以色列儿童牙科保健改革--2011 年至 2022 年的服务使用情况。

IF 3.5 4区 医学 Q1 HEALTH POLICY & SERVICES
Hagit Domb Herman, Hazav Dadosh, Dan Dekel, David Yellon, Shlomo Paul Zusman, Lena Natapov
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引用次数: 0

摘要

背景:2010 年《国家健康保险法》的儿童牙科保健改革标志着以色列口腔保健系统的一个转折点,即建立了儿童牙科保健全民医保制度。改革最初包括 8 岁以下的儿童,并在 2019 年逐步扩大到 18 岁。一揽子服务包括由四个健康维护组织(HMO)提供的预防和修复治疗。本研究的目的是调查改革前十年中儿童牙科服务的使用情况:方法:根据健康维护组织向卫生部提交的 2011-2022 年年度服务利用报告,进行了一项回顾性分析,以确定所提供服务的接受治疗情况、类型和数量:投保儿童人数从 2011 年的 1,546,857 人增至 2022 年的 3,178,238 人。在研究期间,牙科服务的使用率逐渐上升,2020 年略有下降。使用牙科服务的儿童比例从 8%逐渐增加到 33%,并逐步纳入更多的年龄组。从 2012 年起,最常见的治疗是预防性治疗,但最常见的单项治疗是牙齿修复。2022 年,以色列有 35% 的人口年龄在 18 岁以下。其中,约三分之一的人通过 HMO 接受牙科治疗。这是一项重大成就,因为在改革之前,所有治疗都是自费的。在短期内接受率上升后,服务使用模式明显趋于稳定,这表明公众对服务的认识和接受程度有所提高:尽管这是一个合理的使用率,但还需要做出更多努力,以增加在公共保险范围内接受牙科治疗的儿童人数。这种努力可以是多学科方法的一部分,其中儿科医生和公共卫生护士可以在预防龋齿、提高意识和服务利用率方面发挥重要作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The child dental care reform in Israel - service uptake from 2011 to 2022.

Background: The 2010 Child Dental Care Reform of the National Health Insurance Law marked a turning point in the Israeli oral healthcare system by establishing Universal Health Coverage of dental care for children. Initially, the reform included children up to age 8 and gradually expanded to age 18 in 2019. The basket of services includes preventive and restorative treatments provided by the four Health Maintenance Organizations (HMO). The aim of this study was to examine the uptake of child dental services during the first decade of the reform.

Methods: A retrospective analysis was conducted to determine the treatment uptake, type and amount of the services delivered based on annual service utilization reports submitted by the HMOs to the Ministry of Health in the years 2011-2022.

Results: The number of insured children increased from 1,546,857 in 2011 to 3,178,238 in 2022. The uptake of dental services gradually increased during the study period with a slight decrease in 2020. The percentage of children who used the services gradually increased from 8 to 33%, with the incremental inclusion of additional age groups. From 2012 onwards the most common treatments provided were preventive, however the single most common treatment was dental restoration. In 2022 35% of the population of Israel was under the age of 18. Out of these, about a third received dental treatment via the HMOs. This is a significant achievement, since before the reform all treatments were paid out-of-pocket. After a short period of increasing uptake, a stable service utilization pattern was evident that can indicate better public awareness and service acceptance.

Conclusion: Although this is a reasonable uptake, additional efforts are required to increase the number of children receiving dental care within the public insurance. Such an effort can be part of a multi-disciplinary approach, in which pediatricians and public health nurses can play a vital role in dental caries prevention, enhancement of awareness and service utilization.

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来源期刊
CiteScore
6.20
自引率
4.40%
发文量
38
审稿时长
28 weeks
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