White B A
Kaiser Permanente, Center for Health Research, Portland, Oregon 97227-1098, USA.
Spec Care Dentist. 1995 Sep-Oct;15(5):180-6. doi: 10.1111/j.1754-4505.1995.tb00511.x.
Oral diseases and conditions may adversely affect general health, and certain medical conditions may have a negative effect on oral health. However, little attention has been given to assessing the economic costs and consequences associated with care that is a direct result of, or has a direct impact on, an underlying medical condition and/or its resulting therapy. The costs can be significant for patients; their families; third-party payers such as insurance companies, Medicare, and Medicaid; and society. The health consequences of such conditions may dramatically affect function, morbidity, quality of life, and survival. This paper reviews one possible approach for identifying and measuring the costs and consequences associated with medically necessary oral health care and presents a framework for evaluating medically necessary oral health care. The paper also describes the cost components of care and the dimensions of health consequences. Finally, an example illustrates this approach. The summary information presented here is meant to offer concepts and ideas important in assessing the costs and health consequences associated with medically necessary oral health care. Individuals interested in a more detailed discussion of economic evaluation of health care programs and outcomes assessment are referred elsewhere. 10-23
口腔疾病和状况可能会对全身健康产生不利影响，而某些医疗状况也可能对口腔健康产生负面影响。然而，对于评估与因潜在医疗状况及其后续治疗直接导致或产生直接影响的护理相关的经济成本和后果，人们关注甚少。这些成本对于患者、其家庭、诸如保险公司、医疗保险和医疗补助等第三方支付者以及社会来说可能相当可观。此类状况对健康的影响可能会极大地影响功能、发病率、生活质量和生存率。本文回顾了一种识别和衡量与必要口腔医疗保健相关的成本和后果的可能方法，并提出了一个评估必要口腔医疗保健的框架。本文还描述了护理的成本构成以及健康后果的维度。最后，通过一个例子来说明这种方法。此处提供的汇总信息旨在提供在评估与必要口腔医疗保健相关的成本和健康后果方面重要的概念和观点。对医疗保健项目经济评估和结果评估进行更详细讨论感兴趣的个人可参考其他资料。10 - 23
