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幼儿龋齿与美国现行医疗补助计划的影响:概述

Early childhood caries and the impact of current u.s. Medicaid program: an overview.

作者信息

Bugis Bussma Ahmed

机构信息

Division of Management, Policy and Community Health, School of Public Health, University of Texas Health Science Center at Houston, Houston, TX 77030, USA.

出版信息

Int J Dent. 2012;2012:348237. doi: 10.1155/2012/348237. Epub 2012 Mar 8.

Abstract

Pediatric dental caries is the most common chronic disease among children. Above 40% of the U.S. children aged 2-11 years have dental caries; more than 50% of them come from low-income families. Under dental services of the Medicaid program, children enrolled in Medicaid must receive preventive dental services. However, only 1/5 of them utilize preventive dental services. The purpose of this overview is to measure the impact of Medicaid dental benefits on reducing oral health disparities among Medicaid-eligible children. This paper explains the importance of preventive dental care, children at high risk of dental caries, Medicaid dental benefits, utilization of dental preventive services by Medicaid-eligible children, dental utilization influencing factors, and outcome evaluation of Medicaid in preventing dental caries among children. In conclusion, despite the recent increase of children enrolled in Medicaid, utilizing preventive dental care is still a real challenge that faces Medicaid.

摘要

儿童龋齿是儿童中最常见的慢性病。在美国,40%以上的2至11岁儿童患有龋齿;其中超过50%来自低收入家庭。在医疗补助计划的牙科服务下,参加医疗补助的儿童必须接受预防性牙科服务。然而,他们中只有五分之一的人使用预防性牙科服务。本综述的目的是衡量医疗补助牙科福利对减少符合医疗补助条件儿童的口腔健康差异的影响。本文阐述了预防性牙科护理的重要性、龋齿高危儿童、医疗补助牙科福利、符合医疗补助条件儿童对牙科预防服务的利用情况、牙科利用的影响因素以及医疗补助在预防儿童龋齿方面的效果评估。总之,尽管最近参加医疗补助的儿童有所增加,但利用预防性牙科护理仍然是医疗补助面临的一个现实挑战。

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1
Toothache in US children.美国儿童的牙痛问题。
Arch Pediatr Adolesc Med. 2010 Nov;164(11):1059-63. doi: 10.1001/archpediatrics.2010.206.
2
Oral health disparities and the workforce: a framework to guide innovation.口腔健康差距与劳动力:指导创新的框架。
J Public Health Dent. 2010 Jun;70 Suppl 1:S15-23. doi: 10.1111/j.1752-7325.2010.00175.x.
9
A longitudinal study of dental caries risk among very young low SES children.一项针对低社会经济地位幼儿龋齿风险的纵向研究。
Community Dent Oral Epidemiol. 2009 Apr;37(2):116-22. doi: 10.1111/j.1600-0528.2008.00447.x. Epub 2008 Nov 12.

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