Comparing epidemiologically estimated treatment need with treatment provided in two dental schemes in Ireland
Identifieur interne : 003384 ( Main/Exploration ); précédent : 003383; suivant : 003385Comparing epidemiologically estimated treatment need with treatment provided in two dental schemes in Ireland
Auteurs : Helena Guiney [Irlande (pays)] ; Patrick Felicia [Irlande (pays)] ; Helen Whelton [Irlande (pays)] ; Noel Woods [Irlande (pays)]Source :
- BMC Oral Health [ 1472-6831 ] ; 2012.
Abstract
Valid estimation of dental treatment needed at population level is important for service planning. In many instances, planning is informed by survey data, which provide epidemiologically estimated need from the dental fieldworkers’ perspective. The aim of this paper is to determine the validity of this type of information for planning. A comparison of normative (epidemiologically estimated) need for selected treatments, as measured on a randomly-selected representative sample, is compared with treatment actually provided in the population from which the sample was drawn.
This paper compares dental treatment need-estimates, from a national survey, with treatment provided within two choice-of-dentist schemes: Scheme 1, a co-payment scheme for employed adults, and Scheme 2, a ‘free’ service for less-well-off adults. Epidemiologically estimated need for extractions, restorations, advanced restorations and denture treatments was recorded for a nationally representative sample in 2000/02. Treatments provided to employed and less-well-off adults were retrieved from the claims databases for both schemes. We used the chi-square test to compare proportions, and the student’s t-test to compare means between the survey and claims databases.
Among employed adults, the proportion of 35-44-year-olds whose teeth had restorations was greater than estimated as needed in the survey (55.7% vs. 36.7%;p <0.0001). Mean number of teeth extracted was less than estimated as needed among 35-44 and 65+ year-olds.
Among less-well-off adults, the proportion of 16-24-year-olds who had teeth extracted was greater than estimated as needed in the survey (27.4% vs. 7.9%;p <0.0001). Mean number of restorations provided was greater than estimated as needed in the survey for 16-24-year-olds (3.0 vs. 0.9; p <0.0001) and 35-44-year-olds (2.7 vs. 1.4;p <0.01).
Significant differences were found between epidemiologically estimated need and treatment provided for selected treatments, which may be accounted for by measurement differences. The gap between epidemiologically estimated need and treatment provided seems to be greatest for less-well-off adults.
Url:
DOI: 10.1186/1472-6831-12-31
PubMed: 22898307
PubMed Central: 3470949
Affiliations:
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Cork, Ireland</nlm:aff><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Oral Health Services Research Centre, Cork Dental School and Hospital, University College Cork, Cork</wicri:regionArea><wicri:noRegion>Cork</wicri:noRegion></affiliation></author><author><name sortKey="Whelton, Helen" sort="Whelton, Helen" uniqKey="Whelton H" first="Helen" last="Whelton">Helen Whelton</name><affiliation wicri:level="1"><nlm:aff id="I1">Oral Health Services Research Centre, Cork Dental School and Hospital, University College Cork, Cork, Ireland</nlm:aff><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Oral Health Services Research Centre, Cork Dental School and Hospital, University College Cork, Cork</wicri:regionArea><wicri:noRegion>Cork</wicri:noRegion></affiliation></author><author><name sortKey="Woods, Noel" sort="Woods, Noel" uniqKey="Woods N" first="Noel" last="Woods">Noel Woods</name><affiliation wicri:level="1"><nlm:aff id="I2">Centre for Policy Studies, University College Cork, Cork, Ireland</nlm:aff><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Centre for Policy Studies, University College Cork, Cork</wicri:regionArea><wicri:noRegion>Cork</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22898307</idno><idno type="pmc">3470949</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3470949</idno><idno type="RBID">PMC:3470949</idno><idno type="doi">10.1186/1472-6831-12-31</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">002173</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002173</idno><idno type="wicri:Area/Pmc/Curation">002173</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002173</idno><idno type="wicri:Area/Pmc/Checkpoint">001F38</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001F38</idno><idno 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Cork</wicri:regionArea><wicri:noRegion>Cork</wicri:noRegion></affiliation></author><author><name sortKey="Felicia, Patrick" sort="Felicia, Patrick" uniqKey="Felicia P" first="Patrick" last="Felicia">Patrick Felicia</name><affiliation wicri:level="1"><nlm:aff id="I1">Oral Health Services Research Centre, Cork Dental School and Hospital, University College Cork, Cork, Ireland</nlm:aff><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Oral Health Services Research Centre, Cork Dental School and Hospital, University College Cork, Cork</wicri:regionArea><wicri:noRegion>Cork</wicri:noRegion></affiliation></author><author><name sortKey="Whelton, Helen" sort="Whelton, Helen" uniqKey="Whelton H" first="Helen" last="Whelton">Helen Whelton</name><affiliation wicri:level="1"><nlm:aff id="I1">Oral Health Services Research Centre, Cork Dental School and Hospital, University College Cork, Cork, Ireland</nlm:aff><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Oral Health Services Research Centre, Cork Dental School and Hospital, University College Cork, Cork</wicri:regionArea><wicri:noRegion>Cork</wicri:noRegion></affiliation></author><author><name sortKey="Woods, Noel" sort="Woods, Noel" uniqKey="Woods N" first="Noel" last="Woods">Noel Woods</name><affiliation wicri:level="1"><nlm:aff id="I2">Centre for Policy Studies, University College Cork, Cork, Ireland</nlm:aff><country xml:lang="fr">Irlande (pays)</country><wicri:regionArea>Centre for Policy Studies, University College Cork, Cork</wicri:regionArea><wicri:noRegion>Cork</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Oral Health</title><idno type="eISSN">1472-6831</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Valid estimation of dental treatment needed at population level is important for service planning. In many instances, planning is informed by survey data, which provide epidemiologically estimated need from the dental fieldworkers’ perspective. The aim of this paper is to determine the validity of this type of information for planning. A comparison of normative (epidemiologically estimated) need for selected treatments, as measured on a randomly-selected representative sample, is compared with treatment actually provided in the population from which the sample was drawn.</p></sec><sec><title>Methods</title><p>This paper compares dental treatment need-estimates, from a national survey, with treatment provided within two choice-of-dentist schemes: Scheme 1, a co-payment scheme for employed adults, and Scheme 2, a ‘free’ service for less-well-off adults. Epidemiologically estimated need for extractions, restorations, advanced restorations and denture treatments was recorded for a nationally representative sample in 2000/02. Treatments provided to employed and less-well-off adults were retrieved from the claims databases for both schemes. We used the chi-square test to compare proportions, and the student’s t-test to compare means between the survey and claims databases.</p></sec><sec><title>Results</title><p>Among employed adults, the proportion of 35-44-year-olds whose teeth had restorations was greater than estimated as needed in the survey (55.7% vs. 36.7%;p <0.0001). Mean number of teeth extracted was less than estimated as needed among 35-44 and 65+ year-olds.</p><p>Among less-well-off adults, the proportion of 16-24-year-olds who had teeth extracted was greater than estimated as needed in the survey (27.4% vs. 7.9%;p <0.0001). Mean number of restorations provided was greater than estimated as needed in the survey for 16-24-year-olds (3.0 vs. 0.9; p <0.0001) and 35-44-year-olds (2.7 vs. 1.4;p <0.01).</p></sec><sec><title>Conclusions</title><p>Significant differences were found between epidemiologically estimated need and treatment provided for selected treatments, which may be accounted for by measurement differences. 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uniqKey="Nguyen L">L Nguyen</name></author><author><name sortKey="Hakkinen, U" uniqKey="Hakkinen U">U Hakkinen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Murray, Jj" uniqKey="Murray J">JJ Murray</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Irlande (pays)</li></country></list><tree><country name="Irlande (pays)"><noRegion><name sortKey="Guiney, Helena" sort="Guiney, Helena" uniqKey="Guiney H" first="Helena" last="Guiney">Helena Guiney</name></noRegion><name sortKey="Felicia, Patrick" sort="Felicia, Patrick" uniqKey="Felicia P" first="Patrick" last="Felicia">Patrick Felicia</name><name sortKey="Whelton, Helen" sort="Whelton, Helen" uniqKey="Whelton H" first="Helen" last="Whelton">Helen Whelton</name><name sortKey="Woods, Noel" sort="Woods, Noel" uniqKey="Woods N" first="Noel" last="Woods">Noel Woods</name></country></tree></affiliations></record>Pour manipuler ce 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