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牙周干预与医疗保健成本及利用之间的关系。来自综合牙科、医疗和药房商业索赔数据库的证据。

The Relationship between Periodontal Interventions and Healthcare Costs and Utilization. Evidence from an Integrated Dental, Medical, and Pharmacy Commercial Claims Database.

作者信息

Nasseh Kamyar, Vujicic Marko, Glick Michael

机构信息

American Dental Association, Health Policy Institute, Chicago, IL, USA.

University of Buffalo (The State University of New York), Buffalo, NY, USA.

出版信息

Health Econ. 2017 Apr;26(4):519-527. doi: 10.1002/hec.3316. Epub 2016 Jan 22.

Abstract

Periodontal disease has been linked to poor glycemic control among individuals with type 2 diabetes. Using integrated dental, medical, and pharmacy commercial claims from Truven MarketScan® Research Databases, we implement inverse probability weighting and doubly robust methods to estimate a relationship between a periodontal intervention and healthcare costs and utilization. Among individuals newly diagnosed with type 2 diabetes, we find that a periodontal intervention is associated with lower total healthcare costs (-$1799), lower total medical costs excluding pharmacy costs (-$1577), and lower total type 2 diabetes-related healthcare costs (-$408). © 2016 The Authors. Health Economics Published by John Wiley & Sons Ltd.

摘要

牙周疾病与2型糖尿病患者血糖控制不佳有关。利用来自Truven MarketScan®研究数据库的综合牙科、医疗和药房商业索赔数据,我们采用逆概率加权法和双重稳健方法来估计牙周干预与医疗保健成本及利用率之间的关系。在新诊断为2型糖尿病的个体中,我们发现牙周干预与较低的总医疗保健成本(-1799美元)、不包括药房成本的较低总医疗成本(-1577美元)以及较低的与2型糖尿病相关的总医疗保健成本(-408美元)相关。© 2016作者。《健康经济学》由约翰·威利父子有限公司出版。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3616/5347922/5ee317b61534/HEC-26-519-g001.jpg

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