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牙科护理的使用情况:在美国,牙科保险真的有作用吗?

Dental care use: does dental insurance truly make a difference in the US?

作者信息

Manski R J, Cooper P F

机构信息

Division of Health Services Research, Department of Health Promotion and Policy, Dental School, University of Maryland, Baltimore 21201, USA.

出版信息

Community Dent Health. 2007 Dec;24(4):205-12.

Abstract

OBJECTIVE

Having medical insurance with or without coverage for dental care has been shown to be associated with an increase in dental use. The purpose of this study is to provide information that will help describe this behavior.

METHOD

We isolate the independent effect of health insurance on the likelihood of a dental visit by analyzing Medical Expenditure Panel Survey (MEPS) data.

RESULTS

Data show that persons with private medical coverage, controlling for dental coverage and other socioeconomic and demographic factors, are more likely to have a dental visit than persons without private medical coverage. Having medical insurance with or without coverage for dental care is associated with an increased likelihood of having a dental visit. These data suggest a more complex role for dental insurance beyond that of traditional insurance motivation.

CONCLUSIONS

These data suggest that programmes designed to improve dental access with added dental coverage may not be sufficient to remedy access deficiencies and may offer only modest extra incentives to use dental services over and above medical insurance.

摘要

目的

有或没有牙科护理保险的医疗保险已被证明与牙科就诊的增加有关。本研究的目的是提供有助于描述这种行为的信息。

方法

我们通过分析医疗支出面板调查(MEPS)数据,分离出医疗保险对牙科就诊可能性的独立影响。

结果

数据显示,在控制牙科保险以及其他社会经济和人口因素的情况下,拥有私人医疗保险的人比没有私人医疗保险的人更有可能进行牙科就诊。有或没有牙科护理保险的医疗保险都与增加牙科就诊的可能性相关。这些数据表明牙科保险的作用比传统保险动机更为复杂。

结论

这些数据表明,旨在通过增加牙科保险来改善牙科就诊机会的计划可能不足以弥补就诊机会的不足,并且可能仅提供适度的额外激励措施,促使人们在医疗保险之外使用牙科服务。

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