scholarly journals The Impact of Expanded Insurance Coverage of Dental Prosthetic Services on Dental Care Utilization Among Older Adults in South Korea: Based on the Korean Health Panel Survey.

2020 ◽  
Author(s):  
Jin-Sun Choi ◽  
Se-Hwan Jung
Keyword(s):  
Older Adults ◽  
Dental Implants ◽  
Dental Implant ◽  
Dental Care ◽  
Statistical Significance ◽  
Insurance Coverage ◽  
Care Utilization ◽  
Sociodemographic Characteristics ◽  
Dental Care Utilization ◽  
The Impact

Abstract Background: In Korea, the National Health Insurance Service (NHIS) began its coverage of dentures and dental implants for older people in 2012 and 2014, respectively. This study aimed to investigate the impact of these policies on dental care utilization among people aged 65 years or older according to their sociodemographic characteristics. Methods: Data was collected from the Korea Health Panel (KHP; years 2012 and 2015). The statistical significance of the relationships between sociodemographic characteristics and use of outpatient dental care, denture, and dental implant were analyzed. Results: Results showed an increase of 5.7%, 1.4%, and 2.8% for use of outpatient dental care, denture, and dental implant, respectively, over the course of three years. Including dentures increased its use by 2.5–3.7 times among people aged 70 years or older. Including dental implants alleviated the disparities among age groups and duration of education, except among uneducated people; however, it caused inequity according to household income. Conclusions: Thus, some Korean older adults remain neglected from the benefits of the expanded NHIS; the NHIS should aim for the provision of universal health coverage, and older adults’ access to dental care should be enhanced by the implementation of policies to promote oral health care utilization, Dental prosthetic services, Older adults, Insurance coverage

scholarly journals The Impact of Expanded National Health Insurance Coverage of Dentures and Dental Implants on Dental Care Utilization among Older Adults in South Korea: A Study Based on the Korean Health Panel Survey

2020 ◽  
Vol 17 (17) ◽  
pp. 6417 ◽  
Author(s):  
Jin-Sun Choi ◽  
Se-Hwan Jung
Keyword(s):  
Older Adults ◽  
Health Insurance ◽  
Dental Implants ◽  
National Health Insurance ◽  
Dental Care ◽  
Insurance Coverage ◽  
Care Utilization ◽  
Sociodemographic Characteristics ◽  
Panel Survey ◽  
The Impact

In South Korea, the National Health Insurance Service (NHIS) began its coverage of dentures and dental implants for older people in 2012 and 2014, respectively. This study aimed to investigate the impact of these policies on dental care utilization among people aged 65 years or older according to their sociodemographic characteristics. Data were collected from the Korea Health Panel Survey (KHP; years 2012 and 2015). The statistical significance of the relationships between sociodemographic characteristics and the use of outpatient dental care, denture, and dental implant were analyzed. Results showed an increase of 5.7%, 1.4%, and 2.8% in the use of outpatient dental care, denture, and dental implant, respectively, over the course of three years. Including dentures increased its use by 2.5–3.7 times among people aged 70 years or older. Including dental implants alleviated the disparities among older adults based on age groups and duration of education, except those among uneducated people; however, it caused inequity according to household income. Some Korean older adults remain neglected from the benefits of the expanded NHIS. Therefore, older adults’ access to dental care should be enhanced by the implementation of policies to promote oral health care utilization, dental prosthetic services, and older adults’ insurance coverage.

scholarly journals Social and Behavioral Factors, Oral Health, and Dental Care Utilization

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 799-800
Author(s):  
Bei Wu ◽  
Stephen Shuman ◽  
Elisa Ghezzi
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Oral Health ◽  
Health Outcomes ◽  
Dental Care ◽  
Care Utilization ◽  
Behavioral Factors ◽  
Dental Care Utilization ◽  
The Impact ◽  
The U.S

Abstract Oral health status and dental care utilization is strongly associated with social and behavioral factors and health outcomes. The five papers in this symposium address how several of these factors affect oral health and dental care among diverse groups of older adults. Using data from the Health and Retirement Study, the first paper examined the impact of early childhood disadvantages on oral health in later life among adults age 51 and above in the U.S. The second paper used large-scale epidemiological data that addressed the relationship between acculturation and subsequent oral health problems. It also tested the moderating role of neighborhood disorder in such a relationship among older Chinese Americans. The third paper demonstrated the importance of examining different pathways among foreign-born and native-born Chinese older adults with regard to offspring’s support on their oral health outcomes. While increasing evidence shows that cognitive function is associated with oral health, limited studies have been conducted to examine the impact of cognitive impairment, e.g., Alzheimer’s Disease (AD) and related dementias (RD), on dental care utilization and costs in older adults. The fourth paper aimed to address this knowledge gap. Results showed that AD and RD had different impacts on different types of dental care utilization and costs. The fifth paper further displayed that individuals with cognitive impairment face a significant challenge in handling dental-related medications. This symposium provides policy and clinical implications on improving oral health and dental care utilization among older adults in the U.S. Oral Health Interest Group Sponsored Symposium.

scholarly journals The Impact of Alzheimer’s Disease and Related Dementias on Dental Care Utilization and Costs in Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 800-800
Author(s):  
Sam Li ◽  
Isaac Donkor ◽  
Liang Hong ◽  
Kevin Lu ◽  
Bei Wu
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Dental Care ◽  
Negative Binomial ◽  
Self Report ◽  
Care Utilization ◽  
Limited Information ◽  
Dental Care Utilization ◽  
The Impact ◽  
Care Costs

Abstract There is limited information on the impact of cognition function on dental care utilization and costs. This study used the Medicare current beneficiaries survey in 2016 and included 4,268 participants 65+. Dental care utilization and costs were measured by self-report and included preventive and treatment events. Negative binomial regression and generalized linear regression were used to examine the impact of Alzheimer’s disease (AD) and related dementia (RD) on dental care utilization and costs. We found that AD was not associated with dental care utilization, but RD was associated with a lower number of total treatment dental care visits (IRR: 0.60; 95% CI: 0.37~0.98). RD was not associated with dental care costs, but AD was associated with higher total dental care costs (estimate: 1.08; 95% CI: 0.14~2.01) and higher out-of-pocket costs (estimate: 1.25; 95% CI: 0.17~2.32). AD and RD had different impacts on different types of dental care utilization and costs. Part of a symposium sponsored by the Oral Health Interest Group.

scholarly journals Dental Care Utilization Among Children Aged 1–17 Years: United States, 2019 and 2020

2021 ◽  
Author(s):  
Dzifa Adjaye-Gbewonyo ◽  
Lindsey Back
Keyword(s):  
United States ◽  
National Health ◽  
Dental Care ◽  
National Health Interview Survey ◽  
Care Utilization ◽  
Sociodemographic Characteristics ◽  
Health Interview Survey ◽  
Dental Care Utilization ◽  
The Past ◽  
Interview Survey

This report uses data from the 2019 and 2020 National Health Interview Survey (NHIS) to describe recent changes in the prevalence of dental examinations or cleanings in the past 12 months among children aged 1–17 years by selected sociodemographic characteristics.

scholarly journals Dental Care Utilization Among Caregivers Who Care for Older Adults

2014 ◽  
Vol 37 (4) ◽  
pp. 388-412 ◽  
Author(s):  
Bei Wu ◽  
Huabin Luo ◽  
Elizabeth Flint ◽  
Lu Qin
Keyword(s):  
Older Adults ◽  
Dental Care ◽  
Care Utilization ◽  
Dental Care Utilization

scholarly journals Socioeconomic inequality in dental care utilization in Iran: a decomposition approach

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Satar Rezaei ◽  
Mohammad Hajizadeh ◽  
Seyed Fahim Irandoost ◽  
Yahya Salimi
Keyword(s):  
Socioeconomic Status ◽  
Dental Care ◽  
Socioeconomic Inequality ◽  
Insurance Coverage ◽  
Socioeconomic Inequalities ◽  
Care Utilization ◽  
Contributing Factors ◽  
Decomposition Approach ◽  
Dental Care Utilization ◽  
Education Status

Abstract Purpose Socioeconomic inequalities in dental care utilization in Iran are rarely documented. This study aimed to provide insight into socioeconomic inequalities in dental care utilization and its main contributing factors among Iranian households. Design/methodology/approach A total of 37,860 households from the 2017 Household Income and Expenditure Survey (HIES) were included in the study. Data on dental care utilization, age, gender and education attainment of the head of household, socioeconomic status of households, health insurance coverage, living areas and provinces were obtained for the survey. The concentration curve and the normalized concentration index (Cn) was used to illustrate and quantify socioeconomic inequalities in dental care utilization among Iranian households. The Cn was decomposed to identify the main determinants of the observed socioeconomic inequality in dental care utilization in Iran. Findings The study indicated that the prevalence of dental care utilization among Iranian’s households was 4.67% (95% confidence interval [CI]: 4.46 to 4.88%). The results suggested a higher concentration of dental care utilization among socioeconomically advantaged households (Cn = 0.2522; 95% CI: 0.2258 to 0.2791) in Iran. Pro-rich inequality in dental care utilization also found in rural (Cn = 0.2659; 95%CI: 0.2221 to 0.3098) and urban (Cn = 0.0.2504; 95% CI: 0.0.2159 to 0.2841) areas. The results revealed socioeconomic status of households, age and education status of head of households and residing provinces as the main contributing factors to the concentration of dental care utilization among the wealthy households. Originality/value This study revealed pro-rich inequalities in dental care utilization among households in Iran and its provinces. Thus, health policymakers should focus on designing effective evidence-based interventions to improve healthcare utilization among household with the older head of households, lower education status, and living in relatively poor provinces to reduce socioeconomic inequality in dental care utilization in Iran.

scholarly journals Dental care utilization among North Carolina rural older adults

2012 ◽  
Vol 72 (3) ◽  
pp. 190-197 ◽  
Author(s):  
Thomas A. Arcury ◽  
Margaret R. Savoca ◽  
Andrea M. Anderson ◽  
Haiying Chen ◽  
Gregg H. Gilbert ◽  
...  
Keyword(s):  
Older Adults ◽  
North Carolina ◽  
Dental Care ◽  
Care Utilization ◽  
Dental Care Utilization ◽  
Rural Older Adults

Dental Care Utilization and Service Needs Among American Indian/Alaska Native/Native Hawaiian Elders: 2008 to 2017

2018 ◽  
Vol 31 (10) ◽  
pp. 1917-1940
Author(s):  
Shawnda Schroeder ◽  
Collette Adamsen ◽  
Cole Ward
Keyword(s):  
Older Adults ◽  
Native American ◽  
American Indian ◽  
Dental Care ◽  
Alaska Native ◽  
Native Hawaiian ◽  
The United States ◽  
Care Utilization ◽  
Dental Care Utilization ◽  
Need For Treatment

Objective: This study describes trends in self-reported dental care utilization and services needed among American Indian/Alaska Native/Native Hawaiian (AI/AN/NH) elders 2008 to 2017, including demographic and socioeconomic variability. Method: Researchers utilized data from the Survey of Elders administered by the National Resource Center on Native American Aging, representing all regions of the United States and 262 tribes. Data were analyzed comparing means over time and between/within groups. Results: Between April 2008 and March 2017, there was a statistically significant ( p < .001) increase in the proportion of older adults who visited a dentist and an increase in need for treatment. A smaller proportion of older adults reported need for treatment among those who were privately insured, high income, had no tobacco use, were employed, and had visited a dental professional in the last year. Discussion: These findings highlight current dental needs among tribal elders while also identifying elders at greater risk of poor oral health.

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