牙科保健支出与退休。
Dental care expenditures and retirement.
机构信息
Division of Health Services Research, Department of Health Promotion and Policy, Dental School, University of Maryland, 650 West Baltimore Street-Room 2209, Baltimore, MD 21201, USA.
出版信息
J Public Health Dent. 2010 Spring;70(2):148-55. doi: 10.1111/j.1752-7325.2009.00156.x.
OBJECTIVES
To examine the relationship of dental care coverage, retirement, and out-of-pocket (OOP) dental expenditures in an aging population, using data from the Health and Retirement Study (HRS).
METHODS
We estimate OOP dental expenditures among individuals who have dental utilization as a function of dental care coverage status, retirement, and individual and household characteristics. We also estimate a multivariate model controlling for potentially confounding variables.
RESULTS
Overall, mean OOP dental expenditures among those with any spending were substantially larger for those without coverage than for those with coverage. However, controlling for coverage shows that there is little difference in spending by retirement status.
CONCLUSIONS
Although having dental coverage is a key determinant of the level of OOP expenditures on dental care; spending is higher among those without coverage than those who have dental insurance. We also found that while retirement has no independent effect on OOP dental expenditures once controlling for coverage, dental coverage rates are much lower among retirees.
目的
利用健康与退休研究（HRS）的数据，研究老龄化人口中牙科保健覆盖、退休和自付（OOP）牙科支出之间的关系。
方法
我们根据牙科利用情况，评估了具有牙科利用行为的个体中 OOP 牙科支出与牙科保健覆盖状况、退休状况以及个体和家庭特征之间的关系。我们还通过多变量模型控制了潜在的混杂变量。
结果
总体而言，在有任何支出的人群中，没有覆盖的人群的 OOP 牙科支出均值明显高于有覆盖的人群。然而，控制覆盖情况表明，退休状况对支出的影响不大。
结论
尽管拥有牙科覆盖是 OOP 牙科护理支出水平的关键决定因素；但无覆盖的人群的支出要高于有牙科保险的人群。我们还发现，尽管在控制覆盖情况后，退休对 OOP 牙科支出没有独立影响，但退休人群的牙科覆盖率要低得多。
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