Doherty N, Vivian S L
J Public Health Dent. 1976 Winter;36(1):3-8. doi: 10.1111/j.1752-7325.1976.tb02833.x.
This analysis of the Chattanooga Program has provided preliminary findings on the relative cost of providing dental care through three different modes of care delivery: private practice, public fixed clinics, and public modile clinics. Significant differences in costs were found. It is reasonable to conclude, tentatively, that public services were being used more efficiently than private services in the delivery of dental care involved in this program. The results contest the findings of previous studies which indicated that mobile clinics were relatively inefficient. This study, however, based on a limited time period and refers to a specific program. It would, therefore, be inappropriate to generalize too hastily from the results. At this time, further research is being conducted to extend the period of analysis, and to deal explicitly with differences in patient characteristics, service mixes, and quality, to explain the economic reasons for the apparent differences in efficiency by delivery mode, and to consider the implications of the findings for dental policy.
私人执业、公立固定诊所和公立流动诊所。研究发现成本存在显著差异。初步得出合理结论，在该项目所涉及的牙科护理提供方面，公共服务的使用效率高于私人服务。这些结果与之前表明流动诊所效率相对较低的研究结果相矛盾。然而，本研究基于有限的时间段且涉及特定项目。因此，过于仓促地从这些结果进行概括是不合适的。目前，正在进行进一步研究以延长分析期，并明确处理患者特征、服务组合和质量方面的差异，解释不同提供模式下效率明显差异的经济原因，并考虑这些结果对牙科政策的影响。
