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获得牙科护理:医学/牙科比较及常规医疗来源的作用

Access to dental care: a comparison of medicine/dentistry and the role of a regular source.

作者信息

Kronenfeld J

出版信息

Med Care. 1979 Oct;17(10):1000-11.

PMID:491779
Abstract

Recent studies have found more equal access to physicians, both in terms of volume of visits and having a regular source. This paper compares physician care with dental care, looking particularly at a regular source of dental care. A regular source should be very important in dental care, given the emphasis on prevention and regular visits. This paper examines data from a statewide sample of 1,329 Rhode Island residents in 1974 to determine what percentage of the population has a regular source and what the relationship is with socioeconomic variables. Most persons (91 per cent) report a regular source of medical care. The figure is somewhat lower (73 per cent) for reporting of a regular source of dental care. Socioeconomic differentials are still important, as only one-half of those in families earning less than $5,000 and 59 per cent of those in families where the head of the household has less than an eighth grade education have a regular source of dental care. The relationship held when controlling for variety of social and demographic variables and partial correlation analysis was used to determine that income, as compared with education, is the more important variable in explaining differentials. Using discriminant function analysis, age, sex, race, education and income allowed one to correctly predict 70.7 per cent of those who have a regular source of dental care and 61.5 per cent of those without a regular source of dental care.

摘要

近期研究发现,在就诊次数和拥有固定医疗服务提供者方面,人们获得医生服务的机会更加均等。本文将医生护理与牙科护理进行比较,特别关注固定的牙科护理服务提供者。鉴于对预防和定期就诊的重视,固定的服务提供者在牙科护理中应该非常重要。本文研究了1974年罗德岛州1329名居民的全州样本数据,以确定有固定服务提供者的人口比例以及与社会经济变量的关系。大多数人(91%)报告有固定的医疗服务提供者。报告有固定牙科护理服务提供者的比例略低(73%)。社会经济差异仍然很重要,因为在收入低于5000美元的家庭中,只有一半的人有固定的牙科护理服务提供者,而在户主教育程度低于八年级的家庭中,这一比例为59%。在控制各种社会和人口变量时,这种关系依然成立,并且使用偏相关分析来确定,与教育相比,收入是解释差异的更重要变量。使用判别函数分析,年龄、性别、种族、教育程度和收入能够正确预测70.7%有固定牙科护理服务提供者的人以及61.5%没有固定牙科护理服务提供者的人。

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