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口衛三洪于茜研究成果”Use of Dental Health Services in Type 2 Diabetic Patients, Covered under Taiwan National Health Insurance (NHI) System” 投稿被2017美國口腔健康研討會(National Oral Health Conference)接受,預計4月21號前往美國分享研究成果

洪于茜分析高醫附設醫院、小港醫院及台南奇美醫院共348名第二型糖尿病患者是否有得到牙周病的經驗,和是否曾經從專業醫療人員口中獲取應定期看牙醫的資訊,以及在全民健康保下,過去六個月是否進行牙科拜訪,結果顯示牙科拜訪率不高,有接收到專業知識者極少,整體看來,得到牙周病並且有從專業人員口中得到資訊的患者比起其他未接收到資訊的患者,過去六個月內的牙科拜訪率較高。

NOHC摘要內容:

Use of Dental Health Services in Type 2 Diabetic Patients, Covered under Taiwan National Health Insurance (NHI) System

Hung, YC(洪于茜)1; Hsu, YJ(許原榕)2; Lin, YC(林盈諄)1, Huang, HL(黃曉靈)1

1Department of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University

2School of Dentistry, College of Dental Medicine, Kaohsiung Medical University

Abstract

Objective:

Health insurance is a contributing factor in the decision to seek health care services. Known as National Health Insurance (NHI), the Taiwanese system is single-payer compulsory social insurance that covers preventive medical and dental services. The American Dental Association suggests regular dental visits are important for patients with DM. We therefore evaluated the use of dental health services in type 2 diabetic patients, covered under NHI system.

Method:

Totally 348 type 2 diabetic patients were recruited in one Medical Center in Taiwan. A face-to-face interview was used to collect the information by a structured questionnaire. Use of dental health services was assessed with question “Have you seen a dentist in the past six months?” Multivariate logistic regression analyzed the use of dental services and its factors in diabetic patients.

Result:

Overall, 35% of the diabetic patients had visited a dentist within the past six months. Only 29.3% of patients had ever been told to see a dentist regularly by healthcare professionals. Diabetic patients who had periodontal disease experience [adjusted Odds Ratio (aOR) = 1.68] and were advised of seeing a dentist by healthcare professionals (aOR = 2.92) were significantly more likely to use of dental health services in the past six months.

Conclusion:

Advice of seeing a dentist regularly by healthcare professionals was associated with use of dental health service in diabetic patients. Patients with type 2 DM should be encouraged by their medical care providers to have regularly dental visits as part of a comprehensive diabetes care plan.

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