun 12, 2025

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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
12.7K
了解口腔卫生转型中与损风险评估相关的利用和预防措施.
Melody McGee1, Ryan Brandon2, Muhammad Walji3
1School of Dental Hygiene Studies, Pacific University, Hillsboro, Oregon, USA.
Journal of public health dentistry
|February 26, 2025
概括
牙腐烂管理需要跟踪虫风险评估 (CRA) 的利用. 虽然预防程序很常见,但CRA编码不常见,这阻碍了对儿童口腔健康的结果监测.
科学领域:
- 牙科公共卫生 牙科公共卫生
- 儿科牙科 儿科牙科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 牙腐烂是美国重要的公共卫生问题.
- 有效的虫风险管理对于降低衰变率至关重要.
- 了解虫风险评估 (CRA) 工具的使用对于评估预防策略至关重要.
研究的目的:
- 检查使用虫风险评估 (CRA) 和虫预防程序在0-18岁儿童中的使用情况.
- 分析日历年内牙科检查,CRA和预防程序的比例.
- 识别影响CRA利用的因素,如付款人类型和国家授权.
主要方法:
- 环境扫描对2022日历年第三方数据库中的14625751个非识别牙科索赔进行了环境扫描.
- 对索赔数据的分析,包括年龄,种族,性别,居住状态和治疗日期.
- 对牙科检查,CRA (当前牙科术语 - CDT代码) 和牙预防程序的同时发生的评估.
主要成果:
- 在9,351,848名患者的检查中,86.8%包括了虫预防程序.
- 只有29.4%的牙科检查在同一天有CRA编码.
- 在有强制性CRA报告的州,在医疗补助支付者群体中观察到更高的CRA利用率.
结论:
- 与牙科检查和预防程序相比,ADA CRA CDT代码用于分层腐烂风险的使用率相对较低.
- 为了有效监测患者的治疗结果,必须始终使用CRA代码.
- 随着时间的推移,评估口腔健康的数据驱动方法可以通过改进CRA代码的利用来支持.
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