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 information on legislated dental care programs, and oral health data from the 2007-2008 Canadian Community Health Survey to make inferences regarding the relationship between dentist visits in the past 12 months and self-perceived oral health. We performed descriptive statistics and binary logistic regression analysis to determine the relationship between dentist visits and self-perceived oral health status at the provincial/territorial level and on stratified data based on three age groups - children (12-17 years), adults (18-64 years), and seniors (65 years and older). RESULTS:Overall, the presence of the "inverse care law" in dental care at the provincial/territorial level was evident. However, in the Canadian territories, which had the highest per capita public dental care expenditure, individuals with poor oral health had the highest odds of visiting a dentist compared with other jurisdictions. In jurisdictions with public dental care programs for children and/or seniors, children and seniors with poor oral health were more likely to visit dentists. CONCLUSIONS:Jurisdictions with more public spending and greater population coverage for dental care appear to better cater to those with the highest oral health care needs.

journal_name

J Public Health Dent

authors

Dehmoobadsharifabadi A,Singhal S,Quiñonez CR

doi

10.1111/jphd.12283

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

346-351

issue

4

eissn

0022-4006

issn

1752-7325

journal_volume

78

pub_type

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