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zoom RSS 650万人の子どもが未処置の虫歯をかかえたまま/米国歯科医療事情

<<   作成日時 : 2008/10/02 20:10   >>

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 連邦政府報告(U.S. Government Accountability Office report)によると、数百万人の貧困層の子どもが治療してくれる歯科医が見つからず、未処置の虫歯を持っている。
 1999-2004年のデータによる解析で、2005年にメディケイド加入の約650万人の子どもが未処置の虫歯を持ち、私的健康保険の子どもの約2倍ある。メディケイド受給者の14.8%が歯科医に断られたために子どもが必要な歯科治療を受けられなかったという。メディケイドの給付が私的保険に比べて低い。メディケイドで何らかの治療を受けられた子どもは1/3だけで、1/8は一度も歯科医にかかっていない。私的健康保険の子どもは半数以上が治療を受けた。
 現在の57に加え、8つの歯科医学校が開設予定である。さらに、新しい仕事--コミュニティ歯科衛生コーディネーター--が作られてきている。しかし、歯科医が増えても私的保険と同じような給付率になるようにメディケイド給付の増額へと議会が動かなければならない。
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ウエストバージニアの痛み/米国歯科医療事情
http://kurie.at.webry.info/200807/article_1.html
不充分な高齢者歯科医療 ロサンゼルス郡/米国歯科医療事情
http://kurie.at.webry.info/200805/article_49.html
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Report:Millions of children have untreated tooth decay
http://edition.cnn.com/2008/US/09/23/dentalcare.medicaid/index.html
* Story Highlights
* About 6.5 million children enrolled in Medicaid had untreated tooth decay in 2005
* Last year 12-year-old Deamonte Driver died from complications of infected tooth
* Dentists often refuse to accept Medicaid, which often pays less than private insurers
* Many Medicaid recipients say it's difficult to get dental care using Medicaid

画像(CNN) -- Millions of poor American children have untreated tooth decay, some of them because they cannot find a dentist willing to treat them, a federal report issued Tuesday said.
Only 1 in 3 children in Medicaid received any dental care over a year time span, according to a new report.

Only 1 in 3 children in Medicaid received any dental care over a year time span, according to a new report.

"Dental disease remains a significant problem for children aged 2 through 18 in Medicaid," the U.S. Government Accountability Office report concluded, referring to the federal/state health program for poor people.

According to the report, which used data from 1999 to 2004, about 6.5 million children enrolled in Medicaid had untreated tooth decay in 2005 and were nearly twice as likely as children with private health insurance to have untreated tooth decay.

The GAO report was ordered after widespread publicity of the case of Deamonte Driver, a 12-year-old boy boy who died last year in suburban Washington when an untreated infected tooth led to a brain infection.

Driver "had extensive dental disease and his family was unable to find a dentist to treat him," the report said.

The report said 14.8 percent of Medicaid recipients said their children had not gotten necessary dental care because their dentist refused to accept Medicaid, which typically pays providers less than private insurers.

"Clearly, the oral health care system failed this young man," said Dr. Jane S. Grover, first vice president of the American Dental Association in testimony Tuesday to the Committee on House Oversight and Government Reform Subcommittee on Domestic Policy.

"All of us -- practitioners, payers, parents and policymakers -- need to come together and make the system work for the most vulnerable among us," she said.

The report found that, nationwide, only one in three children in Medicaid had received any dental care in the year before the survey was carried out, and one in eight reportedly had never seen a dentist.

In comparison, more than half of children with private health insurance had gotten dental care during the prior year.

"Fundamental changes to the Medicaid program are long overdue to prevent the possibility of future tragedies like Deamonte and to ensure that all low-income children have the same access to oral health care services enjoyed by the majority of Americans," Grover said.

Efforts are under way to fix the problem. She cited plans to open eight dental schools in addition to the 57 currently in existence and said a new job -- community dental health coordinator -- has been created. The coordinators will be trained to work in clinics and schools to ensure emergency care is provided to children, she said.

"If there had been a CDHC in the school that Deamonte Driver attended, we believe this tragedy could have been prevented," she said.

"Through a routine exam, a CDHC could have spotted a simple cavity, filled the cavity with a temporary filling, and made arrangements for care by a dentist," she said.

The CDHC will also help families enroll in Medicaid and get transportation to appointments, she said.

But even if the numbers of dentists increase, Congress must act to increase fees for those participating in Medicaid to match private rates, she said.

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