牙科护理成本:对方法和趋势的范围审查
Pourya Tatari1, Reza Rezayatmand2, Firoozeh Nilchian3
1Department of Oral Public Health, Dental Material Research Center, School of Dentistry, Dental Research Institute, Isfahan University of Medical Sciences, Hezarjerib Ave, Isfahan, 8174673461, Iran.
BMC oral health
|October 8, 2025
概括
牙科费用研究往往缺乏一致性,并排除了开销,阻碍了公平的经济评估. 本次审查突出了当前方法论的重大缺陷,特别是在农村地区,并呼吁制定标准化的框架,以提高成本效益和偿还公平性.
科学领域:
- 卫生经济学 卫生经济学
- 牙科公共卫生 公共卫生
- 成本分析 成本分析
背景情况:
- 口腔疾病是全球健康负担,不成比例地影响低收入和中等收入人群.
- 现有的牙科成本研究往往省略间接成本,缺乏方法一致性,影响经济评估.
- 全球口腔疾病的财务负担很大,2010年估计为2980亿美元.
研究的目的:
- 将目前用于牙科成本估计的方法映射到地图上.
- 确定在牙科经济评估中纳入通用费用的情况.
- 提取常见牙科手术的标准化单位成本,并评估估值技术.
主要方法:
- 对六个主要数据库和灰色文献进行了全面的范围审查.
- 研究使用参与者-概念-上下文 (PCC) 框架进行了选,重点是牙科的原始经济评估.
- 使用汇率,美国消费者价格指数 (CPI) 和购买力平价 (PPP) 调整,成本标准化为2024国际美元 (Int'l $).
主要成果:
- 在包括的124项研究中,大多数来自城市,高收入环境,其中58.1%仅报告了直接成本.
- 一般成本仅在41.9%的研究中被纳入,而基于活动的成本计算 (ABC) 等先进方法在不到10%的研究中被使用.
- 由于方法和上下文的差异,观察到手术单位成本的显著变化 (例如,手术牙切除: Int'l $6-501).
结论:
- 牙科费用估计仍然存在重大差距,特别是在农村环境,开支纳入和方法透明度方面.
- 标准化成本计算框架和试验ABC/TD-ABC等先进方法对于改善经济评估至关重要.
- 该审查为基于价值的口腔健康规划提供了基础,支持牙医,研究人员和决策者.
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