Busby M, Martin J A, Matthews R, Burke F J T, Chapple I
Dental Advisor, Denplan and Hon Lecturer in Primary Dental Care University of Birmingham.
Private Practice, Pennsylvania, USA; Chief Science Officer, PreViser Corporation, Washington, USA.
Br Dent J. 2014 Nov;217(10):E19. doi: 10.1038/sj.bdj.2014.1006.
The aim of this paper was to review the oral health and future disease risk scores compiled in the Denplan Excel/Previser Patient Assessment (DEPPA) data base by patient age group, and to consider the significance of these outcomes to general practice funding by capitation payments.
Between September 2013 and January 2014 7,787 patient assessments were conducted by about 200 dentists from across the UK using DEPPA. A population study was conducted on this data at all life stages.
The composite Denplan Excel Oral Health Score (OHS) element of DEPPA reduced in a linear fashion with increasing age from a mean value of 85.0 in the 17-24 age group to a mean of 72.6 in patients aged over 75 years. Both periodontal health and tooth health aspects declined with age in an almost linear pattern. DEPPA capitation fee code recommendations followed this trend by advising higher fee codes as patients aged.
As is the case with general health, these contemporary data suggest that the cost of providing oral health care tends to rise significantly with age. Where capitation is used as a method for funding, these costs either need to be passed onto those patients, or a conscious decision made to subsidise older age groups.
本文旨在按患者年龄组回顾在丹计划Excel/Previser患者评估（DEPPA）数据库中编制的口腔健康和未来疾病风险评分，并探讨这些结果对按人头付费的全科医疗资金的意义。
2013年9月至2014年1月期间，来自英国各地的约200名牙医使用DEPPA对7787名患者进行了评估。对该数据在所有生命阶段进行了一项人群研究。
DEPPA的综合丹计划Excel口腔健康评分（OHS）要素随着年龄增长呈线性下降，从17 - 24岁年龄组的平均值85.0降至75岁以上患者的平均值72.6。牙周健康和牙齿健康方面均随年龄增长呈近似线性下降。DEPPA的按人头付费代码建议遵循这一趋势，建议随着患者年龄增长采用更高的付费代码。
与一般健康情况一样，这些当代数据表明，提供口腔保健的成本往往会随着年龄的增长而显著上升。在将按人头付费作为一种资金筹集方法的情况下，这些成本要么转嫁给那些患者，要么做出有意识的决定补贴老年群体。
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