某市社区居民口腔医疗服务费用分析

An analysis of the oral health care expenditure of residents in a city

目的调查该市社区居民口腔医疗服务费用情况。方法采用随机抽样法,自制调查问卷对该市12 860名社区居民口腔医疗服务费用情况进行调查,对不同人口社会经济特征的社区居民的疗效费进行分析,采用单因素Logistic回归对影响口腔医疗服务费用的因素进行分析。结果社区居民就诊率较低,但是次均费用较高。不同人口社会经济学特征的居民口腔医疗费用具有显著差异。文化程度、是否牙痛、收入、是否30～64岁、是否镶牙、是否大于64岁、储蓄、是否商业服务和是否医生或教师是影响口腔医疗费用的关键因素。结论为该市口腔医疗保障制度及口腔医疗卫生服务费用预测提供一定的参考依据。

Objective To analyze the dental care expenditure of residents in Dongying of Shandong.Methods 12 860 people were selected by cluster random sampling,and the data of dental care expenditure were collected by using self made survey questionnaire.The expenditure of different community with different social and economic background were analyzed,and the influential factors of dental care expenditure were analyzed by Multivariate analysis.Results The number of the people who visited a dentist in a year were small but the expenditure for oral health care per visit were quite high.There were differences on the expenditure among those with different demographic,social,economic backgrounds.Multivariate analysis showed that educational background,toothache,income,30-64 years old or not,dental prosthetics,more than 65 years old,deposit,business services and doctor and teacher were the most influencing factors of dental care expenditure.Conclusion The research will provide some references for the revision of dental medical insurance system and the forecast of dental medical service expenses.