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罗马尼亚公共医疗保险覆盖的牙科治疗患者体验的患者视角:一项初步研究。

Patients' Perspective on Their Experience of Dental Treatments Covered by Public Health Insurance in Romania-A Pilot Study.

机构信息

Department of Oral Health and Community Dentistry, Faculty of Dental Medicine, "Carol Davila" University of Medicine and Pharmacy, 17-21 Calea Plevnei Street, Sector 1, 010221 Bucharest, Romania.

Department of Complete Denture, Faculty of Dental Medicine, "Carol Davila" University of Medicine and Pharmacy, 17-21 Calea Plevnei Street, Sector 1, 010221 Bucharest, Romania.

出版信息

Int J Environ Res Public Health. 2021 Dec 27;19(1):272. doi: 10.3390/ijerph19010272.

Abstract

Although the aims of any public health coverage are prevention, diagnosis, treatment, rehabilitation, and maintenance, dental services are hardly ever included in services. The goal of our pilot study is to assess the perspective of a group of adult patients on their covered dental treatments. The present cross-sectional study was conducted on 140 patients who reported their perception by filling in a questionnaire. All the collected data were statistically analyzed using IBM SPSS Statistics 25. Most of the subjects (40.7%, = 57) were treatment oriented, visiting the dentist only in an emergency situation. A total of 40.7% ( = 57) of the participants stated that all the dental treatments had coverage and 22.8% ( = 13) had to split their treatment plan because of the insurance budget limit. The subjects who had chosen covered dental services because they considered it was a right they should benefit from (53.7%, = 22) and those who had chosen covered dental services because of financial reasons (29.3%, = 12) were more frequently unsatisfied with the types of covered dental services. The reduced level of satisfaction was associated mainly with the list of dental procedures accepted for coverage and also with younger and highly educated patients. For a more accurate description, the present study should be completed by future studies not only on a representative population at national level, but also by assessing the perspective of dental professionals.

摘要

尽管任何公共卫生保健的目标都是预防、诊断、治疗、康复和维持,但牙科服务很少被包含在服务中。我们的试点研究旨在评估一组成年患者对其涵盖的牙科治疗的看法。本横断面研究共纳入 140 名患者,通过填写问卷报告他们的认知。使用 IBM SPSS Statistics 25 对所有收集的数据进行了统计分析。大多数受试者(40.7%,n=57)以治疗为导向,仅在紧急情况下才会去看牙医。共有 40.7%(n=57)的参与者表示所有的牙科治疗都有保险覆盖,22.8%(n=13)由于保险预算限制,不得不拆分治疗计划。选择涵盖牙科服务的受试者,是因为他们认为这是他们应该受益的权利(53.7%,n=22),以及那些出于经济原因选择涵盖牙科服务的受试者(29.3%,n=12)对涵盖的牙科服务类型的满意度较低。满意度降低主要与接受保险的牙科程序清单有关,也与年轻和高学历的患者有关。为了更准确地描述,本研究应仅在全国范围内对代表性人群进行未来研究,还应评估牙科专业人员的观点。

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