Goodman Harold S, Manski Marion C, Williams John N, Manski Richard J
Department of Health Promotion and Policy, Dental School, University of Maryland, Baltimore 21201, USA.
J Am Dent Assoc. 2005 Feb;136(2):221-8. doi: 10.14219/jada.archive.2005.0147.
Understanding preventive dental visit utilization patterns facilitates planning of the dental health services delivery system. The authors examine these patterns by analyzing the receipt of preventive dental services in the United States by type of dental provider.
The authors analyzed data from the 1996 Medical Expenditure Panel Survey (MEPS) for the U.S. community-based population. They developed national estimates for the population with preventive dental visits by provider type, including the population with a preventive dental visit and mean number of preventive dental visits per person for socioeconomic and demographic categories.
Respondents who are white, are older, are female, have dental insurance, are from higher income and education backgrounds, and reside in small metropolitan areas were more likely (P < .05) to receive preventive care from a dental hygienist than from a dentist.
MEPS data showed that people's socioeconomic background and other demographic factors were associated with having a preventive dental visit with a dentist or dental hygienist. These factors also influence the per-person number of preventive visits by type of dental practitioner. These elements must be considered when planning for future dental work force needs.
Estimating future dental work force needs through this analysis assists dentists in meeting patient demand and maximizing the productive output of all services rendered in their practices, including preventive services.
了解预防性牙科就诊的利用模式有助于规划牙科保健服务提供系统。作者通过分析美国不同类型牙科服务提供者提供预防性牙科服务的情况来研究这些模式。
作者分析了1996年美国以社区为基础人群的医疗支出面板调查(MEPS)的数据。他们按提供者类型对接受预防性牙科就诊的人群进行了全国性估计,包括接受预防性牙科就诊的人群以及按社会经济和人口类别划分的每人预防性牙科就诊的平均次数。
白人、年龄较大、女性、有牙科保险、来自较高收入和教育背景且居住在小都市地区的受访者接受牙科保健员预防性护理的可能性高于接受牙医预防性护理的可能性(P < .05)。
MEPS数据表明,人们的社会经济背景和其他人口因素与接受牙医或牙科保健员的预防性牙科就诊有关。这些因素还会影响按牙科从业者类型划分的每人预防性就诊次数。在规划未来牙科劳动力需求时必须考虑这些因素。
通过该分析估计未来牙科劳动力需求有助于牙医满足患者需求,并使他们诊所提供的所有服务(包括预防性服务)的生产效率最大化。