Abstract：
OBJECTIVE:We describe service patterns and compare changes in program expenditures with the Consumer Price Index over eight years in a dental program with a controlled-fee schedule offered to Canadian First Nations and Inuit people. METHODS:We obtained the computerized records of dental services for the period from 1994 to 2001. Each record identified the date and type of service, region and type of provider, age of the client and encrypted identifying information on clients, bands, and providers. We classified the individual services into related types (diagnostic, preventive, etc.). We aggregated the records by client and developed indices for the numbers of clients, mean numbers of services per client, cost per service, and prices. FINDINGS:Over the 8 years, 16.0 million procedures, totaling 811.8 million dollars, were provided to 538,034 different individuals, approximately 76% of the eligible population. Restorative procedures accounted for 36% of all expenditures followed by diagnostic (12.7%), preventive (12.2%), and orthodontic (8.9%) services. For much of the period, increases in program expenditures were exceeded by increases in the Consumer Price Index. This was consistent with fewer services per client, a less expensive mix of services, and relatively flat prices. However, in 2000 and 2001 higher prices and more clients resulted in increasing expenditures. CONCLUSIONS:Program expenditures were influenced by different factors over the study period. In the final two years, increasing expenditures were driven by price increases and increasing numbers of clients, but not by increasing numbers of services per client, nor a 'richer' mix of services.
journal_name
J Public Health Dentjournal_title
Journal of public health dentistryauthors
Leake JL,Birch S,Main PA,Ho Edoi
10.1111/j.1752-7325.2005.tb02805.xsubject
Has Abstractpub_date
2005-07-01 00:00:00pages
153-9issue
3eissn
0022-4006issn
1752-7325journal_volume
65pub_type
杂志文章abstract：:A survey was mailed to all active diplomates of the American Board of Dental Public Health in January of 1980 requesting information regarding activities for the period including January 1978 to December 1979. Eighty-two of the then 86 full-time active diplomates responded to the survey. Comparisons with the results o...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1982.tb02642.x
更新日期：1982-07-01 00:00:00
abstract：:The Linn County Dental Health Center is an example of what appears to be a highly successful dental society access program. A target population, the children of the poor and working poor in Linn County, have an opportunity to enter a system of continuous dental care for the prevention and control of dental disease. Th...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1983.tb01891.x
更新日期：1983-04-01 00:00:00
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:Early childhood caries (ECC) negatively impacts many child health outcomes and can lead to greater costs for medical and dental care as well as negatively impact future oral health wellness. ECC risk factors are rooted in many social determinants of health. Addressing ECC at the population-level is a nationa...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12330
更新日期：2019-09-01 00:00:00
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
更新日期：1989-01-01 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：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：OBJECTIVE:This study compares the quality of class I restorations made with the atraumatic restorative treatment (ART) technique and conventional class I amalgam restorations. METHODS:The study was carried out among secondary school students in Mzuzu, Malawi. First-year students in 1987 who needed at least two class I...
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.1752-7325.2003.tb03482.x
更新日期：2003-04-01 00:00:00
abstract：OBJECTIVES:Clinical guidelines for tobacco use cessation (TUC) counseling recommend that healthcare professionals should provide brief tobacco counseling for all tobacco users. Widespread implementation of these guidelines seems to be insufficient. To enhance adherence to TUC counseling guidelines, it is essential to i...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12019
更新日期：2013-07-01 00:00:00
abstract：OBJECTIVES:To compare the outcomes of restorations placed by restorative function auxiliaries (RFAs) with those placed by dentists. METHODS:Between July 1, 2007, and June 30, 2008, we matched 455 restorations placed by RFAs working at HealthPartners Dental Group with the same number placed by dentists. Restorations we...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2011.00291.x
更新日期：2012-04-01 00:00:00
abstract：OBJECTIVE:This study examines the relationships between stated restorative treatment thresholds of 16 dentists and both their restorative decisions and caries depth determinations for approximal tooth surfaces based on bitewing radiographs. METHODS:Sixteen dentists independently examined 15 pairs of experimental bitew...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1996.tb02433.x
更新日期：1996-07-01 00:00:00
abstract：:The high prevalence of disorders in the mouths of elderly residents in long-term care (LTC) facilities suggests that the dental services available to the residents are inadequate. A questionnaire was sent to most of the dentists practicing in Vancouver (British Columbia) to solicit their opinions on treating older pat...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1992.tb02280.x
更新日期：1992-07-01 00:00:00
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
更新日期：1989-01-01 00:00:00
abstract：:National health insurance is reemerging as an important issue on the national health policy scene. The continuing escalation of health care costs in the US and increasing numbers of individuals without access to health services are stimulating a variety of proposals to redesign the structure and financing of the Ameri...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1991.tb02225.x
更新日期：1991-10-01 00:00:00
abstract：:This paper presents a background discussion of the estimation of normative need for dental care. Definitions are given which differentiate normative need for dental care from perceived need, demand, or utilization. Four different approaches to obtaining estimates of normative need for dental care are outlined. They ar...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1980.tb01049.x
更新日期：1980-10-01 00:00:00
abstract：OBJECTIVES:We examined the effect of hospital payor mix on the proportion of pediatric emergency department (ED) visits that were dental related. METHODS:We used the North Carolina (NC) Emergency Room Discharge Database from 2007 to 2009 to estimate the relationship between the percent of pediatric ED patients that we...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12025
更新日期：2013-10-01 00:00:00
abstract：OBJECTIVES:The objectives of this study are to identify and describe the characteristics of dental underserved geographic areas. Understanding these characteristics is an important step in addressing access to dental care barriers. METHODS:Dental underserved areas were identified from the Health Resources and Services...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12157
更新日期：2016-09-01 00:00:00
abstract：OBJECTIVES:This analysis describes the dental self-care behaviors used by a multiethnic sample of older adults and delineates the associations of self-care behaviors with personal characteristics and oral health problems. METHODS:A cross-sectional comprehensive oral health survey conducted with a random, multiethnic (...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2009.00121.x
更新日期：2009-07-01 00:00:00
abstract：OBJECTIVES:Tobacco use accounts for 75 percent of oral cancer deaths in the United States. One objective of Healthy People 2010 is to increase the percentage of dentists who provide smoking cessation counseling. However, studies of dentists have shown that the majority feel inadequately prepared to do so. The objective...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2006.tb02550.x
更新日期：2006-01-01 00:00:00
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
更新日期：2004-07-01 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：: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
更新日期：1992-01-01 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：:The purpose of this survey was to determine how frequently various components of oral health education were included in 27 preschool oral health education programs and to compare the frequencies and the various combinations of components. The results of this survey indicate that the most significant problems relate to...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1984.tb03033.x
更新日期：1984-01-01 00:00:00
abstract：:In order to ascertain the fate of hypertensive patients who were discovered through the Medical College of Virginia School of Dentistry Hypertension Screening Program, a telephone survey was conducted whereby the first 128 patients discovered to be hypertensive through the program were interviewed concerning their cur...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1976.tb02612.x
更新日期：1976-10-01 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：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
更新日期：2015-04-01 00:00:00
abstract：OBJECTIVES:To identify factors associated with dental utilization and expenditures for children enrolled in Washington State (WA) foster care (FC). METHODS:This cross-sectional study used 2008 Medicaid enrollment and claims files for children ages <18 years enrolled in the WA FC program for ≥11 months (N = 10,177). Re...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12027
更新日期：2014-04-01 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：OBJECTIVES:The purpose of this cross-sectional study was to identify risk markers and risk indicators for periodontal attachment loss in a remote Canadian community. Of special interest was the association between smoking and periodontal disease experience. METHODS:Data were collected from a convenience sample of 187 ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2002.tb03421.x
更新日期：2002-01-01 00:00:00
