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牙科按人头付费制:一项准实验性评估。

Capitation in dentistry: a quasi-experimental evaluation.

作者信息

Rosen H M, Sussman R A, Sussman E J

出版信息

Med Care. 1977 Mar;15(3):228-40.

PMID:846237
Abstract

Two matched samples of 245 patients were drawn from solo dental practices which contained both capitation and fee-for-service components. All services rendered to patients during their entire time under care of the practice were recorded and analyzed. Results indicate different styles of care under the two payment mechanisms. An improved preventive style was associated with capitation, as well as fewer fillings. Outcome measured by a modification of the DMF (decayed-missing-filled) Index was also more favorable under capitation.

摘要

从包含按人头付费和按服务收费两种模式的独立牙科诊所中抽取了两组各245名患者的匹配样本。记录并分析了患者在该诊所接受治疗的全过程中所接受的所有服务。结果表明,两种付费机制下的医疗方式有所不同。按人头付费与改善的预防模式相关,补牙数量也较少。通过改良的DMF(龋失补)指数衡量的结果在按人头付费模式下也更有利。

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