牙科處置藥品及材料成本相對值之初探

TheRelative Value Units of Drugs and Materials Costs for Dental Procedures

陳琇玲(Hsiu-Ling Chen) ； 黃文駿(Wen-Jiun Huang) ； 溫信財(Hsyien-Chia Wen) ； 楊志良(Chih-Liang Yaung)

《台灣公共衛生雜誌》 21卷2期 (2002/04) Pp. 133-139

https://doi.org/10.6288/TJPH2002-21-02-06

摘要

Objectives: Drugs and materials account for 15 % of the costs in dental services. We exam med their relative value units (RVUs) to establish the resource-based relative value scales for dental procedures in the future. Methods: Upon recommendation of the National Dental Association of the Republic of China, a Technical Consulting Group (TCG) was formed to select 25 dental services and procedures (S/Ps) to be investigated. We asked the TCG to draw up the list of necessary but non-common drugs and materials used for each S/P. A TCG member with accounting training approved the list. We then sampled four dental clinics to examine the costs required for each of the 25 S/Ps and transferred them to RVUs. The results thus obtained were used to explore the RVUs of the drugs and materials costs of the non-surveyed S/Ps by TCG members separately. Results: The RVUs showed excellent correlation between the four dental clinics (P ＜0.01) and between the TCG members (P＜0.001). The RVUs of the drugs and materials costs required for 79 dental S/Ps were established. Conclusions:(1)We have established the RVUs of the drugs and materials costs required for 79 most important dental services. (2)It is hard to research the cost of drugs and materials for dental S/Ps. (3)It is better to establish the list of necessary but non-common drugs and materials used for each S/P by a TCG and to investigate the specific costs required through the cooperation of clinics. (4)The results can be used to establish the resource-based relative value scales for dental procedures.(Taiwan J Public Health. 2002;21(2):133-139)

關鍵字

牙科 ； 藥品及材料成本 ； 相對值

並列摘要

Objectives: Drugs and materials account for 15 % of the costs in dental services. We exam med their relative value units (RVUs) to establish the resource-based relative value scales for dental procedures in the future. Methods: Upon recommendation of the National Dental Association of the Republic of China, a Technical Consulting Group (TCG) was formed to select 25 dental services and procedures (S/Ps) to be investigated. We asked the TCG to draw up the list of necessary but non-common drugs and materials used for each S/P. A TCG member with accounting training approved the list. We then sampled four dental clinics to examine the costs required for each of the 25 S/Ps and transferred them to RVUs. The results thus obtained were used to explore the RVUs of the drugs and materials costs of the non-surveyed S/Ps by TCG members separately. Results: The RVUs showed excellent correlation between the four dental clinics (P ＜0.01) and between the TCG members (P＜0.001). The RVUs of the drugs and materials costs required for 79 dental S/Ps were established. Conclusions:(1)We have established the RVUs of the drugs and materials costs required for 79 most important dental services. (2)It is hard to research the cost of drugs and materials for dental S/Ps. (3)It is better to establish the list of necessary but non-common drugs and materials used for each S/P by a TCG and to investigate the specific costs required through the cooperation of clinics. (4)The results can be used to establish the resource-based relative value scales for dental procedures.(Taiwan J Public Health. 2002;21(2):133-139)

並列關鍵字

dentistry ； cost of drugs and materials ； relative value units (RVUs)

參考文獻

Gallagher, P. E., Klemp, T., Smith, S. L.(2001).Medicare RBRVS: The Physicians' Guide 2001.Chicago:American Medical Association.

Oscarson, N., Kallestal, C., Karlsson, G.(1998).Methods of Evaluating Dental Care Costs in the Swedish Public Dental Health Care Sector.Community Dent Oral Epidemiol.26

陳琇玲 Chen, Hsiu-Ling、 黃文駿 Huang, Wen-Jiun、 溫信財 Wen, Hsyien-Chia、 楊志良 Yaung, Chih-Liang(2001)。牙醫師臨床處置操作時間之探討 Procedure Time for Dental Treatment Procedures in Taiwan。臺灣公共衛生雜誌 Taiwan Journal of Public Health。20(4)

陳琇玲 Chen, Hsiu-Ling、 溫信財 Wen, Hsyien-Chia、 楊志良 Yaung, Chih-Liang、 張孝新 Chang, Hsiao-Hsin(2000)。試以相對價值表(RVS)訂定醫師費計算基準一以牙科79個處置為例 Establishing the Relative Value Scale (RVS) of Physician Fees in Taiwan--A Review of 79 Dental Procedures。中華公共衛生雜誌 Chinese Journal of Public Health。19(6)

楊志良 Yaung, Chih-Liang()。,未出版。