Spencer A J, Szuster F S, Brennan D S
Department of Dentistry, University of Adelaide.
Aust Dent J. 1994 Oct;39(5):316-20. doi: 10.1111/j.1834-7819.1994.tb05569.x.
Service-mix can reflect changes in demographic factors, oral health, patient demand and treatment philosophies. The aim of this study was to compare service-mix by patient age in 1988 with baseline data from 1983. A weighted, stratified random sample of dentists in Australia was surveyed by mailed questionnaire in 1983 and again in 1988. Service-mix was dominated by restorative, diagnostic and preventive areas. Comparing 1988 with 1983, there were significant increases for diagnostic, preventive, advanced restorative, orthodontic and general areas. Patterns across patient age groups and between years indicated younger patients were being provided with increased preventive services (patients aged 5-11, 25-44 years) and decreased restorative services (patients aged 5-11, 12-17 years), while older patients were being provided with reduced prosthodontic services (patients aged 25-44, 45-64 years), but increased restorative services (patients aged 45-64, 65+ years) and advanced restorative services (patients aged 25-44, 45-64 years). These patterns of service-mix have implications for dental education, research and service delivery.
服务组合可以反映人口统计学因素、口腔健康、患者需求和治疗理念的变化。本研究的目的是将1988年按患者年龄划分的服务组合与1983年的基线数据进行比较。1983年和1988年，通过邮寄问卷对澳大利亚牙医的加权分层随机样本进行了调查。服务组合主要集中在修复、诊断和预防领域。将1988年与1983年进行比较，诊断、预防、高级修复、正畸和一般领域有显著增加。各患者年龄组以及不同年份之间的模式表明，年轻患者接受的预防服务增加（5-11岁、25-44岁患者），修复服务减少（5-11岁、12-17岁患者），而老年患者接受的修复服务减少（25-44岁、45-64岁患者），但修复服务增加（45-64岁、65岁及以上患者），高级修复服务增加（25-44岁、45-64岁患者）。这些服务组合模式对牙科教育、研究和服务提供具有影响。
