Evaluation model for dental health care planning in remote islands

1)根据1989 ~ 1993年国民健康保险收据和移动的牙科诊所报告进行标准化流动比率（SMoR）的计算。因为移动的门诊有助于牙齿护理的实现。2）调查结果显示，居民对移动的牙科门诊服务满意度较高，而对牙科门诊服务满意度较低的居民，对牙科门诊服务满意度较高的居民，对牙科门诊服务满意度较低的居民，对牙科门诊服务满意度较高的居民，对牙科服务满意度较低的对10个海岛居民的移动的牙科门诊进行了评价，但各海岛居民的可达性与利用现状之间没有相关性，海岛外居民的牙科利用障碍主要是时间成本，其次是除牙科服务费用外的其他费用负担。在不考虑潜在需求的情况下，当潜在空间可达性为1.0时，尖濑岛为0.99，竹岛为3.04;考虑潜在需求时，尖濑岛为0.98，竹岛为1.83。空间可达性潜力最大的是伊乌岛，其值为2.03。修正后的潜在空间可达性能较好地反映口腔保健的实现程度。因此，它是评价偏远岛屿地区口腔卫生保健规划的相容性指标。

1) Calculation of SMoRCalculation of Standardized Mobidity Ratio (SMoR) was carried out by the receipts of National Health Insurance and the reports of mobile dental clinic from 1989 to 1993.Compared with each SMoR that is the indicator care fulfilllment in 10 remote islands, only a difference of maximum 1.5 times was looked at, because mobile clicic contribute to dental care fulfilllment.2) Health opinion survey on remote island inhabitantInhabitant side 's factors to determine dental care fulfilllment were examined.Majority of Inhabitants are satisfied with mobile dental clinic.There was a similarity among each evaluation for mobile dental clinic of 10 islands' inhabitants, but there was no realation between accessibility and presence of utilization at each islands.The most of barriers on dental utilization in island outside was time costs, the next was a burden of other expenses except dental care service costs.3) Investigation of evaluation modelA measurement of accessibility used by Potential Spatial Accessibility model was carried out. without consideration of Potential Demand, when Potential Spatial Accessibility of Suwanose Island is regarded as 1.0, that of Akuseki Island is 0.99 and that of Take Island was 3.04.In consideration of Potential Demand, that of Akuseki Island is 0.98 and that of Take Island was 1.83. The most Potential Spatial Accessibility is that of Iou Island, which value is 2.03. Modified potential Spatial Accessibility is well applicable to the degree of dental care fulfilllment. So it is the compatible indicator for evaluation of dental health care planning in remote islands.