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Titolo:
Health care utilization and cost among health maintenance organization members with temporomandibular disorders
Autore:
White, BA; Williams, LA; Leben, JR;
Indirizzi:
Kaiser Permanente, Ctr Hlth Res, Portland, OR USA Kaiser Permanente Portland OR USA anente, Ctr Hlth Res, Portland, OR USA Temporomandibular Disorders Clin, Portland, OR USA Temporomandibular Disorders Clin Portland OR USA Clin, Portland, OR USA
Titolo Testata:
JOURNAL OF OROFACIAL PAIN
fascicolo: 2, volume: 15, anno: 2001,
pagine: 158 - 169
SICI:
1064-6655(200121)15:2<158:HCUACA>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
PAIN-DYSFUNCTION; JOINT DISORDERS; EPIDEMIOLOGY;
Keywords:
temporomandibular disorders; health services; utilization; economics; health care costs;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: White, BA Kaiser Permanente, Ctr Hlth Res, 3800 N Interstate Ave, Portland, OR USA Kaiser Permanente 3800 N Interstate Ave Portland OR USA OR USA
Citazione:
B.A. White et al., "Health care utilization and cost among health maintenance organization members with temporomandibular disorders", J OROFAC P, 15(2), 2001, pp. 158-169

Abstract

Aims: Little has been reported on the use of health care services and consequent costs among persons with temporomandibular disorders (TMD). This project compared the use and cost of medical and dental care services for TMD patients and matched comparison subjects. Methods: Patients were continuously enrolled members of Kaiser Permanente Northwest Division who had at least 1 TMD Clinic visit or TMD-related procedure between January 1990 and December 1995 (n = 8,801). An equal number of comparison subjects were identified electronically and matched on 14 variables, including age and gender. Utilization and cost estimates were determined and compared for selected medical and dental services. Results: For both groups, the mean age was about 40.5 years, and approximately 80% were female. The TMD subjects used significantly more services than did comparison subjects and had mean costs that were 1.6 times higher for all services. Outpatient visits accounted fro about 40% of the difference in mean costs. About 10% of TMD subjects and comparison subjects accounted fro about 40% and 47% of the costs in each group, respectively. Female TMD subjects and comparison subjects had higher costs than their male counterparts, and male TMD subjects had higher costs than female comparison subjects. Conclusion: Patients with TMD used more of all types of services and had higher costs. A small proportion of the subjects accounted for a large proportion of the costs. Gender was an important factorin utilization and cost. Utilization and cost differences were consistent over a wide range of service categories and could not be explained by TMD alone.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/01/20 alle ore 13:48:04