未成熟恒牙牙髓治疗的就医考虑因素:全国儿童牙科医生和牙髓病学家调查

IF 3.5 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
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引用次数: 0

摘要

导言:本研究旨在调查与未成熟恒牙牙髓治疗相关的医疗获取途径和财务考虑因素。方法:向美国的牙髓病学家(n = 2,457)和儿童牙科医生(n = 3,974)发放了调查问卷。采用 X2 分析和逻辑回归对数据进行分析。结果回复率为 13%(n = 840)。受访专家群体的年龄和完成专科住院医师培训后的年数相似,但在主要执业环境(如私人诊所、联邦合格卫生中心、医院)方面存在显著差异(P = .001)。大多数受访者(91%)表示参加了牙科保险。与牙髓病学家(17%)相比,儿科牙医(69%)参加公共牙科保险的可能性明显更高(P = .001)。大多数受访者(82%)表示,患者反映经济因素(时间或金钱)是获得牙髓治疗的障碍。儿童牙科医生在制定治疗计划时更倾向于考虑经济因素(P < .001)。与牙髓病学家相比,儿童牙科医生更倾向于认为用于治疗坏死的未成熟恒牙的牙髓治疗程序的费用应低于根管治疗(先端化,P < .001;再生性牙髓治疗程序,P = .002)。儿科牙医(33%)表示在试图将患者转诊给牙髓病学家时遇到了障碍。无法找到一位参加牙科保险的牙髓病学家是最常提到的障碍。结论临床医生参加牙科保险的人数有限以及牙髓治疗程序保险范围的空白似乎是造成儿科患者就医障碍的原因之一。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Access to Care Considerations for the Endodontic Treatment of Immature Permanent Teeth: A National Survey of Pediatric Dentists and Endodontists

Introduction

This study aimed to investigate access to care and financial considerations associated with the endodontic treatment of immature permanent teeth.

Methods

Surveys were distributed to endodontists (n = 2,457) and pediatric dentists (n = 3,974) in the United States. Data were analyzed using X2 analysis and logistic regression. The level of significance was set to 0.05.

Results

The response rate was 13% (n = 840). Respondent specialist groups were similar by age and years since specialty residency completion, but significantly different with regard to primary practice setting (eg private practice, Federally Qualified Health Center, hospital), (P = .001). The majority (91%) of respondents reported participation with dental insurance. Pediatric dentists (69%) were significantly more likely than endodontists (17%) to participate with public-payer dental insurance (P < .001). The majority of respondents (82%) indicated that patients reported economic factors (time or money) as a barrier to accessing endodontic treatment. Pediatric dentists were significantly more likely to consider economic factors when planning for treatment (P < .001). Pediatric dentists were more likely than endodontists to have the opinion that endodontic procedures for treatment of necrotic immature permanent teeth should cost less than root canal therapy (apexification, P < .001; regenerative endodontic procedures, P = .002). Pediatric dentists (33%) reported encountering barriers when attempting to refer their patients to an endodontist. Inability to find an endodontist that participates with dental insurance was the most frequently cited barrier.

Conclusions

Limited clinician participation with dental insurance and gaps in insurance coverage for endodontic procedures appear to contribute to access to care barriers for pediatric patients.

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来源期刊
Journal of endodontics
Journal of endodontics 医学-牙科与口腔外科
CiteScore
8.80
自引率
9.50%
发文量
224
审稿时长
42 days
期刊介绍: The Journal of Endodontics, the official journal of the American Association of Endodontists, publishes scientific articles, case reports and comparison studies evaluating materials and methods of pulp conservation and endodontic treatment. Endodontists and general dentists can learn about new concepts in root canal treatment and the latest advances in techniques and instrumentation in the one journal that helps them keep pace with rapid changes in this field.
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