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Characteristics of Dental Services in Rural, Suburban, and Urban Areas Upon the Implementation of Indonesia National Health Insurance

机译:农村,郊区和城市地区牙科服务特征在实施印度尼西亚国家健康保险时

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Introduction: The implementation of Indonesia National Health Insurance (NHI) for oral health needs to be evaluated by observing the dental disease patterns and dental therapy pattern from community health centers (CHCs) at rural area, suburban area and urban area. The aim of the study is to describe the characteristic of dental services at rural, suburban, and urban after the implementation of NHI on CHCs in the Special Region of Yogyakarta in 2014. Materials and methods: This is an observational study with a cross sectional research design. The study used quantitative data obtained from dental record at selected CHCs. Using a purposive sampling method, 30 CHCs as unit analysis were collected from rural, suburban, and urban areas. The data were collected from January 2014 to December 2014. Results: Data from 26,554 patients were collected from dental records of dental clinic at CHCs. There were 5,829 patient dental records from rural areas, 12,327 from suburban areas, and 8,938 from urban areas. The primary dentist tend to provide services without clinical intervention on periodontal problems, abscesses and lesions. Clinical interventions were mostly provided for prolonged retention and deposits on teeth. Primary dentists in suburban areas tend to provide clinical intervention on caries disease compared to those in rural and urban areas. Statistically significant differences (p0.05) were observed among locations in the pattern of providing clinical interventions on caries, abscess, lession, prolonged retention, deposits on teeth and other problems. No difference was recorded only on periodontal disease. Discussion: This study found that each area has different characteristic of dental disease and dental therapy patterns. Each area has a significant difference in the pattern of the clinical intervention of dental disease except in periodontal problem
机译:介绍:通过观察来自农村地区,郊区和城区社区保健中心(CHC)的牙科疾病模式和牙科治疗模式,需要评估印度尼西亚国家健康保险(NHI)。该研究的目的是描述农村,郊区和城市在2014年日惹特殊地区实施NHI的牙科服务的特征。材料和方法:这是一个横断面研究的观察研究设计。该研究使用从所选CHC的牙科记录中获得的定量数据。使用有目的采样方法,从农村,郊区和城市地区收集30个CHC。从2014年1月到2014年12月收集了数据。结果:26,554名患者的数据从CHCS的牙科诊所的牙科记录中收集。农村地区有5,829名患者牙科记录,郊区的郊区12,327,城市地区8,938。主要牙医倾向于提供没有临床干预的服务,而牙周问题,脓肿和病变。主要提供临床干预,延长留在牙齿上的延长和沉积物。与农村和城市地区相比,郊区地区的主要牙医倾向于为龋病疾病提供临床干预。在龋齿,脓肿,依赖,长期保留,牙齿沉积物的临床干预的模式中观察到统计学上显着的差异(P <0.05)。在牙周病上没有任何差异。讨论:本研究发现,每个区域具有不同的牙科疾病和牙科治疗模式的特征。除牙周问题之外,每个区域对牙科疾病的临床干预模式具有显着差异

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