在有药物使用障碍的医疗补助成年人中使用牙科护理
Carla Shoff1, Christopher M Jones2, Luping Qu1
1Office of the Administrator, Centers for Medicare & Medicaid Services, Baltimore, MD.
American journal of preventive medicine
|June 12, 2025
概括
患有物质使用障碍 (SUD) 的医疗补助成年人获得早期牙科护理的几率较低. 这种差异凸显出需要改善这个弱势群体获得牙科服务的必要性.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 牙科公共卫生 牙科公共卫生
背景情况:
- 在医疗补助计划中注册的低收入成年人经常经历口腔健康不佳和物质使用障碍 (SUD).
- 新出现的证据表明,全面的牙科护理可以改善SUD的结果,但SUD和牙科护理利用的交叉数据是有限的.
研究的目的:
- 检查药物使用障碍 (SUDs) 与医疗补助计划成年人牙科护理使用之间的关系.
- 为了识别各州SUD流行率和牙科护理准入的变化.
主要方法:
- 采用转型医疗补助统计信息系统分析文件的2019年数据进行横截面研究.
- 包括超过3000万年龄在21-64岁的非双重资格的Medicaid注册成年人.
- 采用集群-强大的标准错误逻辑回归来分析获得早期牙科护理的几率.
主要成果:
- 在医疗补助成年人中,SUD的患病率因州而异 (27.11103.45 / 1,000).
- 牙科护理利用率也显示出州级的大幅差异 (1.69347.27每1000人).
- 与没有SUD的成年人相比,SUD的医疗补助成年人获得早期牙科护理的几率降低了42%.
结论:
- 在医疗补助计划注册人群中,SUD流行率和牙科护理利用率存在显著的州级差异.
- 进一步的研究对于了解推动这些差异的因素至关重要.
- 调查结果强调了需要政策和临床干预措施,以提高医疗补助成年人获得牙科护理的机会,特别是那些有SUD的人.
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