Theoretical considerations in applying benefit-cost and cost-effectiveness analyses to preventive dental programs.

Abstract:

:Benefit-cost analysis and cost-effectiveness analysis can be used to evaluate preventive regimens and aid policy-makers in making resource-allocation decisions. This paper demonstrates the application of benefit-cost and cost-effectiveness analyses to preventive dental programs. The two analyses are defined and described, and the purpose of each technic is compared. For a hypothetical community, four dental preventive programs are described: community water fluoridation, school water fluoridation, weekly school-based mouthrinses, and school-based sealants. Benefit-cost ratios and cost-effectiveness ratios are calculated for each program first assuming steady-state conditions, i.e., maximum caries reduction, and then for a 20-year period. Both explicit and implicit costs are included. Underlying assumptions and limitations, as well as the effects of changes in caries rates, differential attack rates, and discount rates on the outcome, are discussed. The analysis reveals that community water fluoridation yields the greatest net benefits and most favorable B/C and C/E ratios. School water fluoridation and mouthrinsing programs are the next most cost-effective, with similar B/C and C/E ratios when the implicit cost of teachers' time is omitted from the calculations. The school-based sealant program yields negative net benefits.

journal_name

J Public Health Dent

authors

Niessen LC,Douglass CW

doi

10.1111/j.1752-7325.1984.tb03077.x

subject

Has Abstract

pub_date

1984-10-01 00:00:00

pages

156-68

issue

4

eissn

0022-4006

issn

1752-7325

journal_volume

44

pub_type

杂志文章
  • The association between developmental enamel defects and caries in populations with and without fluoride in their drinking water.

    abstract:OBJECTIVES:The purpose of this study was to consider the association between developmental enamel defects and dental caries in children from areas with different levels of fluoride in their drinking water. METHODS:children (mean age = 14.1 +/- 0.3 years) were examined from areas with less than 0.1 ppm (n = 267) and 0....

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.1996.tb02400.x

    authors: Ellwood RP,O'Mullane D

    更新日期:1996-04-01 00:00:00

  • Patterns of dietary fluoride supplement use in children from birth to 96 months of age.

    abstract:OBJECTIVE:This paper reports on fluoride supplement use from birth to age 96 months. METHODS:As part of the Iowa Fluoride Study, questionnaires were mailed at 3 to 6- month intervals assessing use of supplements. Estimated fluoride intake from supplements was calculated as a daily fluoride intake in mg. Analyses inclu...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.2005.tb02781.x

    authors: Hamasha AA,Levy SM,Broffitt B,Warren JJ

    更新日期:2005-01-01 00:00:00

  • Issues in cost effectiveness in health care.

    abstract::Cost-effectiveness analysis (CEA) is becoming increasingly popular as society moves toward rationalizing health costs. This review describes the applications and limitations of the technique. Conceptually simple though frequently complicated in application, CEA compares the cost of a procedure with its effectiveness, ...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.1989.tb02085.x

    authors: Warner KE

    更新日期:1989-01-01 00:00:00

  • Efficacy of educational interventions targeting primary care providers' practice behaviors: an overview of published systematic reviews.

    abstract:OBJECTIVES:Primary care providers (e.g., family physicians, pediatricians, registered nurses, physician assistants, and nurse practitioners) could play a pivotal role in the provision of preventive services, especially for very young children (younger than 3 years old) and population groups with limited access to denta...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章,meta分析,评审

    doi:10.1111/j.1752-7325.2004.tb02747.x

    authors: Sohn W,Ismail AI,Tellez M

    更新日期:2004-07-01 00:00:00

  • Dental caries in homeless adults in Boston.

    abstract:OBJECTIVES:Information about the oral health status of the homeless is limited. The purpose of this study is to characterize the dental caries status among users of a dental treatment and referral program at homeless shelters in Boston, MA. METHODS:Persons attending the program during a one-year period were assessed f...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.1995.tb02328.x

    authors: Kaste LM,Bolden AJ

    更新日期:1995-01-01 00:00:00

  • Time of development of occlusal and proximal lesions: implications for fissure sealants.

    abstract::Analysis of surface and tooth-specific data from NHANES I and HHANES shows that the pattern of dental caries differs greatly from tooth to tooth and surface to surface. Occlusal caries precedes all other types, and increases most rapidly and to the highest levels in the molars. Caries on the proximal surfaces comes la...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.1986.tb03119.x

    authors: Eklund SA,Ismail AI

    更新日期:1986-04-01 00:00:00

  • Dental health services utilization and associated factors in children 6 to 12 years old in a low-income country.

    abstract:OBJECTIVE:To determine the factors associated with the dental health services utilization among children ages 6 to 12 in León, Nicaragua. MATERIAL AND METHODS:A cross-sectional study was carried out in 1,400 schoolchildren. Using a questionnaire, we determined information related to utilization and independent variabl...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.2007.00056.x

    authors: Medina-Solis CE,Maupomé G,del Socorro HM,Pérez-Núñez R,Avila-Burgos L,Lamadrid-Figueroa H

    更新日期:2008-01-01 00:00:00

  • Lack of oral care policies in Toronto daycares.

    abstract:OBJECTIVES:Currently, there is a deficit of information on policies regarding oral hygiene practices in Toronto daycares. It is unknown if any tooth-brushing programs are in existence and if children are permitted to follow professional advice on oral hygiene. The main objectives of this investigation were to a) determ...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.2009.00123.x

    authors: Gartsbein E,Lawrence HP,Leake JL,Stewart H,Kulkarni G

    更新日期:2009-07-01 00:00:00

  • Utilization in Alberta's universal dental plan for the elderly, 1974-91.

    abstract::Since 1973 the government of Alberta, a Canadian province of 2.4 million people, has funded a dental care plan for all residents over 64 years old and their dependents. It is the only dental plan in North America that covers all seniors and their dependents residing in a state or province. Under this plan, just over 2...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.1992.tb02286.x

    authors: Lewis DW,Thompson GW

    更新日期:1992-10-01 00:00:00

  • Assessing oral cancer early detection: clarifying dentists' practices.

    abstract:OBJECTIVE:This study explores new methods for assessing in greater detail what dentists do when they perform oral cancer early detection examinations. It clarifies practice behaviors and opens opportunities to identify factors that facilitate thorough early detection examinations by clinicians and to assess the relativ...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.2009.00148.x

    authors: LeHew CW,Epstein JB,Kaste LM,Choi YK

    更新日期:2010-04-01 00:00:00

  • Translation and validation of the Chinese version of GOHAI.

    abstract:OBJECTIVE:To translate and validate the Chinese version of General Oral Health Assessment Index (GOHAI) for elderly in Hong Kong and to investigate factors that possibly may influence the GOHAI scores. METHODS:The English version of GOHAI was translated into Chinese. Persons aged 60-80 years were interviewed by two tr...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.2002.tb03426.x

    authors: Wong MC,Liu JK,Lo EC

    更新日期:2002-04-01 00:00:00

  • Determinants of dental referral practices among WIC nutritionists in North Carolina.

    abstract:OBJECTIVES:To examine the effects of knowledge and confidence on dental referral practices among WIC nutritionists in North Carolina. METHODS:A questionnaire consisting of 118 Likert scale-type questions was administered to 92% of all WIC nutritionists in North Carolina (n = 324). The relationship of knowledge and con...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.2005.tb03018.x

    authors: Shick EA,Lee JY,Rozier RG

    更新日期:2005-10-01 00:00:00

  • ADA dental product evaluation: case history.

    abstract::The ADA Acceptance Programs entail a rigorous evaluation of products and offer clear benefits to manufacturers, dental professionals, and consumers alike. This paper outlines the implications of the ADA product-evaluation programs for each of these three constituencies and concludes that while there may be an occasion...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.1992.tb02300.x

    authors: Barnett ML

    更新日期:1992-01-01 00:00:00

  • The building blocks of precision oral health in early childhood: the ZOE 2.0 study.

    abstract::Improving children's oral health is a long-standing area of priority and sustained efforts by many stakeholders. Despite these efforts, dental caries, particularly early childhood caries (ECC), persists as a clinical and dental public health problem with multilevel consequences. Despite recent successes in the non-res...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/jphd.12303

    authors: Divaris K,Joshi A

    更新日期:2020-03-01 00:00:00

  • Socioeconomic and demographic disparities in symptoms of orofacial pain.

    abstract:OBJECTIVES:The purpose of this study was to document the association between socioeconomic status (SES) and the prevalence and impact of orofacial pain by anatomical location. In addition, differential effects of SES on orofacial pain across levels of sex, race, and age were documented. METHODS:The subjects were 724 p...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.2003.tb03495.x

    authors: Riley JL 3rd,Gilbert GH,Heft MW

    更新日期:2003-07-01 00:00:00

  • Evidence of effectiveness of preventive dental care in reducing dental treatment use and related expenditures.

    abstract:OBJECTIVES:Preventive dental health services are intended to reduce the likelihood of development of tooth decay and the need for more intensive treatment overtime. The evidence on the effectiveness of preventive dental care in reducing treatment services and expenditures is lagging for adults, particularly those with ...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/jphd.12262

    authors: Pourat N,Choi MK,Chen X

    更新日期:2018-06-01 00:00:00

  • Socioeconomic and racial/ethnic oral health disparities among US older adults: oral health quality of life and dentition.

    abstract:OBJECTIVE:This study aims to examine if older adults living in poverty and from minority racial/ethnic groups experienced disproportionately high rates of poor oral health outcomes measured by oral health quality of life (OHQOL) and number of permanent teeth. METHODS:Cross-sectional analysis of 2,745 community-dwellin...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/jphd.12072

    authors: Huang DL,Park M

    更新日期:2015-04-01 00:00:00

  • Assessment of a dental disease prevention program after three years.

    abstract::This assessment compared routine data on selected clinical services provided within the Oklahoma City Area of the Indian Health Service during the first six months of fiscal year 1984, prior to implementation of a program emphasizing oral health promotion and disease prevention, to comparable data from 1987. The asses...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.1989.tb02023.x

    authors: Malvitz DM,Broderick EB

    更新日期:1989-01-01 00:00:00

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

    abstract:OBJECTIVE:To investigate the role of public dental care spending and insurance coverage on dental services utilization disparities among different Canadian jurisdictions. METHODS:We utilized Canadian Institute for Health Information provincial/territorial per capita estimates for public dental care expenditure, public...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/jphd.12283

    authors: Dehmoobadsharifabadi A,Singhal S,Quiñonez CR

    更新日期:2018-09-01 00:00:00

  • Community fluoridation status and caries experience in children.

    abstract:OBJECTIVE:This study compares dental caries experience in fluoridated and nonfluoridated communities. METHODS:A dental health survey designed to collect data on caries experience and treatment needs for community-specific public health planning purposes was conducted in public elementary schools during the 1996-97 sch...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.2001.tb03385.x

    authors: Gillcrist JA,Brumley DE,Blackford JU

    更新日期:2001-07-01 00:00:00

  • The virtual dental home: a critique.

    abstract::The Virtual Dental Home is a concept of the Pacific Center for Special Care of the Arthur A. Dugoni School of Dentistry in San Francisco. It is designed to improve access to dental care for underserved populations, specifically children and institutionalized adults. This article describes the development and implement...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/jphd.12208

    authors: Friedman JW,Nash DA,Mathu-Muju KR

    更新日期:2017-09-01 00:00:00

  • Attitudes and behaviors of dental hygienists concerning tobacco use.

    abstract::This study surveyed a proportionate random sample of licensed dental hygienists in five states and the District of Columbia, to assess their antitobacco use behaviors and attitudes. The response rate was 79.4 percent. Descriptive data as well as chi-square, analysis of variance (ANOVA), and Duncan's multiple range tes...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.1990.tb02111.x

    authors: Fried JL,Rubinstein L

    更新日期:1990-04-01 00:00:00

  • Development of a word recognition instrument to test health literacy in dentistry: the REALD-30--a brief communication.

    abstract:OBJECTIVE:This study aims to develop and pilot test a dental word recognition instrument. METHODS:The development of our instrument was based on the Rapid Estimate of Adult Literacy in Medicine (REALM), an efficient word recognition instrument used to assess health literacy in the medical arena. Our instrument, Rapid ...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.2007.00021.x

    authors: Lee JY,Rozier RG,Lee SY,Bender D,Ruiz RE

    更新日期:2007-04-01 00:00:00

  • Factors influencing the uptake of orthodontic treatment.

    abstract:OBJECTIVES:The aim of this study was to investigate the factors that may influence orthodontic treatment uptake such as socioeconomic class (SEC), type of funding, and gender. METHODS:The sample comprised 550 adolescents (232 men, 318 women) aged 13-17 years. Demographic data and questions concerning treatment experie...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/jphd.12034

    authors: Badran SA,Al-Khateeb S

    更新日期:2013-10-01 00:00:00

  • Periodontal status as predictor of prematurity and low birth weight.

    abstract:OBJECTIVE:The objective was to verify the relation between periodontal status and prematurity/low birth weight. METHODS:a case control study of 211 women, 44 being mothers of children born with weight below 2.500g or gestational age of less than 37 weeks (case group) and 177 mothers of children born with weight of ove...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.2006.tb04088.x

    authors: Gomes-Filho IS,da Cruz SS,Rezende EJ,da Silveira BB,Trindade SC,Passos JS,de Freitas CO,Cerqueira EM,de Souza Teles Santos CA

    更新日期:2006-10-01 00:00:00

  • Factors associated with surface-level caries incidence in children aged 9 to 13: the Iowa Fluoride Study.

    abstract:OBJECTIVE:As dental caries can progress throughout a person's lifetime, understanding caries risk factors unique to specific life phases is important. This study aims to assess caries incidence and risk factors for young adolescents. METHODS:Participants in the longitudinal Iowa Fluoride Study were assessed for dental...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/jphd.12028

    authors: Broffitt B,Levy SM,Warren J,Cavanaugh JE

    更新日期:2013-10-01 00:00:00

  • Do root lesions tend to develop in the same people who develop coronal lesions?

    abstract:OBJECTIVES:The three purposes of this study are to: (1) describe the relationship between the prevalence of coronal caries and root caries; (2) describe the relationship between the three-year incidence of coronal caries and root caries; and (3) if the two conditions are associated, develop a multiple regression model ...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.1997.tb02478.x

    authors: Beck JD,Drake CW

    更新日期:1997-04-01 00:00:00

  • Primary canine hypoplasia in Head Start children.

    abstract::Primary canine hypoplasia is an incomplete or defective development of the enamel matrix. The lesion is located on the labial surface and is seen more frequently on mandibular teeth. The purpose of this preliminary study was to determine the prevalence of this lesion among Head Start children. During a dental needs as...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.1989.tb02012.x

    authors: Silberman SL,Duncan WK,Trubman A,Meydrech EF

    更新日期:1989-01-01 00:00:00

  • Effect of family structure on the dental caries experience of children.

    abstract::It was the purpose of this study to investigate several variables in family structure which might influence the caries experience in 3-12-year-old children for Central Oklahoma. These variables, which included parental age at marriage and at birth of the child for both mother and father, birth rank, family size, and a...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.1982.tb04056.x

    authors: Primosch RE

    更新日期:1982-04-01 00:00:00

  • Use of quality measurement across US dental delivery systems: a qualitative analysis.

    abstract:OBJECTIVES:Dentistry is increasingly challenged by payers and the public to demonstrate quality measurement (QM) activities that substantiate value. Unknown is how various components of the US oral health-care financing and delivery systems have adopted QM. The objective of this study is to explore QM activities by US ...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/jphd.12117

    authors: Alrqiq HM,Edelstein BL

    更新日期:2016-03-01 00:00:00