Nyyssönen V, Herranen K, Letto P, Rajala M
Community Dent Oral Epidemiol. 1983 Aug;11(4):205-8. doi: 10.1111/j.1600-0528.1983.tb01879.x.
The aim of this study was to analyze the factors that affected the choice between public and private dental services in 1979, when 9% of adults had received their dental services in a public health center. In September 1979 the National Board of Health conducted a telephone interview among Finnish adults over 15 yr old. When a representative sample of 1992 adults was drawn, the response rate was 90.4%. All subjects over 17 yr of age who had used dental services within the last 5 yr were included in the study, making a final sample of 1368. According to the logistic function, the greatest differences were between rural and urban areas. Of the subjects living in urban areas, 18% had visited public health centers; and of those living in rural areas, 45% had visited health centers. Of the adults living in an urban setting, 70% and in rural areas 49% visited private dentists. Of the subjects who had used private dental services, nearly half were managers and upper white-collar workers; while of those using communal services, less than one third worked in such jobs. In urban areas managers and upper white-collar workers used private services twice as often as they used public services. In an urban setting, subjects who had visited a dentist during the last 2 yr had received treatment mainly in the private sector; and in a rural setting, subjects had been treated mainly in health centers.
本研究的目的是分析在1979年影响成年人选择公立还是私立牙科服务的因素，当时9%的成年人在公共卫生中心接受牙科服务。1979年9月，国家卫生委员会对15岁以上的芬兰成年人进行了电话访谈。在抽取了1992名成年人的代表性样本后，回复率为90.4%。所有在过去5年内使用过牙科服务的17岁以上受试者都被纳入研究，最终样本为1368人。根据逻辑函数，最大的差异存在于农村和城市地区。在城市地区的受试者中，18%曾去过公共卫生中心；在农村地区的受试者中，45%曾去过卫生中心。在城市居住的成年人中，70%去看私人牙医，在农村地区这一比例为49%。在使用过私立牙科服务的受试者中，近一半是经理和高级白领；而在使用公共服务的受试者中，从事这类工作的不到三分之一。在城市地区，经理和高级白领使用私人服务的频率是使用公共服务的两倍。在城市环境中，过去两年内看过牙医的受试者主要在私营部门接受治疗；而在农村环境中，受试者主要在卫生中心接受治疗。
