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Comparison of compliance and treatment outcome between Medicaid and non-Medicaid patients treated in a university setting.

机译：在大学环境中对医疗补助和非医疗补助患者进行依从性和治疗效果的比较。

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摘要

The objective of this study was to compare the compliance and treatment outcomes of Medicaid and fee for service patients who were treated by the same orthodontist in the same clinic setting. Twenty three patients, enrolled in Medicaid who had completed treatment between 2000 and May 2009 were identified. For each provider a matching number of fee for service patients who met the same inclusion/exclusion criteria were randomly selected from the provider's patient pool. Initial and final models were scored using the Peer Assessment Rating (PAR) Index to assess initial and post-treatment orthodontic outcome. Compliance was measured by reviewing chart entries and recording dates for the following: missed, rescheduled, cancelled and emergency appointments and appointments where the patient presented with a broken appliance. The model analysis of PAR scores showed that there was no difference between Medicaid patients in post-treatment PAR, after adjusting for age, gender and pretreatment PAR. No statistically significant difference between the Medicaid and non-Medicaid groups on compliance. With respect to effectiveness of treatment and compliance, there does not appear to be substantial differences between patients enrolled in Medicaid and those patients that pay privately.
机译：这项研究的目的是比较在同一诊所环境中由同一位正畸医生治疗的服务患者的医疗补助和费用的依从性和治疗效果。确定了2000年至2009年5月间完成治疗的23例纳入Medicaid的患者。对于每个提供者，从提供者的患者库中随机选择满足相同收录/排除标准的服务患者收费。使用同伴评估等级（PAR）指数对初始模型和最终模型进行评分，以评估初始和治疗后的正畸结果。通过查看以下图表条目和记录日期来衡量依从性：错过，改期，取消和紧急约会以及患者出现损坏的设备的约会。 PAR评分的模型分析表明，在对年龄，性别和治疗前PAR进行调整后，医疗补助患者在治疗后PAR中没有差异。医疗补助组和非医疗补助组之间在依从性方面没有统计学上的显着差异。关于治疗的有效性和依从性，参加Medicaid的患者与私下付费的患者之间似乎没有实质性差异。

著录项

  • 作者

    Berndt, Jeffrey N.;

  • 作者单位

    The University of North Carolina at Chapel Hill.;

  • 授予单位 The University of North Carolina at Chapel Hill.;
  • 学科 Health Sciences Dentistry.
  • 学位 M.S.
  • 年度 2010
  • 页码 30 p.
  • 总页数 30
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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