Health care utilization by patients with temporomandibular joint disorders.

Health care utilization by patients with temporomandibular joint disorders.
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颞下颌关节疾病患者的医疗保健利用。

DOI:
10.1080/08869634.1998.11746056
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发表时间:
1998
期刊:
Cranio : the journal of craniomandibular practice
影响因子:
--
通讯作者:
M. C. DeFuria
M. C. DeFuria
中科院分区:
--
文献类型:
--
作者:
D. Shimshak;M. C. DeFuria

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我们使用一家大型新英格兰管理医疗机构的索赔数据库来比较颞下颌关节疾病患者和非颞下颌关节患者的医疗保健利用模式。住院、门诊和精神病索赔数据在广泛的诊断类别中进行了检查。年龄和性别调整后的结果显示,总体而言,患有TMJ疾病的患者比非TMJ患者更多地利用医疗保健服务,并有更高的相关费用。对于一些主要的诊断类别,如神经、呼吸、循环和消化,住院和门诊在利用和费用方面的索赔差异高达3:1。只有一个诊断类别,妊娠和分娩,非TMJ患者的利用率和费用高于TMJ患者。TMJ患者在精神病学上的差异至少是非TMJ患者的两倍。
The claims data base of a large New England managed care organization was used to compare the health care utilization patterns of patients with TMJ disorders to non-TMJ subjects. Inpatient, outpatient and psychiatric claims data were examined over a wide range of diagnostic categories. Age and sex adjusted results showed that, overall, patients with TMJ disorders were greater utilizers of health care services and had higher associated costs than non-TMJ subjects. For some of the major diagnostic categories, such as nervous, respiratory, circulatory, and digestive, the inpatient and outpatient claims differences in utilization and costs were as large as 3 to 1. For only one diagnostic category, pregnancy and childbirth, were utilization and costs greater for non-TMJ subjects than TMJ patients. The psychiatric claims for TMJ patients exhibited differences that were at least twice as large as those for the non-TMJ subjects.
DOI: 10.14219/jada.archive.1990.0043
发表时间: 1990-03-01
影响因子: 3.9
作者:
DWORKIN, SF;HUGGINS, KH;SOMMERS, E
通讯作者: SOMMERS, E