Schoen M H, Marcus M, Koch A L
Section of Public Health and Preventive Dentistry, School of Dentistry, University of California, Los Angeles 90024.
Health Serv Res. 1987 Aug;22(3):327-39.
This article summarizes the results of an evaluation of the Hospital-Sponsored Ambulatory Dental Services Program funded by the Robert Wood Johnson Foundation. Goals of the program were to increase service to the underserved both in the volume of persons treated and in continuity of care, while supporting expanded dental general-practice residency training and aiding financial viability of the dental departments. The principal findings were that, while the volume of new patients increased, the number of disadvantaged persons did not. Continuity of care may have worsened. Policy implications are that hospital dental departments should improve their efficiency and narrow their goals to the special populations best treated in their environment. Innovative financial mechanisms should be explored, including combining with medical care hospital-based HMOs. However, the goals cannot be reached without expanded and continuing governmental subsidy.
本文总结了由罗伯特·伍德·约翰逊基金会资助的医院资助门诊牙科服务项目的评估结果。该项目的目标是，在增加接受治疗的人数和护理连续性方面，为服务不足的人群提供更多服务，同时支持扩大牙科全科住院医师培训，并帮助牙科部门实现财务可持续性。主要研究结果是，虽然新患者数量有所增加，但弱势群体的数量并未增加。护理的连续性可能变差了。政策影响是，医院牙科部门应提高效率，将目标缩小到最适合在其环境中治疗的特殊人群。应探索创新的财务机制，包括与基于医院的健康维护组织的医疗服务相结合。然而，如果没有政府扩大和持续的补贴，这些目标就无法实现。
