Klock B
Community Dent Oral Epidemiol. 1980 Apr;8(2):97-102. doi: 10.1111/j.1600-0528.1980.tb01265.x.
Cost-benefit and cost-effectiveness analyses (CBA and CEA) have been done on a preventive program. The program included professional toothcleaning, dietary and oral hygiene instruction, topical fluoride application and sealing of pits and fissures in 9--12-year-old children over 2 years. All measures were delivered by a specially trained dental nurse. In spite of a marked reduction in caries activity both CBA and CEA indicated that the preventive program was highly uneconomic compared to traditional dental care (3.73/1). However, when comparing the cost per completely treated child and year in the trial clinic continuing to use the preventive measures described, with that in dental clinics with no special preventive programs the cost seemed to be lower in the trial clinic now markedly interested in prophylaxis.
已对一项预防计划进行了成本效益分析和成本效果分析(CBA和CEA)。该计划包括为9至12岁儿童提供为期两年的专业牙齿清洁、饮食和口腔卫生指导、局部用氟以及窝沟封闭。所有措施均由经过专门培训的牙科护士实施。尽管龋病活动明显减少,但CBA和CEA均表明,与传统牙科护理相比,该预防计划极不经济(成本效益比为3.73/1)。然而,将试验诊所中继续采用上述预防措施的每个完全接受治疗的儿童每年的成本,与没有特殊预防计划的牙科诊所的成本进行比较时,试验诊所的成本似乎较低,该诊所现在对预防极为关注。