J Pediatr Health Care. 2018 Nov-Dec;32(6):620-626. doi: 10.1016/j.pedhc.2018.05.007.
The American Academy of Pediatrics and the U.S. Preventive Services Task Force, among others, call for the provision of fluoride varnish in the pediatric primary care setting, but many barriers exist to the implementation of such a service in this setting. Knowledge of costs and benefits is one such barrier.
A cost-benefit analysis of the implementation of a fluoride varnish program in a pediatric primary care office located in Volusia County, Florida was conducted with the assistance of the office manager and a nurse practitioner using data retrieved from the electronic health record program.
Microsoft Excel was used to calculate estimated mean reimbursement data from the top insurers in this office for this service, and the data show a positive annual net income of $4,498 to $26,775, with an average potential annual net income of $15,637.
The data from this cost-benefit analysis show a positive financial benefit as an incentive to implement a fluoride varnish program in this primary care pediatric office and serve as a solid foundation for a future quality improvement project to implement such a program.
美国儿科学会和美国预防服务工作组等机构呼吁在儿科初级保健环境中提供氟化物涂料，但在这种环境下实施此类服务存在许多障碍。对成本和收益的了解就是其中的一个障碍。
在佛罗里达州沃卢西亚县的一家儿科初级保健办公室，在办公室经理和一名护士从业者的协助下，使用从电子健康记录程序中检索到的数据，对在该办公室实施氟化物涂料项目进行了成本效益分析。
使用 Microsoft Excel 计算了该服务在该办公室的顶级保险公司的估计平均报销数据，数据显示每年的净收入为 4498 美元至 26775 美元，平均潜在年净收入为 15637 美元。
这项成本效益分析的数据显示了实施氟化物涂料计划的积极的财务收益，这是激励在这个初级保健儿科办公室实施氟化物涂料计划的一个因素，并为未来实施此类计划的质量改进项目提供了坚实的基础。
