"减少公众覆盖率并没有减少牙医访问":事实还是虚构?
Z Sarroukh1, P Jeurissen2, S Listl1,3
1Department of Dentistry, Quality and Safety of Oral Health Care, Radboud University Medical Center, Nijmegen, the Netherlands.
Journal of dental research
|May 12, 2025
概括
在荷兰,公共牙科保险的削减导致牙医访问减少. 这项研究挑战了政策论点,表明成年人获得护理的机会减少. 关键词:牙医保险,牙医访问,公共卫生政策.
科学领域:
- 卫生政策 卫生政策
- 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:
- 荷兰的政治辩论围绕着成人获得牙科保险的机会.
- 政策制定者认为,过去的公共覆盖率削减并没有减少牙医出勤率.
- 评估这些政策变化对牙科护理利用的影响至关重要.
研究的目的:
- 评估自1995年以来公共牙科保险削减对荷兰牙科护理利用率的影响.
- 为信息化的口腔健康政策制定提供证据.
主要方法:
- 使用了来自荷兰统计局 (1981-2019) 的全人口数据集.
- 使用中断时间序列设计与细分回归.
- 公共保险成年人和对照组 (私人保险,非成年人) 之间的牙医出诊率的比较.
主要成果:
- 在1995年的改革之后,与私人保险人相比,公共保险成年人的牙医出诊率立即下降3.5%,每年下降0.6%.
- 与非成年人群相比,20-45岁的牙医出院率立即下降了4.6%,每年下降了1.2%.
- 这些发现与政策制定者关于减少覆盖率的影响的说法相矛盾.
结论:
- 荷兰公共牙科覆盖率下降导致成年人使用牙科护理减少.
- 政策评估对于制定基于证据的口腔健康政策至关重要.
- 这项研究强调了公共覆盖对于维持牙医出诊的重要性.
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