Impact of public dental care spending and insurance coverage on utilization disparities among Canadian jurisdictions

2018 ◽  
Vol 78 (4) ◽  
pp. 346-351 ◽  
Author(s):  
Armita Dehmoobadsharifabadi ◽  
Sonica Singhal ◽  
Carlos R. Quiñonez
Author(s):  
Jin-Sun Choi ◽  
Se-Hwan Jung

In South Korea, the National Health Insurance Service (NHIS) began its coverage of dentures and dental implants for older people in 2012 and 2014, respectively. This study aimed to investigate the impact of these policies on dental care utilization among people aged 65 years or older according to their sociodemographic characteristics. Data were collected from the Korea Health Panel Survey (KHP; years 2012 and 2015). The statistical significance of the relationships between sociodemographic characteristics and the use of outpatient dental care, denture, and dental implant were analyzed. Results showed an increase of 5.7%, 1.4%, and 2.8% in the use of outpatient dental care, denture, and dental implant, respectively, over the course of three years. Including dentures increased its use by 2.5–3.7 times among people aged 70 years or older. Including dental implants alleviated the disparities among older adults based on age groups and duration of education, except those among uneducated people; however, it caused inequity according to household income. Some Korean older adults remain neglected from the benefits of the expanded NHIS. Therefore, older adults’ access to dental care should be enhanced by the implementation of policies to promote oral health care utilization, dental prosthetic services, and older adults’ insurance coverage.


Medical Care ◽  
1976 ◽  
Vol 14 (3) ◽  
pp. 189-198 ◽  
Author(s):  
Eugene G. Geiser ◽  
Fredric C. Menz

Ergonomics ◽  
2013 ◽  
Vol 56 (2) ◽  
pp. 303-313 ◽  
Author(s):  
D. Jonker ◽  
B. Rolander ◽  
I. Balogh ◽  
L. Sandsjö ◽  
K. Ekberg ◽  
...  

2018 ◽  
Vol 69 (8) ◽  
pp. 2115-2120
Author(s):  
Kinga Dorner ◽  
Bernadette Kerekes Mathe ◽  
Andreea Bors ◽  
Cristina Molnar Varlam ◽  
Vanda Roxana Nimigean ◽  
...  

In Romania dental health services are provided mainly through user pays private practices and there is a limited reimbursement of dental services from the government. The economic recession lead to substantial lack of insurance coverage for oral health care of low-income population. The aim of this six-year retrospective study was to assess the prevalence of patients requesting public dental emergency care and to determine the characteristics of dental affections for which emergency interventions were requested in Tirgu-Mures, Romania. During the analyzed period, a total number of 38610 patients were treated in the Emergency Dental Office of Mures County Emergency Hospital. Of the total number of treated emergency patients 8017 (20.76%) were children and 30593 (79.25%) were adults. Significantly more adults requested emergency care than children (p[0.0001). Out of the investigated adults 3051 (9.98%) were aged 60 years or over. The high demand for emergency dental care reflects that dental care in private practices is unaffordable to socially disadvantaged patients and also the need for community based public dental care in Tirgu-Mures.


Author(s):  
Satar Rezaei ◽  
Mohammad Hajizadeh ◽  
Seyed Fahim Irandoost ◽  
Yahya Salimi

Abstract Purpose Socioeconomic inequalities in dental care utilization in Iran are rarely documented. This study aimed to provide insight into socioeconomic inequalities in dental care utilization and its main contributing factors among Iranian households. Design/methodology/approach A total of 37,860 households from the 2017 Household Income and Expenditure Survey (HIES) were included in the study. Data on dental care utilization, age, gender and education attainment of the head of household, socioeconomic status of households, health insurance coverage, living areas and provinces were obtained for the survey. The concentration curve and the normalized concentration index (Cn) was used to illustrate and quantify socioeconomic inequalities in dental care utilization among Iranian households. The Cn was decomposed to identify the main determinants of the observed socioeconomic inequality in dental care utilization in Iran. Findings The study indicated that the prevalence of dental care utilization among Iranian’s households was 4.67% (95% confidence interval [CI]: 4.46 to 4.88%). The results suggested a higher concentration of dental care utilization among socioeconomically advantaged households (Cn = 0.2522; 95% CI: 0.2258 to 0.2791) in Iran. Pro-rich inequality in dental care utilization also found in rural (Cn = 0.2659; 95%CI: 0.2221 to 0.3098) and urban (Cn = 0.0.2504; 95% CI: 0.0.2159 to 0.2841) areas. The results revealed socioeconomic status of households, age and education status of head of households and residing provinces as the main contributing factors to the concentration of dental care utilization among the wealthy households. Originality/value This study revealed pro-rich inequalities in dental care utilization among households in Iran and its provinces. Thus, health policymakers should focus on designing effective evidence-based interventions to improve healthcare utilization among household with the older head of households, lower education status, and living in relatively poor provinces to reduce socioeconomic inequality in dental care utilization in Iran.


1981 ◽  
Vol 9 (6) ◽  
pp. 270-274 ◽  
Author(s):  
Anneli Milen ◽  
Hannu Hausen ◽  
Heikki Tala ◽  
Ilkka Paunio ◽  
Olli P. Heinonen

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