Experience of socioeconomic‐related inequality in dental care utilization among Thai elderly under universal coverage
Identifieur interne : 004F77 ( Istex/Corpus ); précédent : 004F76; suivant : 004F78Experience of socioeconomic‐related inequality in dental care utilization among Thai elderly under universal coverage
Auteurs : Tewarit SomkotraSource :
- Geriatrics & Gerontology International [ 1444-1586 ] ; 2013-04.
English descriptors
- KwdEn :
- Bangkok, Care utilization, Characteristic features, Chulalongkorn university, Cindex, Civil servant, Community dent, Community dent health, Community dentistry, Community hospital, Community hospitals, Concentration index, Csmbs, Dent, Dent educ, Dental, Dental care, Dental care utilization, Dental conditions, Dental services, Determinant, Deterministic variables, District level, Empirical evidence, Equivalence scale, Family members, General health, Geographic characteristics, Geriatrics, Health centers, Health equity, Health insurance schemes, Health policy, Health services, Healthcare, Healthcare system, Household consumption, Human resources, Impressive strides, Inequality, Insurance entitlement, Insurance schemes, International trade, Japan geriatrics society, Japan geriatrics society inequality, Last visit, Major goal, Odds ratios, Older adults, Older people, Oral diseases, Oral health, Oral health status, Oral healthcare, Other countries, Other determinants, Other words, Periodontal treatments, Present study, Primary care facilities, Private facilities, Private facility, Public facilities, Public facility, Public health, Public insurance, Quintile, Rural areas, Sample block, Sampling frame, Service utilization, Several studies, Social determinants, Socioeconomic, Socioeconomic inequality, Socioeconomic status, Somkotra, Specialists work, Status group, Thai, Thai healthcare system, Thailand, Tooth loss, Universal coverage, Universal coverage policy, Universal coverage scheme, Urban areas, Utilization, Wealthier, World health assembly, World health organization.
- Teeft :
- Bangkok, Care utilization, Characteristic features, Chulalongkorn university, Cindex, Civil servant, Community dent, Community dent health, Community dentistry, Community hospital, Community hospitals, Concentration index, Csmbs, Dent, Dent educ, Dental, Dental care, Dental care utilization, Dental conditions, Dental services, Determinant, Deterministic variables, District level, Empirical evidence, Equivalence scale, Family members, General health, Geographic characteristics, Geriatrics, Health centers, Health equity, Health insurance schemes, Health policy, Health services, Healthcare, Healthcare system, Household consumption, Human resources, Impressive strides, Inequality, Insurance entitlement, Insurance schemes, International trade, Japan geriatrics society, Japan geriatrics society inequality, Last visit, Major goal, Odds ratios, Older adults, Older people, Oral diseases, Oral health, Oral health status, Oral healthcare, Other countries, Other determinants, Other words, Periodontal treatments, Present study, Primary care facilities, Private facilities, Private facility, Public facilities, Public facility, Public health, Public insurance, Quintile, Rural areas, Sample block, Sampling frame, Service utilization, Several studies, Social determinants, Socioeconomic, Socioeconomic inequality, Socioeconomic status, Somkotra, Specialists work, Status group, Thai, Thai healthcare system, Thailand, Tooth loss, Universal coverage, Universal coverage policy, Universal coverage scheme, Urban areas, Utilization, Wealthier, World health assembly, World health organization.
Abstract
Aim: To assess the socioeconomic‐related inequality in dental care utilization among Thai elderly and to determine factors associated with the observed inequality after the country achieved universal coverage.
Url:
DOI: 10.1111/j.1447-0594.2012.00895.x
Links to Exploration step
ISTEX:9F632A55000B35F33EA6C1E7895A5BA4E229F9A1Le document en format XML
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loss</term><term>Universal coverage</term><term>Universal coverage policy</term><term>Universal coverage scheme</term><term>Urban areas</term><term>Utilization</term><term>Wealthier</term><term>World health assembly</term><term>World health organization</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Bangkok</term><term>Care utilization</term><term>Characteristic features</term><term>Chulalongkorn university</term><term>Cindex</term><term>Civil servant</term><term>Community dent</term><term>Community dent health</term><term>Community dentistry</term><term>Community hospital</term><term>Community hospitals</term><term>Concentration index</term><term>Csmbs</term><term>Dent</term><term>Dent educ</term><term>Dental</term><term>Dental care</term><term>Dental care utilization</term><term>Dental conditions</term><term>Dental services</term><term>Determinant</term><term>Deterministic variables</term><term>District level</term><term>Empirical evidence</term><term>Equivalence 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coverage</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Asia</publisher><pubPlace>Melbourne, Australia</pubPlace><availability><licence>© 2012 Japan Geriatrics Society</licence></availability><date type="published" when="2013-04"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Experience of socioeconomic‐related inequality in dental care utilization among Thai elderly under universal coverage</title><title level="a" type="short">Inequality in dental care of Thai elderly</title><author xml:id="author-0000" role="corresp"><persName><forename type="first">Tewarit</forename><surname>Somkotra</surname></persName><affiliation>Department of Community Dentistry, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand<address><country key="TH"></country></address></affiliation><affiliation>Dr Tewarit Somkotra DDS PhD, Department of Community Dentistry, Faculty of Dentistry, Chulalongkorn University, Henry‐Dunant Road, Patumwan, Bangkok, 10330, Thailand. Email: tewarit.s@chula.ac.th</affiliation></author><idno type="istex">9F632A55000B35F33EA6C1E7895A5BA4E229F9A1</idno><idno type="ark">ark:/67375/WNG-FM3P9Z7X-4</idno><idno type="DOI">10.1111/j.1447-0594.2012.00895.x</idno><idno type="unit">GGI895</idno><idno type="toTypesetVersion">file:GGI.GGI895.pdf</idno></analytic><monogr><title level="j" type="main">Geriatrics & Gerontology International</title><title level="j" type="alt">GERIATRICS GERONTOLOGY INTERNATIONAL</title><idno type="pISSN">1444-1586</idno><idno type="eISSN">1447-0594</idno><idno type="book-DOI">10.1111/(ISSN)1447-0594</idno><idno type="book-part-DOI">10.1111/ggi.2013.13.issue-2</idno><idno type="product">GGI</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">13</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="298">298</biblScope><biblScope unit="page" to="306">306</biblScope><biblScope unit="page-count">9</biblScope><publisher>Blackwell Publishing Asia</publisher><pubPlace>Melbourne, Australia</pubPlace><date type="published" when="2013-04"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><p><hi rend="bold">Aim: </hi> To assess the socioeconomic‐related inequality in dental care utilization among Thai elderly and to determine factors associated with the observed inequality after the country achieved universal coverage.</p><p><hi rend="bold">Methods: </hi> The data were taken from the nationally representative Thailand Health & Welfare Survey 2007. Data of 10 096 Thai elderly (aged over 60 years) were selected. Descriptive analyses of the features of dental care utilization among Thai elderly were carried out, in addition to the concentration index (C<hi rend="subscript">index</hi>) being used to quantify the extent of socioeconomic‐related inequality in dental care utilization. Logistic regression was used to determine factors associated with inequality in dental care.</p><p><hi rend="bold">Results: </hi> Socioeconomic‐related inequality in dental care utilization among Thai elderly was shown. Also, utilization was more concentrated among wealthier older adults, as shown by the positive value of C<hi rend="subscript">index</hi> (equals 0.244). The poor elderly, however, were more likely to utilize dental care at public facilities, particularly primary care facilities. Multivariate analysis showed that certain demographic, socioeconomic and geographic characteristics were particularly associated with poor–rich differences in dental care utilization among Thai elderly.</p><p><hi rend="bold">Conclusions: </hi> Although socioeconomic‐related inequality in dental care utilization among Thai elderly exists, the pro‐poor utilization at public facilities, particularly primary care facilities, substantiates the concerted effort to reducing inequality in dental care utilization for Thai elderly. <hi rend="bold">Geriatr Gerontol Int 2013; 13: 298–306</hi>.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">dental care</term><term xml:id="k2">elderly</term><term xml:id="k3">inequality</term><term xml:id="k4">Thailand</term><term xml:id="k5">universal coverage</term></keywords><keywords rend="tocHeading1"><term>ORIGINAL ARTICLES: EPIDEMIOLOGY, CLINICAL PRACTICE AND HEALTH</term></keywords><keywords rend="articleCategory"><term>ORIGINAL ARTICLE: EPIDEMIOLOGY, CLINICAL PRACTICE AND HEALTH</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/9F632A55000B35F33EA6C1E7895A5BA4E229F9A1/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Asia</publisherName><publisherLoc>Melbourne, Australia</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1447-0594</doi><issn type="print">1444-1586</issn><issn type="electronic">1447-0594</issn><idGroup><id type="product" value="GGI"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="GERIATRICS GERONTOLOGY INTERNATIONAL">Geriatrics & Gerontology International</title></titleGroup></publicationMeta><publicationMeta level="part" position="04102"><doi>10.1111/ggi.2013.13.issue-2</doi><copyright ownership="joint">Copyright © 2013 Japan Geriatrics Society</copyright><numberingGroup><numbering number="13" type="journalVolume">13</numbering><numbering type="journalIssue">2</numbering></numberingGroup><coverDate startDate="2013-04">April 2013</coverDate></publicationMeta><publicationMeta level="unit" position="70" status="forIssue" type="article"><doi origin="wiley">10.1111/j.1447-0594.2012.00895.x</doi><idGroup><id type="unit" value="GGI895"></id></idGroup><countGroup><count type="pageTotal" number="9"></count></countGroup><titleGroup><title type="tocHeading1">ORIGINAL ARTICLES: EPIDEMIOLOGY, CLINICAL PRACTICE AND HEALTH</title><title type="articleCategory">ORIGINAL ARTICLE: EPIDEMIOLOGY, CLINICAL PRACTICE AND HEALTH</title></titleGroup><copyright>© 2012 Japan Geriatrics Society</copyright><eventGroup><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:3.2.0 mode:FullText" date="2013-03-21"></event><event date="2013-03-21" type="xmlCorrected"></event><event type="publishedOnlineEarlyUnpaginated" date="2012-06-21"></event><event type="firstOnline" date="2012-06-21"></event><event type="publishedOnlineFinalForm" date="2013-04-02"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-26"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-04"></event></eventGroup><numberingGroup><numbering type="pageFirst">298</numbering><numbering type="pageLast">306</numbering></numberingGroup><correspondenceTo>Dr Tewarit Somkotra DDS PhD, Department of Community Dentistry, Faculty of Dentistry, Chulalongkorn University, Henry‐Dunant Road, Patumwan, Bangkok, 10330, Thailand. Email: <email>tewarit.s@chula.ac.th</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:GGI.GGI895.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Accepted for publication 26 April 2012.</unparsedEditorialHistory><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="3"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="31"></count><count type="wordTotal" number="4516"></count><count type="linksPubMed" number="0"></count><count type="linksCrossRef" number="0"></count></countGroup><titleGroup><title type="main">Experience of socioeconomic‐related inequality in dental care utilization among Thai elderly under universal coverage</title><title type="shortAuthors">T Somkotra</title><title type="short">Inequality in dental care of Thai elderly</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1" corresponding="yes"><personName><givenNames>Tewarit</givenNames><familyName>Somkotra</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="TH"><unparsedAffiliation>Department of Community Dentistry, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">dental care</keyword><keyword xml:id="k2">elderly</keyword><keyword xml:id="k3">inequality</keyword><keyword xml:id="k4">Thailand</keyword><keyword xml:id="k5">universal coverage</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p><b>Aim: </b> To assess the socioeconomic‐related inequality in dental care utilization among Thai elderly and to determine factors associated with the observed inequality after the country achieved universal coverage.</p><p><b>Methods: </b> The data were taken from the nationally representative Thailand Health & Welfare Survey 2007. Data of 10 096 Thai elderly (aged over 60 years) were selected. Descriptive analyses of the features of dental care utilization among Thai elderly were carried out, in addition to the concentration index (C<sub>index</sub>) being used to quantify the extent of socioeconomic‐related inequality in dental care utilization. Logistic regression was used to determine factors associated with inequality in dental care.</p><p><b>Results: </b> Socioeconomic‐related inequality in dental care utilization among Thai elderly was shown. Also, utilization was more concentrated among wealthier older adults, as shown by the positive value of C<sub>index</sub> (equals 0.244). The poor elderly, however, were more likely to utilize dental care at public facilities, particularly primary care facilities. Multivariate analysis showed that certain demographic, socioeconomic and geographic characteristics were particularly associated with poor–rich differences in dental care utilization among Thai elderly.</p><p><b>Conclusions: </b> Although socioeconomic‐related inequality in dental care utilization among Thai elderly exists, the pro‐poor utilization at public facilities, particularly primary care facilities, substantiates the concerted effort to reducing inequality in dental care utilization for Thai elderly. <b>Geriatr Gerontol Int 2013; 13: 298–306</b>.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Experience of socioeconomic‐related inequality in dental care utilization among Thai elderly under universal coverage</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Inequality in dental care of Thai elderly</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Experience of socioeconomic‐related inequality in dental care utilization among Thai elderly under universal coverage</title></titleInfo><name type="personal"><namePart type="given">Tewarit</namePart><namePart type="family">Somkotra</namePart><affiliation>Department of Community Dentistry, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand</affiliation><affiliation>E-mail: tewarit.s@chula.ac.th</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Asia</publisher><place><placeTerm type="text">Melbourne, Australia</placeTerm></place><dateIssued encoding="w3cdtf">2013-04</dateIssued><edition>Accepted for publication 26 April 2012.</edition><copyrightDate encoding="w3cdtf">2013</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">0</extent><extent unit="tables">3</extent><extent unit="formulas">0</extent><extent unit="references">31</extent><extent unit="linksCrossRef">0</extent><extent unit="words">4516</extent></physicalDescription><abstract>Aim: To assess the socioeconomic‐related inequality in dental care utilization among Thai elderly and to determine factors associated with the observed inequality after the country achieved universal coverage.</abstract><abstract>Methods: The data were taken from the nationally representative Thailand Health & Welfare Survey 2007. Data of 10 096 Thai elderly (aged over 60 years) were selected. Descriptive analyses of the features of dental care utilization among Thai elderly were carried out, in addition to the concentration index (Cindex) being used to quantify the extent of socioeconomic‐related inequality in dental care utilization. Logistic regression was used to determine factors associated with inequality in dental care.</abstract><abstract>Results: Socioeconomic‐related inequality in dental care utilization among Thai elderly was shown. Also, utilization was more concentrated among wealthier older adults, as shown by the positive value of Cindex (equals 0.244). The poor elderly, however, were more likely to utilize dental care at public facilities, particularly primary care facilities. Multivariate analysis showed that certain demographic, socioeconomic and geographic characteristics were particularly associated with poor–rich differences in dental care utilization among Thai elderly.</abstract><abstract>Conclusions: Although socioeconomic‐related inequality in dental care utilization among Thai elderly exists, the pro‐poor utilization at public facilities, particularly primary care facilities, substantiates the concerted effort to reducing inequality in dental care utilization for Thai elderly. Geriatr Gerontol Int 2013; 13: 298–306.</abstract><subject lang="en"><genre>keywords</genre><topic>dental care</topic><topic>elderly</topic><topic>inequality</topic><topic>Thailand</topic><topic>universal coverage</topic></subject><relatedItem type="host"><titleInfo><title>Geriatrics & Gerontology International</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>ORIGINAL ARTICLE: EPIDEMIOLOGY, CLINICAL PRACTICE AND HEALTH</topic></subject><identifier type="ISSN">1444-1586</identifier><identifier type="eISSN">1447-0594</identifier><identifier type="DOI">10.1111/(ISSN)1447-0594</identifier><identifier type="PublisherID">GGI</identifier><part><date>2013</date><detail type="volume"><caption>vol.</caption><number>13</number></detail><detail type="issue"><caption>no.</caption><number>2</number></detail><extent unit="pages"><start>298</start><end>306</end><total>9</total></extent></part></relatedItem><identifier type="istex">9F632A55000B35F33EA6C1E7895A5BA4E229F9A1</identifier><identifier type="ark">ark:/67375/WNG-FM3P9Z7X-4</identifier><identifier type="DOI">10.1111/j.1447-0594.2012.00895.x</identifier><identifier type="ArticleID">GGI895</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2013 Japan Geriatrics Society© 2012 Japan Geriatrics Society</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Asia</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/9F632A55000B35F33EA6C1E7895A5BA4E229F9A1/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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