Assessment of the Economic and Health-Care Impact of COVID-19 (SARS-CoV-2) on Public and Private Dental Surgeries in Spain: A Pilot Study
Assessment of the Economic and Health-Care Impact of COVID-19 (SARS-CoV-2) on Public and Private Dental Surgeries in Spain: A Pilot Study
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DOI：
10.3390/ijerph17145139
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发表时间：
2020-07-01
影响因子：
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通讯作者：
Perez-Sayans, Mario
中科院分区：
文献类型：
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作者：
Chamorro-Petronacci, Cintia;Martin Carreras-Presas, Carmen;Perez-Sayans, Mario
目标：COVID-19（SARS-CoV-2）大流行是一个持续的公共卫生挑战，也是牙科社区的挑战。本文的主要目的是确定COVID-19对加利西亚自治区（西班牙）牙医的经济和医疗保健影响。研究方法：这是一项描述性观察性研究，通过自填式调查（2020年4月1日至2020年4月30日）收集数据。结果：共有400名来自加利西亚的牙医回答了调查。只有12.3%的参与者能够获得包括FFP 2口罩在内的个人防护设备。在男性受访者中，33.1%的人遭受了超过15，000欧元的损失，而女性受访者的比例为19.4%（OR = 3.121，p < 0.001）。经济损失似乎促成了经济援助的申请，因为申请这一措施的答复者中有29.5%记录的损失超过15 000欧元（p= 0.03）。病人抱怨更多的是，在警报状态期间，只有紧急护理，在牙科手术，不与保险公司或特许经营。只有4名专业人员检测呈阳性，其中50%专门在私人诊所工作，另外50%在私人和公共手术中执业。在公共部门执业的牙医每周比在私人手术中执业的牙医看到更多的紧急病人（p= 0.013）。结论：COVID-19大流行对牙科产生了经济影响，因为在警报状态期间只能进行紧急治疗。这些影响似乎在男性参与者中更大，因为大多数参与者的经济损失高于女性。援助水平也受到影响，减少了接受治疗的病人的数量，尽管私人和公共外科手术的数量有所不同。通过展示这些调查结果，我们希望强调牙医在手术中治疗牙科紧急情况在社会中所发挥的作用，相关当局必须认识到并解决这一问题，他们必须优先向这一群体提供个人防护装备，并根据该行业遭受的损失提供特别经济援助。
Objectives: The COVID-19 (SARS-CoV-2) pandemic is an ongoing public health challenge, also for the dentistry community. The main objective of this paper was to determine the economic and health-care impact of COVID-19 on dentists in the Autonomous Region of Galicia (Spain). Methods: This was a descriptive observational study in which the data was collected by means of a self-administered survey (from 1 April 2020 to 30 April 2020). Results: A total of 400 dentists from Galicia responded to the survey. Only 12.3% of the participants could obtain personal protective equipment (PPE) including FFP2 masks. Of the male respondents, 33.1% suffered losses >euro15,000 compared to 19.4% of female respondents (OR = 3.121,p< 0.001). Economic losses seem to have contributed to the applications for economic help as 29.5% of the respondents who applied for this measure recorded losses in excess of euro15,000 (p= 0.03). Patients complained more about the fact that only emergency care was available during the State of Alarm, in dental surgeries that do not work with insurance companies or franchises. Only 4 professionals tested positive, 50% of whom worked exclusively in private practice and the other 50% who practised in both private and public surgeries. Dentists who practise in the public sector saw more urgent patients per week than those practising in private surgeries (p= 0.013). Conclusions: The COVID-19 pandemic has had economic repercussions in dentistry as only urgent treatment was available during the State of Alarm. These repercussions seem to be higher in male participants, as the majority of the participants have revealed higher economic losses than females. The level of assistance has also been affected, reducing the number of treated patients, although this quantity has been different in private and public surgeries. By presenting these findings we look to highlight the role that dentists play in society in treating dental emergencies in our surgeries, and this must be recognised and addressed by the relevant authorities, who must provide PPEs as a priority to this group as well as providing special economic aid in accordance with the losses incurred by the sector.