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, thus helping an administrator to judge whether the procedure is worth its cost. CEA also permits comparison of various interventions that result in a similar health outcome. A major benefit of CEA is that it forces decision makers to confront the tradeoffs implicit in all decisions regarding alternative approaches. Limitations of the CEA philosophy and technique also have to be understood if it is to be employed effectively; it is not an assessment of cost savings, nor is it a decision-making technique because it does not incorporate value judgments. A number of potential applications to dentistry are described.
journal_name
J Public Health Dentjournal_title
Journal of public health dentistryauthors
Warner KEdoi
10.1111/j.1752-7325.1989.tb02085.xsubject
Has Abstractpub_date
1989-01-01 00:00:00pages
272-8issue
5 Spec Noeissn
0022-4006issn
1752-7325journal_volume
49pub_type
杂志文章abstract:OBJECTIVES:We determined the knowledge level of water plant operators who fluoridate drinking water, and we compared small and large water plants. METHODS:A pretested survey was sent to 2,381 water plant operators in 12 states that adjust the fluoride concentration of drinking water. A z-test for proportion was used t...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2001.tb03372.x
更新日期:2001-04-01 00:00:00
abstract:OBJECTIVES:This paper reports the results of a three-year evaluation of access to dental care and its associated costs for Aid to Families with Dependent Children (AFDC) beneficiaries enrolled in a hospital-based health maintenance organization (HMO) or a fee-for-service (FFS) option. METHODS:Medicaid enrollees (n = 3...
journal_title:Journal of public health dentistry
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1111/j.1752-7325.1996.tb02462.x
更新日期:1996-10-01 00:00:00
abstract::The racial and ethnic diversity of the US oral health care workforce remains insufficient to meet the needs of an increasingly diverse population and to address persistent health disparities. The findings from a recent national survey of underrepresented minority dentists are reviewed and recommendations are made for ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章,评审
doi:10.1111/jphd.12219
更新日期:2017-03-01 00:00:00
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
更新日期:1995-01-01 00:00:00
abstract:OBJECTIVES:The "optimal" intake of fluoride has been widely accepted for decades as between 0.05 and 0.07 mg fluoride per kilogram of body weight (mg F/kg bw) but is based on limited scientific evidence. The purpose of this paper is to present longitudinal fluoride intake data for children free of dental fluorosis in t...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2008.00108.x
更新日期:2009-04-01 00:00:00
abstract::Infant caries is an infectious disease with microbiological, dietary, and host risk factors. The disease is of epidemic proportions in immigrant and Native American populations studied. This paper reviews progress in current research and suggests a number of new approaches focusing on behavioral and chemotherapeutic m...
journal_title:Journal of public health dentistry
pub_type: 杂志文章,评审
doi:10.1111/j.1752-7325.1996.tb02396.x
更新日期:1996-01-01 00:00:00
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
更新日期:2013-10-01 00:00:00
abstract::In response to the death of a young child, efforts by many partners have enabled Maryland to institute oral health reforms that ensure that low-income children remain visible and have continued access to dental services. This paper shows how proponents of oral health in Maryland used issues that were already on the or...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2012.00328.x
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVES:The majority of Canadians believe that the government should play some role in providing dental care within Canada's health care system. However, it is unclear whether Canadians consider this as a top public priority. This study determines whether dental care is a public priority among Canadian adults relati...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2012.00324.x
更新日期:2012-07-01 00:00:00
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
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVES:This paper reviews the precision public health literature pertaining to oral health, identifies possible threats that could inadvertently increase health inequities, and proposes potential opportunities that precision public health could utilize to reduce oral health inequities. METHODS:The health sciences ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章,评审
doi:10.1111/jphd.12316
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVES:This study sought to determine (1) knowledge of risk factors for oral cancer, (2) knowledge of signs and symptoms of oral cancers, and (3) factors associated with having had an oral cancer examination among 916 Maryland adults 18 years of age and older. METHODS:A statewide, random-digit dial, computer-assis...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1998.tb03010.x
更新日期:1998-10-01 00:00:00
abstract:OBJECTIVE:The objective of this research is to determine the association of seven perfluoroalkyl and polyfluoroalkyl substances versus dental caries experience in US children, ages 3-11 years. METHODS:A cross-sectional study design was used in the analysis of National Health and Nutrition Examination Survey 2013-2014 ...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12329
更新日期:2019-12-01 00:00:00
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
更新日期:2013-10-01 00:00:00
abstract:OBJECTIVE:This study investigated the associations between dental caries prevalence and severity and social factors in 3- to 5-year-old African children. METHODS:Dental caries was diagnosed in natural light using WHO criteria, minors, and explorers. Socioeconomic information was obtained by questionnaire. RESULTS:The...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1998.tb02984.x
更新日期:1998-01-01 00:00:00
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
更新日期:1990-04-01 00:00:00
abstract:OBJECTIVE:To examine whether public expenditure on health and Euro Health Consumer Index (EHCI) are associated with dental check-ups in European countries. METHODS:Individual data were from Eurobarometer 72.3, 2009 a cross-national survey of 27 European countries. Eligible participants were those aged 18 years and old...
journal_title:Journal of public health dentistry
pub_type: 杂志文章,多中心研究
doi:10.1111/jphd.12204
更新日期:2017-06-01 00:00:00
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
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVES:Community water fluoridation (CWF) is one of the greatest public health achievements of the 20th century. Despite this achievement, there are still misunderstandings about the safety of water fluoridation. Previous communication campaigns advocating CWF have been unsuccessful in combating these misunderstand...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/jphd.12404
更新日期:2020-10-15 00:00:00
abstract:OBJECTIVE:To assess the extent factors other than race/ethnicity explain apparent racial/ethnic disparities in children's oral health and oral health care. METHODS:Data were from the 2007 National Survey of Children's Health, for children 2-17 years (n=82,020). Outcomes included parental reports of child's oral health...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2012.00367.x
更新日期:2013-04-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to assess the relationship between different clinical indicators of dental status and an Oral Health-Related Quality of Life (OHRQoL) measure, the Oral Impacts on Daily Performances (OIDP) index, using different scoring formats, among older Southern Chinese people. METHODS:A t...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2009.00149.x
更新日期:2010-04-01 00:00:00
abstract::An evaluation of the effectiveness of the Toothkeeper program was performed in Houston to determine if participation in the program by elementary school children would result in their having cleaner teeth and better gingival health than seen in similar children not in the program. Assessments for plaque and gingivitis...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.1975.tb04029.x
更新日期:1975-04-01 00:00:00
abstract:OBJECTIVE:To compare perceptions of general health versus oral health within two populations. METHODS:Secondary analysis of cross-sectional survey data obtained from representative samples of dentate adults in Australia and the United States. Australian data were collected in the 2002 National Dental Telephone Intervi...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:10.1111/j.1752-7325.2006.tb04078.x
更新日期:2006-10-01 00:00:00
abstract::Hearing, vision, orthopedic, and speech disorders are the most common impairments in the elderly. Older adults experience other sensory impairments such as olfactory and gustatory dysfunction, as well as oral motor problems including difficulty with mastication, speech, and swallowing. These disorders can directly aff...
journal_title:Journal of public health dentistry
pub_type: 杂志文章,评审
doi:10.1111/j.1752-7325.2000.tb03338.x
更新日期:2000-10-01 00:00:00
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
更新日期:1992-10-01 00:00:00
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
更新日期:2010-04-01 00:00:00
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
更新日期:2006-10-01 00:00:00
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
更新日期:2003-07-01 00:00:00
abstract::The purpose of this study was to determine the effect of a 48-month preventive dental program on the incidence of root caries in an urban, geriatric, noninstitutionalized population residing in an optimally fluoridated area. The 466 participants were randomly assigned to one of three groups at baseline. Group A (contr...
journal_title:Journal of public health dentistry
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1111/j.1752-7325.1993.tb02691.x
更新日期:1993-07-01 00:00:00
abstract:OBJECTIVE:To assess the impact of comorbidity and other health measures on the use of dental and medical care services among the community-based Medicare population with data from the 2002 Medicare Current Beneficiary Survey. METHODS:A comorbidity index is the main independent variable of our study. It includes oral c...
journal_title:Journal of public health dentistry
pub_type: 杂志文章
doi:
更新日期:2011-07-01 00:00:00