一个以价值为基础的牙科护理计划,以牙风险评估为中心:初步结果
Journal of the American Dental Association (1939)
|July 9, 2025
概括
基于价值的口腔医疗保健计划BRUSH计划在两年内成功降低或维持了65%的年轻医疗补助受益人的牙风险. 这种方法改善了口腔健康结果,并减少了对修复性手术的需求.
科学领域:
- 口腔健康 口腔健康
- 公共卫生 公共卫生
- 以价值为基础的护理
背景情况:
- 利用,服务和健康结果的好处和奖励 (BRUSH) 计划是美国四个州 (2021-2022) 实施的基于价值的口腔保健计划.
- BRUSH针对21岁以下的医疗补助受益人,使用食风险评估 (CRA) 策略来管理口腔健康.
- 该计划鼓励提供者随着时间的推移降低或保持低牙风险水平.
研究的目的:
- 评估基于价值的牙科计划的有效性,使用牙风险评估 (CRA) 来管理口腔健康结果.
- 在年轻的医疗补助受益人中,在24个月内确定脏风险的变化.
- 为了识别出脏风险变化的预测因素和在该计划中执行的程序.
主要方法:
- 对佛罗里达州2,706名患者的非识别保险索赔数据进行分析,随访2年.
- 根据最初的CRA和随后的12个月内的风险水平变化,激励提供者.
- 使用统计分析,包括多重回归,以确定影响风险水平和程序变化的因素.
主要成果:
- 该计划在24个月内成功降低了64%的高风险患者的虫风险.
- 总体而言,所有基线风险水平的65%的患者经历了减少或维持低牙风险.
- 牙风险降低的患者需要恢复性手术的可能性明显低 (P < .00001).
结论:
- 基于价值的牙科计划,包括虫风险评估 (CRA),有效地减少或保持低虫风险.
- 成功的以价值为基础的护理计划可以通过减少牙的经历来改善口腔健康.
- 长期实施此类计划有可能降低医疗保健成本.
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