Oral health of high-cost patients and evaluation of oral health measures as predictors for high-cost patients in South Korea: a population-based cohort study.
BMJ Open
; 9(9): e032446, 2019 09 12.
Article
em En
| MEDLINE
| ID: mdl-31515435
ABSTRACT
OBJECTIVE:
To examine the oral health conditions and oral health behaviour of high-cost patients and evaluate oral health measures as predictors of future high-cost patients.DESIGN:
A retrospective, population-based cohort study using administrative healthcare records.SETTING:
The National Health Insurance Service (NHIS) medical check-up database (a.k.a. NHIS-national health screening cohort database) in South Korea.PARTICIPANTS:
131 549 individuals who received biennial health check-ups including dental check-ups in 2011 or 2012, aged 49-88. PRIMARY OUTCOMEMEASURES:
Current and subsequent year high-cost patient status.RESULTS:
High-cost patients, on average, incur higher dental costs, suffer more from periodontal disease, brush their teeth less and use secondary oral hygiene products less. Some of the self-reported oral health behaviours and oral symptom variables show statistically significant associations with subsequent year high-cost patient indicators, even after adjusting for demographic, socioeconomic, medical conditions, and prior healthcare cost and utilisation.CONCLUSIONS:
We demonstrate that oral health measures are associated with an increased risk of becoming a high-cost patient.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Comportamentos Relacionados com a Saúde
/
Saúde Bucal
/
Economia em Odontologia
/
Doenças da Boca
Tipo de estudo:
Etiology_studies
/
Health_economic_evaluation
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspecto:
Patient_preference
Limite:
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Asia
Idioma:
En
Revista:
BMJ Open
Ano de publicação:
2019
Tipo de documento:
Article