1984年至1992年对北卡罗来纳州儿童牙科医疗补助计划中在校儿童经历的一项纵向研究。
A longitudinal study of schoolchildren's experience in the North Carolina Dental Medicaid Program, 1984 through 1992.
作者信息
Robison V A, Rozier R G, Weintraub J A
机构信息
Johns Hopkins School of Hygiene and Public Health, Department of Epidemiology, Baltimore, MD 21205, USA.
出版信息
Am J Public Health. 1998 Nov;88(11):1669-73. doi: 10.2105/ajph.88.11.1669.
OBJECTIVES
This evaluation of a state Medicaid dental program describes dental treatment received, relates treatment needed to treatment received, and describes enrollment and use over an 8-year period.
METHODS
Three databases were linked: (1) clinical records from a 1986/87 statewide epidemiological survey, providing data on treatment need; (2) Medicaid dental claims from 1984 through 1992, providing data on treatment received; and (3) Medicaid enrollment files from 1984 through 1992.
RESULTS
Half of Medicaid-enrolled children never used dental services. Among users of dental services, 45% and 25% of children needed restorations in primary and permanent teeth, respectively. In this group, 29% had all needs met, 28% had needs partially met, and 43% had no needs met. Forty-six percent of children sought care for only 1 year.
CONCLUSIONS
Federal guidelines for dental care are not met in this typical Medicaid population of short-term enrollees who use services sporadically. Programs should aim to increase use and ensure that all needed services, especially preventive procedures such as sealants, can be completed within the short period of time a child attends for care.
目的
对一项州医疗补助牙科项目的评估描述了所接受的牙科治疗，将所需治疗与所接受的治疗相关联，并描述了8年期间的登记情况和使用情况。
方法
链接了三个数据库：（1）1986/87年全州流行病学调查的临床记录，提供治疗需求数据；（2）1984年至1992年的医疗补助牙科理赔记录，提供所接受治疗的数据；（3）1984年至1992年的医疗补助登记档案。
结果
参加医疗补助的儿童中有一半从未使用过牙科服务。在使用牙科服务的儿童中，分别有45%和25%的儿童需要对乳牙和恒牙进行修复。在这组儿童中，29%的儿童所有需求都得到了满足，28%的儿童需求部分得到满足，43%的儿童需求未得到满足。46%的儿童只寻求了1年的治疗。
结论
在这个典型的短期参保且偶尔使用服务的医疗补助人群中，未达到联邦牙科护理指南的要求。项目应旨在增加使用率，并确保在儿童接受治疗的短时间内能够完成所有所需服务，尤其是诸如窝沟封闭剂等预防性程序。
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