Research Unit, The Social Insurance Institution of Finland, P.O. Box 450, 00056 Helsinki, Finland.
Int J Environ Res Public Health. 2021 Dec 18;18(24):13337. doi: 10.3390/ijerph182413337.
Studies have usually addressed the utilization of either medical or dental services, and less is known about how medical and dentist visits are associated. As oral health is linked to systemic health, knowledge on care coordination between dental and medical services is important to gain understanding of the overall functioning of health care. Register data on 25-64-year-old residents of the city of Oulu, Finland, were used for the years 2017-2018 (N = 91,060). Logit models were estimated to analyze the probability of dentist visits, according to the number of medical visits in total and by three separate health care sectors. The majority, 61%, had visited both a medical professional and a dentist. All sectors combined, as few as one to two visits increased the odds of dentist visits (OR: 1.43, CI: 1.33, 1.53). When separated by medical professionals' health care sectors, for one to two visits, the strongest association was found with public (OR: 1.17, CI: 1.12, 1.22) and private sector (OR: 1.35, CI: 1.30, 1.41). For occupational health service visits, the odds increased only after six or more visits. The results support the idea of integrated medical and dental care. However, the result may also arise from individual health behavior where health-conscious persons seek both medical and dental care independently.
研究通常涉及医疗或牙科服务的利用，而对于医疗和牙医就诊之间的关联了解较少。由于口腔健康与全身健康有关，因此了解牙科和医疗服务之间的护理协调对于了解整体医疗保健功能很重要。使用芬兰奥卢市 25-64 岁居民的注册数据（2017-2018 年，N=91060）。使用对数模型分析了根据总就诊次数和三个单独医疗保健部门的就诊次数，牙医就诊的概率。大多数人（61%）同时看了医生和牙医。所有部门合计，就诊次数为一到两次会增加看牙医的几率（OR：1.43，CI：1.33，1.53）。按医疗专业人员的医疗保健部门分开时，就诊一到两次，与公共部门（OR：1.17，CI：1.12，1.22）和私营部门（OR：1.35，CI：1.30，1.41）的关联最强。对于职业健康服务就诊，只有就诊六次或更多次后，几率才会增加。结果支持整合医疗和牙科护理的想法。但是，该结果也可能源于个人健康行为，即有健康意识的人会独立寻求医疗和牙科护理。
