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首页> 外文期刊>Journal of public health dentistry >Does covering routine dental care for the Medicare population produce cost savings in Medicare? A preliminary 2‐year analysis
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Does covering routine dental care for the Medicare population produce cost savings in Medicare? A preliminary 2‐year analysis

机译：涵盖医疗保险人口的常规牙科护理会产生Medicare的成本节省吗？ 初步为期2年分析

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Abstract Objectives We estimated the association between the use of preventive dental care and medical use and expense for older persons over a 2‐year period to determine if a Medicare dental benefit for routine care could result in potential cost savings in Medicare. Methods We relied on 2008‐2014 Medical Expenditure Panel Survey data to estimate separate logistic and lognormal ordinary least squares regressions to analyze the influence of year 1 preventive dental care on either year 1 or year 2 use and expenses for total health care, office‐based care, outpatient care, inpatient stays, emergency department visits, and prescription drugs. Results Our findings provide evidence over a 2‐year period that a Medicare dental benefit for routine care could produce an increase in office‐based visits and expense. We also found that older persons currently using routine dental care have healthier lifestyles and greater access to care and use of preventive medical care than current nonusers. Conclusion Our results affirm the need for a longer‐term study to provide any conclusive evidence as to the ultimate impact of a Medicare dental benefit on other health care use and expenses.
机译：摘要目的：我们估计了老年人在2年期间使用预防性牙科护理和医疗用途及费用之间的关联，以确定常规护理的医疗保险牙科福利是否可能导致医疗保险的潜在成本节约。方法我们根据2008-2014年医疗支出面板调查数据，估计单独的逻辑回归和对数正态普通最小二乘回归，以分析第一年预防性牙科护理对第一年或第二年使用的影响，以及总体医疗、办公室护理、门诊护理、住院、急诊和处方药的费用。结果我们的研究结果在2年的时间里提供了证据，证明常规护理的医疗保险牙科福利可能会增加基于办公室的就诊和费用。我们还发现，目前使用常规牙科护理的老年人比目前不使用的老年人生活方式更健康，更容易获得护理和使用预防性医疗护理。结论我们的研究结果证实需要进行一项长期研究，以提供关于医疗保险牙科福利对其他医疗保健使用和费用的最终影响的任何确凿证据。

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