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 270,000 persons (in 1990-91) are eligible for comprehensive, premium-free dental services provided by dentists and denturists in private practice on a fee-for-service basis. The plan's design, administration, utilization, and costs are reviewed. Utilization increased from 27 percent of eligibles using the plan in 1974-75 to 44 percent in 1990-91, and the mean number of services per user rose from 4.9 to 6.9 during the same time period. Although the cost per eligible person has increased about 200 percent, from Canadian (C) $42 to C $131, these costs only began to exceed the rate of inflation in 1986-87. Even though just 12 percent of the two main providers participating in the plan are denturists, nearly 22 percent of plan patients attended denturists rather than dentists for their complete dentures. Fees paid to dentists by the plan have decreased over time relative to the standard fees for the various services listed annually in the Alberta Dental Association fee guide. The apparent growth of direct additional billing by dentists of plan users to recover the difference between their usual fees and those paid by the plan and the effects of greater plan utilization are discussed, as are future potential difficulties in the plan's administration.
journal_name
J Public Health Dentjournal_title
Journal of public health dentistryauthors
Lewis DW,Thompson GWdoi
10.1111/j.1752-7325.1992.tb02286.xsubject
Has Abstractpub_date
1992-10-01 00:00:00pages
259-63issue
5eissn
0022-4006issn
1752-7325journal_volume
52pub_type
杂志文章abstract：OBJECTIVES:The purposes of this study were to develop a work stress inventory for dental assistants (WSI-DA) in Jordan and examine its psychometric properties and to describe potentially stressful work-related conditions related to the profession of dental assistance in Jordan. METHODS:A total of 542 dental assistants...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2008.00094.x
更新日期：2009-01-01 00:00:00
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
更新日期：1997-04-01 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：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
更新日期：2008-01-01 00:00:00
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
更新日期：2016-03-01 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：:The Ryan White Comprehensive AIDS Resources Emergency (CARE) Act of 1990 was passed by Congress "to improve the quality and availability of care for individuals and families with HIV disease." The act targets those individuals infected with HIV who lack financial resources to pay for care. While provision of oral heal...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1993.tb02714.x
更新日期：1993-10-01 00:00:00
abstract：:Central to all value-based purchasing (VBP) approaches are value metrics, the measurements used to drive improvement, facilitate payment, and evaluate results of VBP programs. This article outlines approaches for adopting meaningful measurement systems that can be used to support VBP in the near term and identifies sy...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12395
更新日期：2020-09-01 00:00:00
abstract：:A tooth-oriented caries measure has limitations in depicting the caries experience in the primary dentition for a population. Caries patterns based on the child have been presented previously and quantified. The purpose of this study was to explore proportional changes in caries patterns of the primary dentition in tw...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1987.tb01951.x
更新日期：1987-01-01 00:00:00
abstract：OBJECTIVES:Studies examining satisfaction with dental health care among the poor are quite rare. This study was done to confirm the internal structure and reliability of the Dental Satisfaction Questionnaire (DSQ), a measure of dental care satisfaction, among a low-income population, and provide normative data regardin...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1995.tb02372.x
更新日期：1995-10-01 00:00:00
abstract：OBJECTIVES:This study investigated possible reasons for observed discrepancies in prevalence estimates and measures of association for periodontal disease between phases (1988-91 and 1991-94) of the third National Health and Nutrition Examination Survey (NHANES III). METHODS:NHANES III data on CD-ROM were obtained fro...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1999.tb03237.x
更新日期：1999-04-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to explore the extent to which neighborhood poverty was associated with the utilization of dental care by American adolescents. METHODS:To accomplish the study goals we conducted multilevel modeling analyses of two nationally representative data sets: National Longitudinal Study...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2012.00340.x
更新日期：2012-10-01 00:00:00
abstract：OBJECTIVE:To ascertain caregiver satisfaction with silver diamine fluoride (SDF) application(s) as an intermediate care path for their children with caries. METHODS:Caregivers were recruited at two community health centers when they arrived for a previously scheduled operating room/sedation appointment for their child...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12338
更新日期：2019-12-01 00:00:00
abstract：OBJECTIVES:An epidemiology analysis was performed to identify patient and dentist factors influencing over- and undertreatment of restorative services in a sample of insured adults. METHODS:At baseline, 681 Washington State employees and their spouses, aged 20 to 34 years and residing in the Olympia or Pullman areas, ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1997.tb02469.x
更新日期：1997-01-01 00:00:00
abstract：OBJECTIVES:This study aims to (a) investigate the relationship between dentists' perceived professional role (PPR), defined as the belief that they are health care professionals versus business people, and treatment intensity, determined by the aggressiveness of clinical approaches, such as in number or scope, and (b) ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12346
更新日期：2020-01-01 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：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：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
更新日期：2018-09-01 00:00:00
abstract：:A review of the literature on bacteriologic and nonbacteriologic criteria for identifying individuals at high risk to dental caries is presented. The studies have been evaluated on the basis of 1) their ability to predict future caries activity of individuals and 2) their practical use. Single measurements of past car...
journal_title：Journal of public health dentistry
pub_type： 杂志文章,评审
doi：10.1111/j.1752-7325.1986.tb03117.x
更新日期：1986-04-01 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：: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
更新日期：2020-03-01 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：: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：OBJECTIVE:The aims of this study were to examine dentists' recommendations for in-office fluoride to patients and identify dentists' characteristics associated with these recommendations. STUDY DESIGN AND SETTING:The study was conducted using a cross-sectional questionnaire survey in Japan. The survey queried dentists...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12114
更新日期：2016-03-01 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：OBJECTIVES:This review updates the evidence regarding caries risk assessment for infants, toddlers, and preschool children and formulates recommendations for preventive strategies for WIC, Head Start, and Early Head Start. METHODS:Literature on caries risk assessment and preventive strategies for infants, toddlers, an...
journal_title：Journal of public health dentistry
pub_type： 杂志文章,meta分析
doi：10.1111/j.1752-7325.2000.tb03330.x
更新日期：2000-07-01 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：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 paper reports on factors that predict the market penetration and growth into the market of both medical and dental managed care, and the relationship between the two. METHODS:Using data from the National Association of Dental Plans, the Interstudy Competitive Edge HMO Census, and the Area Resource File ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1999.tb03231.x
更新日期：1999-01-01 00:00:00
abstract：OBJECTIVE:Productivity (output per unit of input) is a major driver of dental service capacity. This study uses 2006-2007 data to update available knowledge on dentist productivity. METHODS:In 2006-2007, the authors surveyed 1,604 Oregon general dentists regarding-hours worked, practice size, payment and patient mix, ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2010.00180.x
更新日期：2010-10-01 00:00:00
