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歯科医療費の分析に関する最近の動向
https://mdu.repo.nii.ac.jp/records/516
https://mdu.repo.nii.ac.jp/records/51670298d8a-6d15-47de-be85-e87371f8f823
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
matsumoto_shigaku_31-02-02.pdf (2.3 MB)
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| Item type | Journal Article(1) | |||||||
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| 公開日 | 2012-05-24 | |||||||
| タイトル | ||||||||
| タイトル | 歯科医療費の分析に関する最近の動向 | |||||||
| 言語 | ||||||||
| 言語 | jpn | |||||||
| キーワード | ||||||||
| 主題Scheme | Other | |||||||
| 主題 | 歯科医療費 | |||||||
| キーワード | ||||||||
| 主題Scheme | Other | |||||||
| 主題 | 地域差 | |||||||
| キーワード | ||||||||
| 主題Scheme | Other | |||||||
| 主題 | 医師誘発需要理論 | |||||||
| 資源タイプ | ||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||
| 資源タイプ | journal article | |||||||
| その他（別言語等）のタイトル | ||||||||
| その他のタイトル | Recent trends in the analysis of dental care expenditure is concerned | |||||||
| 著者 |
柳沢, 茂
× 柳沢, 茂
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| 抄録 | ||||||||
| 内容記述タイプ | Abstract | |||||||
| 内容記述 | Dental care expenditure in Japan amounted to 2.58 trillion yen in 2002, showing a progressive annual increase. Dental care expenditure accounted for 8.3% of people medical expenses. Dental care expenditure as value points for surgical dental practice covered by social insurance tended to higher in regions with a low concentration of dentists and dental clinics, and lower in regions with a larger difference between the resident population and daytime population. There was a comparatively direct negative correlation between the number of dentists and dental clinics and the consultation income from social insurance of dental clinics. Daily dental practice income was nominally increased, but after adjustment data for the consumer price index was decreased by 6.6% when 1999 were compared with 1981 data. This decrease is best explained by a drop in the dental patient volume outweighing the small increase in fees per patient. As the average fee per patient is relatively higher for dentists, even a small decrease in patient volume translates into a large drop in dental practice income. The analysis of dental care expenditure with respect to three key factors: dental care recipients per population, dental care expenditures per day, and dental consultations per case, showed that there were slight differences according to regional characteristics. The examination with special reference to the effect of aging on dental care expenditures found that the ratio of aged people to the population was negatively related to dental care expenses. This is thought to be due to increases in number of persons with complete denture causing a relative reduction in the ratio of clinical consultations, which results in a decrease in dental care expenses. Elderly people with more sound teeth have lower total medical costs, however the average rate of dental treatment was high in municipalities where the average number of teeth was high, and the average dental expenses of elderly people was high in municipalities where the average rate of dental treatment was high. Therefore, it is meaningful for the population and for dental practitioners that the 8020 movement be strongly promoted. Several studies have suggested worksite promotional activities for dental health promotion activities to effectively reduce dental and medical expenses. After implementing dental health promotion activities, a temporary increase is dental expenditure was observed. However, dental expenditure after two and three years became significantly lower than those of the control group without a preventive program. Dental expenditure accounts for a certain portion of consumer spending, but it varies largely among households according to income. It is more susceptible than general health expenditure to variations in consumer spending and alterations in the health insurance system. No significant relations were observed among the number of dental clinics and cost for both insured and uninsured treatment, suggesting an absence of "physician-induced demand theory". It is more necessary to provide knowledge about dental science and treatment for patients. | |||||||
| 書誌情報 |
松本歯学 巻 31, 号 2, p. 138-148, 発行日 2005-08-31 |
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| 出版者 | ||||||||
| 出版者 | 松本歯科大学学会 | |||||||
| ISSN | ||||||||
| 収録物識別子タイプ | ISSN | |||||||
| 収録物識別子 | 0385-1613 | |||||||
| 書誌レコードID | ||||||||
| 収録物識別子タイプ | NCID | |||||||
| 収録物識別子 | AN00232590 | |||||||
| フォーマット | ||||||||
| 内容記述タイプ | Other | |||||||
| 内容記述 | application/pdf | |||||||
| 著者版フラグ | ||||||||
| 出版タイプ | VoR | |||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||
