Capilouto E
University of Alabama School of Dentistry, Birmingham.
Curr Opin Dent. 1991 Jun;1(3):316-21.
For this review, publications were considered in the context of a broad definition of access to dental care, including the ability to gain available, appropriate services as determined by personal, economic, cultural, geographic, and other factors. None of the studies fully integrated the multiple dimensions explicit in this definition. Nonetheless, it is clear that certain segments (ie, the poor and members of racial and ethnic minoritites) of the US population use dental services less frequently. When these people do use the system, they are less likely to receive preventive services and more likely to have a dental emergency. The availability of services to poor populations through Medicaid programs is compromised due to low provider participation, which is attributed to dissatisfaction with reimbursement rates and limitations in the breadth of covered services. Concerning the appropriateness of care, it is shown that practices with homogenous patient populations vary widely in the rates of the types of services provided.
在本次综述中，对获得牙科护理的考量基于一个宽泛的定义，包括根据个人、经济、文化、地理和其他因素获得可用且合适服务的能力。没有一项研究完全整合了该定义中明确的多个维度。尽管如此，很明显美国人口中的某些群体（即贫困人群以及少数种族和族裔成员）较少使用牙科服务。当这些人确实使用该体系时，他们获得预防性服务的可能性较小，而遭遇牙科急症的可能性较大。由于医疗服务提供者参与度低，通过医疗补助计划向贫困人口提供服务的可及性受到影响，这归因于对报销费率的不满以及所涵盖服务范围的限制。关于护理的适宜性，研究表明，患者群体同质化的医疗机构在提供的服务类型比例上差异很大。
