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社区水的化是一个成本-利益-风险的考虑

Bill Osmunson¹, Griffin Cole^2,3,4

¹Private Practice Bellevue Washington USA.

Public health challenges

|June 11, 2025

概括

当考虑治疗牙化和潜在的智商损失的成本时,社区水化 (CWF) 可能不具有成本效益. 这项研究建议探索替代性牙损伤预防方法.

科学领域:

公共卫生公共卫生
环境健康环境健康
牙科公共卫生牙科公共卫生

背景情况:

社区水化 (CWF) 已被使用超过70年来预防牙,但仍然存在争议.
对CWF的经济评估通常侧重于避免牙和运营成本,但往往忽略了与潜在健康风险相关的成本.
牙化和发育性神经毒性是与CWF相关的潜在风险,需要经济考虑.

研究的目的:

通过纳入治疗不良健康影响的成本,对CWF进行全面的经济评估.
确定CWF的整体成本效益,当利和风险都被货币评估时.
提供关于继续使用CWF的基于证据的建议.

主要方法:

利用CWF的已公布的运营成本和估计的牙预防的好处.
根据临床经验和患者的看法,估计牙科化治疗费用.
较低的智商归因于CWF暴露导致的发育神经毒性.

主要成果:

该研究估计,在计算健康危害时,CWF的净损失为每人每年556美元 (PPPY).
费用包括每年8美元用于运营成本和避免,每年126美元用于牙化,每年438美元用于涉嫌与智商相关的收入损失.
以前的经济评估排除了损害成本,表明CWF具有成本效益,但本次分析显示它不是.

结论:

当包括治疗牙化和潜在的智商缺陷的成本时,社区水化不具有成本效益.
这些发现表明,化可能会导致净经济损失,挑战其对公共健康的益处.
根据这一经济分析,建议推广替代性牙损伤预防策略和停止CWF.

关键词:

在这个问题上,IQ是IQ.牙科的化是牙科的化.发育神经毒性发育神经毒性化法化法化法

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