Sivaneswaran S, Darendeliler M A
Faculty of Dentistry, University of Sydney, Australia.
Aust Orthod J. 2001 Nov;17(2):95-102.
In Australia, the proportion, volume and type of orthodontic care provided by general practitioners and orthodontists are largely unknown. The overall objective of this study was to create a profile of orthodontic services provided by general practitioners and orthodontists for a cohort of insured patients using private practices in New South Wales, Australia, from 1st January 1992 to 31st December 1995. Data were derived from claims records submitted by members of a health insurance fund for rebates for fees paid to private practitioners for orthodontic services they received during the study period. Distribution of the volume and type of service provided by general practitioners and orthodontists was compared using the Chi-squared test. Statistical significance was taken at the 5 per cent level. Orthodontic services were provided predominantly by orthodontists (80%). Fixed orthodontic treatment was provided almost exclusively (91%) by orthodontists. The majority of removable appliance services was provided by general practitioners. Orthodontists provided more orthodontic services in the capital city and other metropolitan areas, whereas general practitioners provided more orthodontic services in rural areas. Orthodontists provided more services to members in the highest socio-economic group, whereas general practitioners provided more services to members in the lowest socio-economic group.
在澳大利亚,全科医生和正畸医生提供的正畸护理的比例、数量和类型在很大程度上尚不明确。本研究的总体目标是针对1992年1月1日至1995年12月31日期间在澳大利亚新南威尔士州使用私人诊所的一组参保患者,创建一份全科医生和正畸医生提供的正畸服务概况。数据来源于一个健康保险基金的成员提交的索赔记录,这些记录是关于他们在研究期间接受私人执业医生正畸服务所支付费用的回扣。使用卡方检验比较了全科医生和正畸医生提供的服务数量和类型的分布情况。统计学显著性设定在5%的水平。正畸服务主要由正畸医生提供(80%)。固定正畸治疗几乎完全由正畸医生提供(91%)。大多数可摘矫治器服务由全科医生提供。正畸医生在首府城市和其他大都市地区提供更多的正畸服务,而全科医生在农村地区提供更多的正畸服务。正畸医生为社会经济地位最高的群体的成员提供更多服务,而全科医生为社会经济地位最低的群体的成员提供更多服务。