芬兰公共牙科服务中的就诊和检查频率——回顾性分析，2001-2013 年。

Frequency of visits and examinations in the Public Dental Service in Finland - a retrospective analysis, 2001-2013.

机构信息

Public Dental Service Lohja, Helsinki, Finland.

National Institute for Health and Welfare (THL), Helsinki, Finland.

出版信息

BMC Oral Health. 2017 Nov 28;17(1):138. doi: 10.1186/s12903-017-0436-8.

DOI:10.1186/s12903-017-0436-8

PMID:29183308

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5706397/

Abstract

BACKGROUND

This study aimed to investigate longitudinally examination and visiting patterns in the Finnish Public Dental Service (PDS) and to relate these to patients' treatment needs and international recommendations on examination intervals.

METHODS

Data on patients and their dental visits in the period 2001-2013 were collected from five municipal PDS-units serving a total population of 320,000 inhabitants and using the same database system. Ethical approval was given by the National Institute for Health and Welfare (THL) and permissions to use local data by the directors of health services in each unit. For each year, the numbers of visitors, those examined and those in need of basic periodontal or caries treatment (CPI >2 and D + d > 0) were calculated separately for young people (< 18 years), the working-aged (18-64 years) and the elderly (65+ years). Each individual's examination and visiting intervals were counted. Multilevel modelling was used to study probabilities of being examined or in need of treatment and differences in examination and visiting intervals between groups and over time.

RESULTS

From 2001 to 2013, the number of visitors increased by 39.3% and the working-aged became the biggest patient group rather than the young. Compared with adults, the young were five times more likely to be examined (OR = 4.97) and three times less likely to require treatment (OR = 0.31). On average, 37% of the young, 73% of the working-aged and 63% of the elderly needed basic treatment. Multi-level analysis showed that the young had the shortest examination intervals and the working aged the longest (0.50 years longer). Most examination intervals of the young and the elderly were 1 year (65.2 - 77.0%), but only half (49.5%) of the working-aged were re-examined within 1 year. Over time, the examination intervals increased slightly in all groups. Most visiting intervals remained at 1 year.

CONCLUSION

Young patients had mostly annual or biannual examinations, in line with recommendations. The examination intervals of working aged adults were considerably longer, and more of them needed treatment. The share of elderly among visitors remained low. The PDS seems to have access barriers for adults.

摘要

背景

本研究旨在纵向调查芬兰公共牙科服务（PDS）的就诊模式，并将其与患者的治疗需求以及国际推荐的检查间隔时间相关联。

方法

从为 32 万居民服务的五个市立 PDS 单位收集了 2001-2013 年期间患者及其牙科就诊的数据，并使用相同的数据库系统。国家卫生和福利研究所（THL）已批准该研究的伦理问题，每个单位的卫生服务主管也已批准使用当地数据。对于每年的就诊人数、接受检查的人数和需要基本牙周或龋齿治疗的人数（CPI>2 和 D + d > 0），我们分别为年轻人（<18 岁）、工作年龄段（18-64 岁）和老年人（65+岁）进行了计算。计算了每个人的检查和就诊间隔。使用多水平模型研究了接受检查或需要治疗的可能性以及组间和随时间的检查和就诊间隔差异。

结果

从 2001 年到 2013 年，就诊人数增加了 39.3%，工作年龄段成为最大的患者群体，而不是年轻人。与成年人相比，年轻人接受检查的可能性高 5 倍（OR=4.97），需要治疗的可能性低 3 倍（OR=0.31）。平均而言，37%的年轻人、73%的工作年龄段人群和 63%的老年人需要基本治疗。多水平分析表明，年轻人的检查间隔最短，工作年龄段人群的检查间隔最长（长 0.50 年）。年轻人和老年人的大多数检查间隔为 1 年（65.2-77.0%），但只有一半（49.5%）的工作年龄段人群在 1 年内接受复查。随着时间的推移，所有群体的检查间隔都略有增加。大多数就诊间隔仍为 1 年。