Abstract：
OBJECTIVES:The aim of this study was to evaluate the costs of subsidized care for an adult population provided by private and public sector dentists. METHODS:A sample of 210 patients was drawn systematically from the waiting list for nonemergency dental treatment in the city of Turku. Questionnaire data covering sociodemographic background, dental care utilization and marginal time cost estimates were combined with data from patient registers on treatment given. Information was available on 104 patients (52 from each of the public and the private sectors). RESULTS:The overall time taken to provide treatment was 181 days in the public sector and 80 days in the private sector (P<0.002). On average, public sector patients had significantly (P < 0.01) more dental visits (5.33) than private sector patients (3.47), which caused higher visiting fees. In addition, patients in the public sector also had higher other out-of-pocket costs than in the private sector. Those who needed emergency dental treatment during the waiting time for comprehensive care had significantly more costly treatment and higher total costs than the other patients. Overall time required for dental visits significantly increased total costs. The total cost of dental care in the public sector was slightly higher (P<0.05) than in the private sector. CONCLUSIONS:There is no direct evidence of moral hazard on the provider side from this study. The observed cost differences between the two sectors may indicate that private practitioners could manage their publicly funded patients more quickly than their private paying patients. On the other hand, private dentists providing more treatment per visit could be explained by private dentists providing more than is needed by increasing the content per visit.
journal_name
Community Dent Oral Epidemioljournal_title
Community dentistry and oral epidemiologyauthors
Tuominen R,Eriksson ALdoi
10.1111/j.1600-0528.2011.00609.xsubject
Has Abstractpub_date
2011-10-01 00:00:00pages
458-64issue
5eissn
0301-5661issn
1600-0528journal_volume
39pub_type
杂志文章abstract：:Bacteriologic and clinical studies suggest that sealants can be used therapeutically on incipient caries of the enamel. The present study was designed to explore this approach further by determining whether there is a difference in retention rates on sound or carious tooth surfaces sealed for the first time as well as...
journal_title：Community dentistry and oral epidemiology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1111/j.1600-0528.1987.tb00470.x
更新日期：1987-02-01 00:00:00
abstract：:The value of defined levels of oral hygiene and dietary habits for predicting caries was investigated. The material comprised 143 3-yr-olds. Three levels of oral hygiene and dietary habits, respectively, were used. Oral hygiene was registered as gingival status. Dietary habits were recorded by interview. Two groups we...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.1983.tb01899.x
更新日期：1983-10-01 00:00:00
abstract：:The frequency of germinated and fused primary teeth was studied in a sample of 1141 Finnish children aged 3-4 years. The prevalence was 0.7%. All the joined teeth were found in the anterior area of the mouth. In seven cases the diagnosis was a fusion of two separate teeth, and in one case it was a germination of a sin...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.1980.tb01286.x
更新日期：1980-08-01 00:00:00
abstract：OBJECTIVE:Clinical patterns of early childhood caries (ECC) encompassing specific teeth or surfaces have been previously proposed on an a priori basis and have been used as case definitions. The underlying assumption is that the patterns result from different host response and environmental conditions. Identifying cari...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1034/j.1600-0528.2003.00044.x
更新日期：2003-06-01 00:00:00
abstract：OBJECTIVES:The aim of this study is to determine the level of engagement among dentists, and subsequently, to investigate which dental job resources are positively correlated with engagement. METHODS:By stratifying on gender, age, and region, a representative sample of 848 general dental practitioners was drawn at ran...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.2007.00350.x
更新日期：2008-02-01 00:00:00
abstract：OBJECTIVES:To establish whether partial recording can be used for the measurement and reporting of tooth wear data in samples of adult populations, whilst maintaining the usefulness of the index. METHODS:Using whole mouth coronal tooth wear data from a large random population sample of 1200 dentate older adults in Eng...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1034/j.1600-0528.2000.280103.x
更新日期：2000-02-01 00:00:00
abstract：OBJECTIVES:To use recent national survey data to compare dentition status and oral diseases in China and New Zealand (NZ), with a particular focus on differences by sex and education level. METHODS:We undertook secondary analysis of representative data from oral health surveys conducted in 2009 in Sichuan (China) and ...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/cdoe.12348
更新日期：2018-04-01 00:00:00
abstract：:A convenience sample of patients (n = 271) from community health centres and private clinics in different parts of Finland were recruited for this study through their dental clinic. Equal numbers of regular and irregular clients were invited to participate. Before the treatment procedure, each patient filled out a que...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.1996.tb00852.x
更新日期：1996-08-01 00:00:00
abstract：OBJECTIVES:The primary aim of this study was to investigate the impact of reduced sugar consumption on caries experience among 12-year-old Libyan schoolchildren during the Libyan conflict, in comparison to preconflict data collected in the same water-fluoridated setting from a similar age group. A further aim was to in...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/cdoe.12526
更新日期：2020-06-01 00:00:00
abstract：OBJECTIVES:Type 2 diabetes mellitus (T2DM) and periodontal disease are two highly prevalent, directly and independently associated long-term conditions that disproportionately impact Indigenous Māori in New Zealand (NZ). Although poorly understood, a number of social and biological mechanisms connect these conditions. ...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/cdoe.12501
更新日期：2020-04-01 00:00:00
abstract：:Service provision patterns may be influenced not only by clinical oral health status leading to a diagnosis and treatment plan, but also by other variables such as patient characteristics. The main aim of this study was to investigate whether associations between services provided and patient factors would persist aft...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1034/j.1600-0528.2000.280309.x
更新日期：2000-06-01 00:00:00
abstract：OBJECTIVES:To explore the impact of developmental defects of enamel (DDE) on young people, through their experiences of the condition and it's meaning to their everyday lives. METHODS:The theoretical framework chosen to guide the study was symbolic interactionism. Qualitative interviews with a purposive sample of peop...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.2008.00453.x
更新日期：2009-02-01 00:00:00
abstract：:The caries status of 1784 children aged 7 to 10 years was examined in a cross-sectional, epidemiological study in the Rhine-Neckar-District. Results showed that 30.5% of the children had caries-free primary and 65.2% had caries-free permanent teeth. The d(m)ft index was 2.68, and the D(M)FT averaged 0.76. As in previo...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.1997.tb00953.x
更新日期：1997-10-01 00:00:00
abstract：OBJECTIVES:To assess the relationship between parents' dental attitudes and the caries increment in their children from the age of 3 to 5 years. METHODS:Data based on parental questionnaires and dental examinations were collected from children participating in a follow-up study from age 3 years (n = 354) in 2002 to 5 ...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.2008.00430.x
更新日期：2008-10-01 00:00:00
abstract：:By providing dental health care, dentists dedicate themselves to the preservation and/or improvement of oral health in their patients. By adequately carrying out this care providers' role, dentists will gain recognition, esteem and respect from both patients and colleagues. This analysis aims to assess the patient and...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.0301-5661.2004.00132.x
更新日期：2004-04-01 00:00:00
abstract：OBJECTIVES:Few studies in North America have assessed dental fluorosis of the primary dentition and few, if any, anywhere have assessed the relative importance in fluorosis etiology of fluoride intake during different time periods or from multiple sources. The purpose of this paper is to report on analyses relating est...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1034/j.1600-0528.2002.00053.x
更新日期：2002-08-01 00:00:00
abstract：OBJECTIVES:This study evaluated whether characteristics of mothers, such as high mutans streptococci (MS) level, caries experience, reported sugar consumption and demographic variables, could be important risk indicators of caries for their children. METHODS:Mothers selected on the basis of the caries status of their ...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1034/j.1600-0528.2002.300303.x
更新日期：2002-06-01 00:00:00
abstract：:The DMFT Index, degree of fluorosis (DEGF), and enamel fluoride concentration (F) were determined in 88 children living in a high- and 79 children living in a low-fluoride area in South Africa. The following interrelationships between these parameters were found: in both areas there was a significant negative correlat...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.1977.tb01618.x
更新日期：1977-01-01 00:00:00
abstract：OBJECTIVES:The first objective was to assess whether having had orthodontic treatment affected the levels of oral health-related quality of life impacts in Brazilian adolescents. A second objective was to assess the relationship between a normative clinical measure of orthodontic treatment need and two measures of oral...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1046/j.1600-0528.2003.00002.x
更新日期：2003-12-01 00:00:00
abstract：:The aim was to investigate late response and nonresponse bias in a survey related to HIV and infection control. Questionnaires with ID numbers were mailed to a stratified random sample of dentists in Canada with additional mailings 4 and 7 weeks later (n = 6444). We compared responses received after < 4 weeks, 4-7 wee...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.1997.tb00946.x
更新日期：1997-08-01 00:00:00
abstract：OBJECTIVE:The aim of the study was to investigate the attitudes among dentists and dental hygienists to the policy objective in Norway of delegating more dental work from dentists to dental hygienists. METHOD:A questionnaire was mailed to a random sample of 1111 dentists and 268 dental hygienists in 2005. The response...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.2008.00426.x
更新日期：2008-12-01 00:00:00
abstract：:Nine teachers of clinical dentistry were presented with 12 pairs of duplicated bitewings on four different occasions. At the first two examinations they indicated the presence of caries in need of treatment and at the second two the degree of caries. The diagnostic sessions were repeated to measure reproducibility. A ...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.1983.tb01391.x
更新日期：1983-12-01 00:00:00
abstract：OBJECTIVES:This study aimed to evaluate the association between salivary 8-hydroxydeoxyguanosine (8-OHdG) and periodontitis among community-dwelling Korean adults. METHODS:A total of 211 adults (80 men and 131 women) were cross-sectionally surveyed from the Sunchang Longevity Cohort. Periodontitis was defined as havin...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/cdoe.12225
更新日期：2016-08-01 00:00:00
abstract：:All 55-yr-old citizens (n = 1012) of Oulu (a middle-sized Finnish town) were invited to a clinical examination; 780 agreed to participate. The associations of lifestyle with decayed tooth surfaces and the number of teeth were studied in the 533 dentate subjects. Measures of lifestyle included dietary habits, a smoking...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.1994.tb02055.x
更新日期：1994-10-01 00:00:00
abstract：OBJECTIVES:We explored the relationship between income and two oral health outcomes in Brazil, in order to assess the shape of this relationship. METHODS:Individual-level data from a national oral health survey were obtained for 22 634 15- to 19-year-old subjects from 330 municipalities. Relationships between income (...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.2009.00474.x
更新日期：2009-08-01 00:00:00
abstract：:In the mid-1970's, a scheme was set up providing dental health education at home visits to mothers with young children. A free supply of fluoride supplements for their children was offered to mothers in two of the three groups taking part. In the 10th year, 126 of the children were examined for caries and gingivitis. ...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.1989.tb00606.x
更新日期：1989-08-01 00:00:00
abstract：OBJECTIVE:To compare the effectiveness of water and salt community-based fluoridation methods on caries experience among schoolchildren. METHODS:Data derived from two population-based oral health surveys of 12-year-old schoolchildren exposed to different community-based fluoridation methods were compared: artificially...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/cdoe.12251
更新日期：2016-12-01 00:00:00
abstract：OBJECTIVES:Tooth retention has improved over the past few decades, but it is not known whether these trends have been observed across all demographic/socioeconomic subgroups. We examined number of missing teeth among dentate individuals (n = 9,113) as well as edentulism and systematically modeled their trends over time...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/cdoe.12116
更新日期：2014-12-01 00:00:00
abstract：:The purpose of the investigation was to determine the prevalence of occlusal anomalies in relation to dental stages (DS) in Icelandic schoolchildren, and to compare it with results from other Scandinavian countries and Ireland found on the basis of the same method. The material consisted of 1,641 randomly selected chi...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/j.1600-0528.1976.tb02111.x
更新日期：1976-05-01 00:00:00
abstract：OBJECTIVE:Oral health is an important part of general health and well-being. Health behaviours may change throughout a person's life, but the stage from childhood to adolescence is critical because influences from peers increase while those from parents and other family members decrease. The objective of this study was...
journal_title：Community dentistry and oral epidemiology
pub_type： 杂志文章
doi：10.1111/cdoe.12475
更新日期：2019-10-01 00:00:00
