Kolstad Cecilia, Zavras Athanasios, Yoon Richard K
Private practice, New York City, N.Y., USA.
Department of Pediatric Dentistry, School of Dental Medicine, Boston University, Boston, Mass., USA.
Pediatr Dent. 2015 Jul-Aug;37(4):376-80.
The purpose of this study was to perform a cost-benefit analysis of the age one dental visit for privately insured patients.
A major insurance company provided claims from various states submitted between 2006-2012. Data provided included numbers of procedures and respective costs from the first visit until age six years. Data was organized into five groups based on age, for which the first D0145/D0150 code was submitted [(1) age younger than one year old; (2) age one or older but younger than two years old; (3) age two or older but younger than three years old; (4) age three or older but younger than four years old; and (5) age four or older but younger than five years old]. The ratio of procedures per child and average costs per child were calculated.
Claims for 94,574 children were analyzed; only one percent of these children had their first dental visit by age one. The annual cost for children who had their first dental visit by age one was significantly less than for children who waited until an older age.
There is an annual cost benefit in establishing a dental home by age one for privately insured patients.
本研究旨在对参加私人保险的患者在一岁时进行的牙科就诊进行成本效益分析。
一家大型保险公司提供了2006年至2012年间在各个州提交的理赔数据。提供的数据包括从首次就诊到六岁期间的诊疗项目数量和相应费用。数据按年龄分为五组,以首次提交D0145/D0150代码为依据[(1)一岁以下;(2)一岁及以上但未满两岁;(3)两岁及以上但未满三岁;(4)三岁及以上但未满四岁;(5)四岁及以上但未满五岁]。计算每个儿童的诊疗项目比率和平均费用。
分析了94,574名儿童的理赔数据;其中只有1%的儿童在一岁时首次进行牙科就诊。一岁时首次进行首次进行牙科就诊的儿童的年度费用明显低于等待到较大年龄就诊的儿童。
对于参加私人保险的患者,一岁时建立牙科之家具有年度成本效益。