监护人对中国的坑洞和裂密封服务的偏好:来自离散选择实验的证据
Zhu Chen1, Sixuan Chen1, Jiajia Liu2
1School of Health Management, Anhui Medical University, Hefei, China.
BMC oral health
|October 15, 2025
概括
监护人优先考虑洞穴和裂密封 (PFS) 的有效性和可访问性,以确保儿童的牙健康. 医疗保险显著增加了使用率,建议将其纳入政策,以提高预防性服务覆盖率.
科学领域:
- 公共卫生 公共卫生
- 牙科公共卫生 牙科公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 牙损是全球主要的健康问题,特别是在中国儿童中.
- 坑洞和裂密封 (PFS) 是有效的,但在中国未得到充分利用.
- 了解监护人的偏好是改善PFS吸收的关键.
研究的目的:
- 调查监护人偏好和PFS服务的异质性.
- 为提高中国儿童使用PFS的战略提供信息.
主要方法:
- 与411个监护人的离散选择实验.
- 属性包括有效性,时间,距离和自付成本.
- 混合逻辑和子组分析检查了偏好变化.
主要成果:
- 预防效果是最关键的因素,其次是距离,成本和时间.
- 偏好因监护人的性别,孩子的口腔健康和教育水平而有所不同.
- 医疗保险覆盖率大幅增加了服务采用意愿 (18.3%至71.0%).
结论:
- 监护人对PFS的偏好存在实质性的异质性.
- 将PFS整合到医疗保险中对于改善获得和覆盖的情况至关重要.
- 需要量身定制的服务,以满足不同的监护人需求.
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