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口腔卫生保健对加拿大灾难性支出的贡献:一项描述性研究
Diego Proaño1, Sara Allin2,3, Beverley M Essue2
1Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada.
Health policy OPEN
|December 9, 2025
概括
2010年至2019年间,口腔保健的自费支出是加拿大灾难性医疗支出的第二大原因. 这凸显了在加拿大牙科护理计划实施时需要持续监测的必要性.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 牙科公共卫生 牙科公共卫生
背景情况:
- 加拿大口腔卫生保健 (OHC) 主要由私人保险和自付支付 (OOP) 资助,但在普遍医疗覆盖中仅有有限的整合.
- 即将到来的加拿大牙科护理计划 (CDCP) 将大幅增加对OHC的公共资金.
- 本研究分析了OOP OHC支出对2010年至2019年加拿大的灾难性卫生支出 (CHE) 的影响.
研究的目的:
- 估计加拿大灾难性医疗支出 (CHE) 的流行率.
- 评估口腔卫生保健 (OHC) 的自有支出对CHE的贡献.
- 分析与OHC支出相关的CHE的趋势和差异.
主要方法:
- 利用了2010年至2019年的家庭支出调查数据.
- 应用了世卫组织/欧洲的方法来定义和确定CHE.
- 与其他医疗保健类别 (药物,医疗产品,门诊护理,诊断测试,住院护理) 的OOP OHC支出进行比较.
- 分析了CHE和OOP按年,省,收入五分位数和保险状况的支出份额.
主要成果:
- 总体而言,CHE从2010年的5%下降到2019年的3.4%.
- CHE在收入较低的个人,没有私人保险的人和北克居民中更为普遍.
- 对口腔保健的自费支出是CHE的第二大贡献者,特别影响了最低收入群体.
- 拥有私人保险的个人表现出较高的OOP支出份额,特别是在低收入阶层.
结论:
- 口腔卫生保健的自费支出始终构成重大负担,在2010-2019年期间,它是加拿大灾难性卫生支出的第二大贡献者.
- 持续监测至关重要,以确保加拿大牙科护理计划有效地提高了口腔健康护理的财务保护.
- 这些发现强调了解决OOP支出在OHC中的重要性,以改善整体卫生系统的可访问性和公平性.
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