Block L E, Freed J R
Division of Health Management and Policy, University of Minnesota, Minneapolis 55455, USA.
J Am Coll Dent. 1996 Spring;63(1):30-6.
The Oregon Health Plan, one of the most controversial health care proposals to emerge in recent years, was implemented on February 1, 1994. The plan's intent was to control cost and increase access to health care for Oregon's low-income and Medicaid population. A key feature was limiting covered services to a state-approved list created by an open public process. Services were ranked from most important to least important, with covered services to be determined by available funding. For the first time, the listing included a merged set of medical and dental services, with many dental services ranked higher than medical services. Oregon's Medicaid program, which previously did not cover any adult dental care, now has one of the most generous set of Medicaid dental benefits in the United States. From the perspective of increasing access to dental care, this article suggests that the dental profession should re-examine its current policy supporting the separation of medical and dental benefit packages.
俄勒冈健康计划是近年来出现的最具争议性的医疗保健提案之一，于1994年2月1日实施。该计划的目的是控制成本，并增加俄勒冈州低收入人群和医疗补助人群获得医疗保健的机会。一个关键特征是将承保服务限制在一个通过公开程序制定的、经州政府批准的清单上。服务按照从最重要到最不重要的顺序排列，承保服务将根据可用资金来确定。清单首次包括一套合并的医疗和牙科服务，许多牙科服务的排名高于医疗服务。俄勒冈州的医疗补助计划以前不涵盖任何成人牙科护理，现在却拥有美国最慷慨的医疗补助牙科福利之一。从增加牙科护理可及性的角度来看，本文建议牙科行业应重新审视其目前支持医疗和牙科福利套餐分离的政策。
