针对 12 岁以下儿童的加拿大临时牙科福利第一年的数据调查

R. Schroth, Vivianne Cruz de Jesus, Anil Menon, O. Olatosi, Victor H. K. Lee, Kathy Yerex, K. Hai-Santiago, D. Demaré
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摘要

2022 年,联邦政府宣布投入 53 亿加元为无保险者提供牙科保健,首先从 12 岁以下儿童开始。该计划现在被称为 "加拿大临时牙科福利"(CDB),主要针对年收入低于 9 万加元且没有私人牙科保险的家庭中的 12 岁以下儿童。本研究的目的是审查加拿大政府提供的有关临时 CDB 第一年的公众接受情况和向加拿大税务局(CRA)提出申请的联邦数据。临时 CDB 第一年(截至 2023 年 6 月 30 日)的数据是通过开放政府许可证-加拿大从加拿大政府开放数据门户网站获取的。每 1,000 名儿童中领取临时 CDB 的比率是用受益人数除以各省或地区 0-11 岁儿童总人数计算得出的,该数据可从加拿大统计局获得 2021 年的数据。在该计划实施的第一年,共有 204,270 份申请获得批准,这些申请由 188,510 名独特的申请人提出,涉及 321,000 名年龄小于 12 岁的儿童。CRA 共发放了超过 1.97 亿美元。总体而言,全国接受临时 CDB 的儿童比例为 67.8/1,000。安大略省(82.5/1,000)、马尼托巴省(77.1/1,000)、新斯科舍省(73.4/1,000)和萨斯喀彻温省(72.3%)获得临时 CDB 的儿童比例均高于全国比例。各国政府和口腔卫生专业需要解决获得保健的其他方面问题,包括口腔保健的可获得性、可用性、便利性、认知度和可接受性。
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An investigation of data from the first year of the interim Canada Dental Benefit for children <12 years of age
In 2022, the federal government announced a commitment of $5.3B to provide dental care for the uninsured, beginning with children <12 years of age. Now referred to as the Interim Canada Dental Benefit (CDB), the program targets those <12 years of age from families with annual incomes <$90,000 without private dental insurance. The purpose of this study was to review federal data from the Government of Canada on public uptake and applications made to the Canada Revenue Agency (CRA) during the first year of the Interim CDB.Data for the first year of the Interim CDB (up to June 30, 2023) were accessed from the Government of Canada Open Data Portal through Open Government Licence—Canada. Rates of children receiving the Interim CDB per 1,000 were calculated by dividing the number of beneficiaries by the total number of children 0–11 years by province or territory, available from Statistics Canada for the year 2021.During the first year of the program, a total of 204,270 applications were approved, which were made by 188,510 unique applicants for 321,000 children <12 years of age. Over $197M was distributed by the CRA. Overall, the national rate for receiving the Interim CDB was 67.8/1,000 children. Ontario (82.5/1,000), Manitoba (77.1/1,000), Nova Scotia (73.4/1,000), and Saskatchewan (72.3%), all had rates of children with the Interim CDB above the national rate.Data from the first year of the Interim CDB suggests that this federal funding is increasing access to care for children <12 years by addressing the affordability of dental care. Governments and the oral health professions need to address other dimensions of access to care including accessibility, availability, accommodation, awareness, and acceptability of oral health care.
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