An assessment of capitation in the General Dental Service contract 2. Patterns of treatment provided to regularly attending patients
An assessment of capitation in the General Dental Service contract 2. Patterns of treatment provided to regularly attending patients
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对普通牙科服务合同中按人头付费的评估 2. 向定期就诊的患者提供的治疗模式
DOI：
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发表时间：
1997
影响因子：
2.6
通讯作者：
H. V. Worthington
中科院分区：
文献类型：
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作者：
A. Mellor;A. Blinkhorn;D. Hassall;P J Holloway;H. V. Worthington
目的：比较1987/88年按服务收费的普通牙科医生与1992/93年按人头收费的普通牙科医生的治疗模式。设计：73名随机选择的普通牙科医生在英国三个对比地区按人头工作，回顾性地记录了1992/93年期间提供的治疗，随机选择他们定期参加的6-12-结果：三个地区的年平均检查次数从1987/88年的1.7-1.8次减少到1992/93年的1.2-1.4次。每名患者的平均就诊次数从2.5-2.9次下降到1.8-2.2次。恒牙的平均填充数量从0.15-1.04减少到0.09-0.52，乳牙从0.28-0.53减少到0.24-0.31。每名牙医拔牙的儿童平均百分比从9.3-28.1%下降到4.7-16.2%，而X光片从14.0-9.0%下降到6.0- 10.6%。每名牙医接受口腔卫生指导的儿童平均百分比从1987/88年的18-31%上升到1992/93年的26-33%。饮食建议从3-18%增加到11-20%，窝沟封闭剂从3-6%增加到3- 12%。结论：在1992/93年，与1987/88年的收费牙医相比，在1992/93年，按人头工作的牙医进行的检查、填充和拔牙较少，为定期就诊的儿童和青少年患者拍摄的X光片也较少。这些患者接受治疗的频率也较低，但接受的预防性护理和建议略多
Objective: To compare the patterns of treatment of general dental practitioners working under fee-for-service in 1987/88 with those working under capitation in 1992/93.Design: 73 randomly selected general dental practitioners working under capitation in three contrasting areas in England retrospectively recorded the treatment provided during 1992/93 to a random selection of their regularly attending 6-12- and 14-15-year-old patients.Results: Mean numbers of examinations per year reduced in the three areas from 1.7-1.8 in 1987/88 to 1.2-1.4 in 1992/93. Mean numbers of visits per patient dropped from 2.5-2.9 to 1.8-2.2. Mean numbers of fillings in permanent teeth reduced from 0.15-1.04 to 0.09-0.52 and in deciduous teeth from 0.28-0.53 to 0.24-0.31. Mean percentages of children per dentist having extractions fell from 9.3-28.1% to 4.7-16.2% while the radiographs reduced from 14.0-9.0% to 6.0-10.6%. Mean percentages of children per dentist receiving oral hygiene instruction rose from 18-31% in 1987/88 to 26-33% in 1992/93. Dietary advice increased from 3-18% to 11-20% and fissure sealants from 3-6% to 3-12%.Conclusions: In 1992/93, dentists working under capitation were carrying out fewer examinations, fillings and extractions and were taking fewer radiographs for their regularly attending child and adolescent patients than dentists working under fee-for-service in 1987/88. These patients also attended less frequently for treatment but received marginally more preventive care and advice