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在日本,定期进行牙齿检查与选择无保险的牙齿修复/假牙治疗有关。

Regular Dental Check-Ups Are Associated with Choosing Uninsured Dental Restoration/Prosthesis Treatment in Japan.

作者信息

Oshima Katsuo

机构信息

Department of Dental Technology, The Nippon Dental University College, Tokyo 102-8159, Japan.

出版信息

Healthcare (Basel). 2023 May 28;11(11):1582. doi: 10.3390/healthcare11111582.

Abstract

Since Japan has implemented Universal Health Coverage (UHC), most dental treatments are covered by public health insurance. Therefore, when receiving fixed dental restoration/prosthesis (FDRP) treatment, such as inlays, crowns, and bridges, the patient can choose whether or not it is covered by insurance. This study aimed to evaluate whether those who receive dental check-ups regularly chose uninsured FDRP treatment. Data were collected from 2088 participants, who had undergone FDRP treatment, via a web-based survey and analyzed. Among them, 1233 (59.1%) had received regular dental check-ups (RDC group) and 855 (40.9%) had not (non-RDC group). The multivariate logistic regression model showed that compared to the non-RDC group, those in the RDC group were statistically significantly associated with higher rates of good oral health behaviors (brushing teeth ≥ 3 times daily, odds ratios (OR):1.46; practiced interdental cleaning habitually, OR: 2.22) and received uninsured FDRP treatment more often (OR: 1.59), adjusted for socioeconomic factors. These results suggest that health policy interventions to promote access to RDC among individuals may improve the oral health of people and reduce the financial burden on the public health insurance system.

摘要

自日本实施全民健康保险(UHC)以来,大多数牙科治疗都由公共健康保险覆盖。因此,在接受固定牙齿修复/假牙(FDRP)治疗时,如嵌体、牙冠和牙桥,患者可以选择是否由保险覆盖。本研究旨在评估那些定期进行牙科检查的人是否会选择无保险的FDRP治疗。通过网络调查收集了2088名接受FDRP治疗的参与者的数据并进行分析。其中,1233人(59.1%)接受过定期牙科检查(RDC组),855人(40.9%)未接受过(非RDC组)。多变量逻辑回归模型显示,与非RDC组相比,RDC组在调整社会经济因素后,良好口腔健康行为(每天刷牙≥3次,优势比(OR):1.46;习惯性使用牙间隙清洁工具,OR:2.22)的发生率更高,且更常接受无保险的FDRP治疗(OR:1.59)。这些结果表明,促进个人获得RDC的健康政策干预措施可能会改善人们的口腔健康,并减轻公共健康保险系统的经济负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee09/10252183/9a78d9936d9a/healthcare-11-01582-g001.jpg

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