纽约州医疗补助计划中牙科治疗索赔的地域差异：当代条件下氟化物的作用。
Geographic variation in medicaid claims for dental procedures in New York State: role of fluoridation under contemporary conditions.
机构信息
Oral Health Surveillance & Research, Bureau of Dental Health, New York State Department of Health, Albany, NY 12337, USA.
出版信息
Public Health Rep. 2010 Sep-Oct;125(5):647-54. doi: 10.1177/003335491012500506.
OBJECTIVE
We conducted an evaluation to determine if the number of claims reimbursed for caries-related procedures for children in the New York State Medicaid program varied by county fluoridation coverage.
METHODS
We calculated the mean number of claims per recipient for children in each county separately for the treatment of caries and all other procedures not related to caries using the 2006 Medicaid claims data.
RESULTS
Compared with the predominantly fluoridated counties, the mean number of restorative, endodontic, and extraction procedures per recipient was 33.4% higher in less fluoridated counties. The mean number of claims per child for caries-related services was inversely correlated with the extent of fluoridation in a county (Spearman's correlation coefficient = -0.54, p < 0.0001), but claims for non-caries related services were not.
CONCLUSIONS
These findings, when added to the already existing weight of evidence, have implications for promoting policies at the federal and state levels to strengthen the fluoridation program.
目的
我们进行了一项评估，以确定纽约州医疗补助计划中与龋齿相关治疗程序的报销索赔数量是否因县氟化物覆盖范围而异。
方法
我们使用 2006 年医疗补助索赔数据，分别为每个县的儿童龋齿治疗和所有其他非龋齿相关程序计算每位受助人的索赔平均数。
结果
与主要氟化的县相比，氟化物较少的县的每位受助人的修复、牙髓和拔牙程序平均数高 33.4%。每例儿童与龋齿相关服务的索赔数与县内氟化物的程度呈负相关（斯皮尔曼相关系数=-0.54，p<0.0001），而非龋齿相关服务的索赔则没有。
结论
这些发现，加上现有的大量证据，对促进联邦和州一级的政策具有重要意义，这些政策旨在加强氟化计划。
Zotero 插件