Schwarz E, Kronborg D
National Board of Health, Copenhagen, Denmark.
Community Dent Oral Epidemiol. 1988 Dec;16(6):330-5. doi: 10.1111/j.1600-0528.1988.tb00576.x.
Three groups of young adults were offered three different dental programs from ages 16 to 19: one group of 386 persons continued preventive and curative dental care in the Public Child Dental Health Service (Public group), one group of 161 persons was offered dental care with private dental practitioners of own choice with care paid by the municipality and the health insurance (Mixed group), and one group of 261 persons entered the general young adult dental program under the National Health Insurance with free choice of private dental practitioner with reimbursement of about 75% from the insurance (Private group). Almost 100% of the Public group used the dental services continuously. Less than half of the Mixed group and about two thirds of the Private group went regularly to a dentist, women more than men. Discrepancies were found between the expected utilization and actual utilization, and a tendency was noted to overrate self-reported utilization in relation to actual utilization. It is concluded that continuity of dental care and unambiguous organizational affiliation is a prerequisite for a high utilization rate, but it also seems that the outreaching work done by the child dental health service is effective with regard to utilization.
为三组年轻人在16至19岁期间提供了三种不同的牙科项目：一组386人在公共儿童牙科保健服务机构继续接受预防性和治疗性牙科护理（公共组）；一组161人由市政府和健康保险支付费用，选择自己的私人牙医提供牙科护理（混合组）；一组261人参加了国家健康保险下的一般青年成人牙科项目，可自由选择私人牙医，保险报销约75%（私人组）。几乎100%的公共组持续使用牙科服务。混合组不到一半的人以及私人组约三分之二的人定期看牙医，女性比男性更频繁。发现预期利用率和实际利用率之间存在差异，并且注意到与实际利用率相比，自我报告的利用率有高估的趋势。得出的结论是，牙科护理的连续性和明确的组织归属是高利用率的先决条件，但儿童牙科保健服务所做的推广工作在利用率方面似乎也是有效的。
