Cheng Feng-Chou, Chiang Chun-Pin
Chia-Te Dental Clinic, New Taipei City, Taiwan.
School of Life Science, National Taiwan Normal University, Taipei, Taiwan.
J Dent Sci. 2022 Apr;17(2):951-957. doi: 10.1016/j.jds.2022.02.013. Epub 2022 Mar 2.
BACKGROUND/PURPOSE: Although the penetration rate of National Health Insurance (NHI) of Taiwan is as high as 99%, our children still face the impact of oral diseases. This study investigated the profile of dental use by pediatric patients in the NHI of Taiwan in 2020.
Data on the population and medical records of NHI were obtained from the websites of Ministry of the Interior and the NHI Administration. The pediatric dental patient data were divided into 3 age groups (0-4, 5-9, and 10-14 years) to investigate and analyze dental treatment records claimed in 2020.
In Taiwan, the two most common oral diseases in children were dental caries and gingivitis & periodontal diseases. The dental use rate for treatment of dental caries in children was 16.84% for the 0-4-year, 55.69% for the 5-9-year, and 34.29% for the 10-14-year age groups. Moreover, in all 3 age groups of children, dental caries needed the highest NHI expenses, followed in a descending order by gingivitis & periodontal diseases and diseases of pulp & periapical tissues. Among them, dental caries needed more than half (51.15%) of all dental NHI expenses in the 5-9-year age group.
Due to the long-term lack of awareness and behavior for oral health care among Taiwanese people, the dental caries rate of the children remains high. From a cost-effectiveness viewpoint, Taiwan government should develop a better oral health care policy to prevent dental caries and gingivitis & periodontal diseases in children.
背景/目的:尽管台湾地区国民健康保险(NHI)的参保率高达99%,但我们的儿童仍面临口腔疾病的影响。本研究调查了2020年台湾地区NHI中儿科患者的牙科就诊情况。
从内政部和NHI管理部门的网站获取NHI的人口和医疗记录数据。将儿科牙科患者数据分为3个年龄组(0 - 4岁、5 - 9岁和10 - 14岁),以调查和分析2020年申报的牙科治疗记录。
在台湾,儿童中两种最常见的口腔疾病是龋齿和牙龈炎及牙周疾病。0 - 4岁儿童龋齿治疗的牙科就诊率为16.84%,5 - 9岁为55.69%,10 - 14岁为34.29%。此外,在所有3个儿童年龄组中,龋齿所需的NHI费用最高,其次按降序排列为牙龈炎及牙周疾病和牙髓及根尖周组织疾病。其中,在5 - 9岁年龄组中,龋齿所需费用占所有牙科NHI费用的一半以上(51.15%)。
由于台湾民众长期缺乏口腔保健意识和行为,儿童龋齿率仍然很高。从成本效益的角度来看,台湾政府应制定更好的口腔保健政策,以预防儿童龋齿和牙龈炎及牙周疾病。