Manski R J
Department of Oral Health Care Delivery, School of Dentistry, University of Maryland, Baltimore 21201, USA.
J Am Coll Dent. 1995 Fall;62(3):41-4.
Dental expenditures increased by almost $20 billion during the past twenty years. A contributing factor to this growth was the rapid proliferation of dental insurance. Unfortunately, dental care coverage is not uniformly distributed. For instance, while many younger Americans are offered assistance in paying for dental care through dental insurance, few older Americans are offered coverage because it is usually job related. Whereas several studies reported that dental care coverage is directly related to dental utilization, no significant empirical study of multiple factors has shown who is most likely to have dental insurance. The purpose of this study was to determine who is most apt to have dental insurance and what factors may influence or be related to having dental care coverage. Findings indicated that individuals with low income, large families, those having a poor health status, who are not married, are older, unemployed or female were least likely to have dental care coverage.
在过去二十年中,牙科支出增加了近200亿美元。这种增长的一个促成因素是牙科保险的迅速普及。不幸的是,牙科护理覆盖范围并不均匀。例如,虽然许多美国年轻人通过牙科保险获得了支付牙科护理费用的援助,但很少有美国老年人获得保险,因为保险通常与工作相关。尽管有几项研究报告称牙科护理覆盖范围与牙科服务利用直接相关,但尚无对多种因素进行的重大实证研究表明谁最有可能拥有牙科保险。本研究的目的是确定谁最有可能拥有牙科保险,以及哪些因素可能影响或与拥有牙科护理覆盖范围相关。研究结果表明,低收入、大家庭、健康状况差、未婚、年龄较大、失业或女性的个人最不可能拥有牙科护理覆盖范围。