East of England Deanery.
Br Dent J. 2012 Aug;213(4):E5. doi: 10.1038/sj.bdj.2012.724.
The purpose of this observational study was to investigate the relationship between deprivation and the delivery of primary care NHS orthodontic services across Scotland.
Deprivation was measured using the Scottish Index of Multiple Deprivation (SIMD). The Information Services Division, NHS National Services Scotland, supplied data on all claims for orthodontic treatments in Scotland for the years 2008 and 2009. Each claim was assigned to a SIMD quintile (SIMD 1 being the most deprived, and SIMD 5 the least deprived), and odds ratios were calculated.
Uptake of orthodontic services is highest in the least deprived areas. Patients from the least deprived areas are nearly twice as likely to receive orthodontic treatment as those from the most deprived areas (odds ratio of 1.90 with a 95% confidence interval (CI) 1.86 to 1.94).
Patients from more the most deprived backgrounds are less likely to receive orthodontic treatment than those from more affluent backgrounds, which does not necessarily reflect need.
本观察性研究旨在探讨苏格兰各地初级保健国民保健服务中提供正畸服务与贫困之间的关系。
使用苏格兰多重贫困指数（SIMD）衡量贫困程度。信息服务司，苏格兰国民保健服务局，提供了 2008 年和 2009 年苏格兰所有正畸治疗索赔的数据。每个索赔都被分配到 SIMD 五分位数（SIMD1 是最贫困的，SIMD5 是最不贫困的），并计算了优势比。
在最不贫困的地区，正畸服务的利用率最高。来自最贫困地区的患者接受正畸治疗的可能性几乎是来自最贫困地区的患者的两倍（优势比为 1.90，95%置信区间（CI）为 1.86 至 1.94）。
来自贫困背景的患者接受正畸治疗的可能性低于来自富裕背景的患者，这并不一定反映需求。
