基于初级保健的多层次儿科口腔健康干预的成本和工作流的影响
Johnie Rose1, David Selvaraj2, Sarah D Ronis1,3
1Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Journal of primary care & community health
|October 22, 2025
概括
实施初级保健干预措施以促进年轻的医疗补助计划患者的牙科诊所访问具有适度的成本. 这项计划极小地增加了预约时间,使其成为儿科实践的可行性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 儿科牙科 儿科牙科
- 公共卫生干预 公共卫生干预
背景情况:
- 之前的一项试验表明,初级保健干预有效地增加了年轻的医疗补助保险儿童的牙医出勤率.
- 在现实世界中实施需要了解相关的成本和儿科实践工作流程的变化.
研究的目的:
- 估计基于初级保健的多层次干预措施的成本和工作流的影响,旨在增加3至6岁的医疗补助保险儿童的牙医出勤率.
- 评估将这种口腔健康干预措施纳入常规儿科实践的可行性.
主要方法:
- 九家儿科医院将口腔健康 (OH) 问题集成到电子医疗记录 (EMR) 中.
- 提供者接受了关于OH教育的培训,处方牙科诊所,并收到了接受医疗补助的牙医名单.
- 用国家劳动力成本应用于报告时间来估计成本; 测量了遭遇时间.
主要成果:
- 第一年的实施成本从大约580美元到1482美元不等,年度维护成本在167美元到1069美元之间,根据实践规模而异.
- 与标准护理相比,该干预措施平均增加了38秒的患者接触时间.
- 在9个实践中,有28名医疗服务提供者参与了调查,其中医疗补助计划患者人数占22%至86%.
结论:
- 儿科口腔卫生干预表明实施成本适度.
- 这种干预导致接触时间的最小增加,这表明初级保健机构的实际可行性.
相关概念视频
Primary Healthcare Services
1.9K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.9K
Methods Of Healthcare Delivery System
3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K
Preventive Healthcare Services
1.8K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.8K
Community Based Intervention
270
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
270
Methods of Documentation VI: Case Management Model
854
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
854
Methods of Documentation II: POMR
1.4K
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
1.4K


