Investing in Preventive Dental Care for the Medicare Population: A Preliminary Analysis
Investing in Preventive Dental Care for the Medicare Population: A Preliminary Analysis
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DOI：
10.2105/ajph.2009.184747
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发表时间：
2010-11-01
影响因子：
12.7
通讯作者：
Manski, Richard J.
中科院分区：
文献类型：
--
作者：
Moeller, John F.;Chen, Haiyan;Manski, Richard J.
目标.我们估计了美国医疗保险人群使用预防性牙科保健服务的情况，并评估了用于预防性牙科保健的资金是否会导致花费在昂贵的非预防性程序上的资金减少。我们使用2002年医疗保险当前受益人调查的数据来估计一个多项逻辑模型，以分析在多变量背景下，在识别使用预防性牙科护理、仅使用非预防性牙科护理或不使用牙科护理的受益人时，易感性、使能性和需求变量的影响。我们使用回归模型与类似的控制，以估计的影响，预防保健的利用和非预防性牙科保健和所有牙科保健的成本。我们的分析表明，受益人谁使用预防性牙科保健有更多的牙科访问，但较少的访问昂贵的非预防性程序和较低的牙科费用比受益人谁看到牙医只为治疗口腔问题。在医疗保险中增加牙科预防性护理的覆盖范围，可以改善老年人口的口腔健康，并限制有牙齿的受益人口的昂贵的非预防性牙科护理的成本。(Am J公共卫生。2010;100：2262-2269. doi：10.2105/AJPH.2009.184747）
Objectives. We estimated the use of preventive dental care services by the US Medicare population, and we assessed whether money spent on preventive dental care resulted in less money being spent on expensive nonpreventive procedures.Methods. We used data from the 2002 Medicare Current Beneficiary Survey to estimate a multinomial logistic model to analyze the influence of predisposing, enabling, and need variables in identifying those beneficiaries who used preventive dental care, only nonpreventive dental care, or no dental care in a multiple-variable context. We used regression models with similar controls to estimate the influence of preventive care on the utilization and cost of nonpreventive dental care and all dental care.Results. Our analyses showed that beneficiaries who used preventive dental care had more dental visits but fewer visits for expensive nonpreventive procedures and lower dental expenses than beneficiaries who saw the dentist only for treatment of oral problems.Conclusions. Adding dental coverage for preventive care to Medicare could pay off in terms of both improving the oral health of the elderly population and limiting the costs of expensive nonpreventive dental care for the dentate beneficiary population. (Am J Public Health. 2010;100:2262-2269. doi:10.2105/AJPH.2009.184747)