Faculty of Dentistry, University of Toronto, Toronto, ON, Canada.
Community Dent Oral Epidemiol. 2010 Apr;38(2):152-8. doi: 10.1111/j.1600-0528.2010.00534.x.
To test the hypotheses that socially marginalised Canadians are more likely to prefer seeking dental care in a public rather than private setting, and that Canadian dentists are more likely to prefer public dental care plans that approximate private insurance processes.
Data on public opinion were collected through a weekly national omnibus survey based on random digit dialling and telephone interview technology (n = 1005, >18 years). Data on professional opinion were collected through a national mail-out survey of a random selection of Canadian dentists (n = 2219, response rate = 45.8%). Dental and socio-demographic data were collected for the public, as were professional demographic data for dentists. Descriptive and basic regression analyses were undertaken.
The majority of Canadians surveyed, 66.4%, prefer to seek dental care in a private setting, 19% in a community clinic, and 7.6% in a dental school; those that are younger and of lowest incomes are most likely to prefer seeking dental care in a public setting. Most Canadian dentists, 80.9%, believe that governments should be involved in dental care, yet only 46% believe this role should include direct delivery. A third of dentists have also reduced the amount of publicly insured patients in their practice. Canadian dentists are more likely to prefer those public plans that most closely reflect private insurance mechanisms.
There appears to be a policy disconnect between the preferences of those populations where governmental involvement is most warranted, and the current mechanisms for financing and delivering dental care in Canada. By concentrating almost exclusively on third-party-type financing and indirect delivery, public dental care policy may not be adequately responding to those most in need, especially in an environment where dentists are largely dissatisfied with public plans.
检验以下两个假设，即处于社会边缘地位的加拿大人更倾向于选择在公共而非私人环境中寻求牙科护理，以及加拿大牙医更倾向于偏好类似于私人保险流程的公共牙科保健计划。
通过基于随机数字拨号和电话访谈技术的每周全国综合调查收集公众意见数据（n=1005，年龄>18 岁）。通过向加拿大牙医的随机抽样进行全国邮寄调查收集专业意见数据（n=2219，回复率=45.8%）。为公众收集牙科和社会人口统计学数据，为牙医收集专业人口统计学数据。进行描述性和基本回归分析。
大多数接受调查的加拿大人（66.4%）更喜欢在私人环境中寻求牙科护理，19%的人更喜欢在社区诊所，7.6%的人更喜欢在牙科学校；年龄较小和收入最低的人最有可能选择在公共环境中寻求牙科护理。大多数加拿大牙医（80.9%）认为政府应该参与牙科保健，但只有 46%的人认为这一角色应包括直接提供服务。三分之一的牙医也减少了他们实践中接受公共保险的患者数量。加拿大牙医更倾向于偏好那些最能反映私人保险机制的公共计划。
在政府参与最有必要的人群的偏好与加拿大牙科保健的融资和提供的现行机制之间似乎存在政策脱节。通过几乎完全专注于第三方类型的融资和间接提供服务，公共牙科保健政策可能无法充分满足那些最需要的人，特别是在牙医对公共计划普遍不满意的环境下。
