Optimized therapy for the edentulous predicament: cost-effectiveness considerations.
Identifieur interne : 003058 ( PubMed/Checkpoint ); précédent : 003057; suivant : 003059Optimized therapy for the edentulous predicament: cost-effectiveness considerations.
Auteurs : D W Lewis [Canada]Source :
- The Journal of prosthetic dentistry [ 0022-3913 ] ; 1998.
Descripteurs français
- KwdFr :
- Accessibilité des services de santé (économie), Analyse coût-bénéfice, Attitude envers la santé, Bouche édentée (), Bouche édentée (rééducation et réadaptation), Changement social, Humains, Overdenture (économie), Participation du patient, Prise de décision, Prothèse dentaire complète (économie), Prothèse dentaire implanto-portée (économie), Qualité de vie, Relations dentiste-patient, Résultat thérapeutique, Satisfaction du patient, Sujet âgé, Valeur de la vie, Études longitudinales, Évaluation de résultat (soins).
- MESH :
- rééducation et réadaptation : Bouche édentée.
- économie : Accessibilité des services de santé, Overdenture, Prothèse dentaire complète, Prothèse dentaire implanto-portée.
- Analyse coût-bénéfice, Attitude envers la santé, Bouche édentée, Changement social, Humains, Participation du patient, Prise de décision, Qualité de vie, Relations dentiste-patient, Résultat thérapeutique, Satisfaction du patient, Sujet âgé, Valeur de la vie, Études longitudinales, Évaluation de résultat (soins).
English descriptors
- KwdEn :
- Aged, Attitude to Health, Cost-Benefit Analysis, Decision Making, Dental Prosthesis, Implant-Supported (economics), Dentist-Patient Relations, Denture, Complete (economics), Denture, Overlay (economics), Health Services Accessibility (economics), Humans, Longitudinal Studies, Mouth, Edentulous (rehabilitation), Mouth, Edentulous (surgery), Outcome Assessment (Health Care), Patient Participation, Patient Satisfaction, Quality of Life, Social Change, Treatment Outcome, Value of Life.
- MESH :
- economics : Dental Prosthesis, Implant-Supported, Denture, Complete, Denture, Overlay, Health Services Accessibility.
- rehabilitation : Mouth, Edentulous.
- surgery : Mouth, Edentulous.
- Aged, Attitude to Health, Cost-Benefit Analysis, Decision Making, Dentist-Patient Relations, Humans, Longitudinal Studies, Outcome Assessment (Health Care), Patient Participation, Patient Satisfaction, Quality of Life, Social Change, Treatment Outcome, Value of Life.
Abstract
After proof of the clinical effectiveness of prosthodontic interventions, comparative economic analyses (cost-effectiveness, cost benefit, cost utility) should be undertaken to establish the relative value of each intervention in terms of its costs and consequences. Over time, these analyses must consider the balance between each intervention's initial and maintenance costs versus a broad array of clinician and patient-based multidimensional benefits or outcomes. The findings of current research will enhance increased economic analysis in prosthodontics, which, in turn, may help both dentists' and patients' decision-making. Even implant-supported prostheses that are clinically effective have yet to be proven societally effective because they are inaccessible economically to some who need them. Long-term, multidimensional comparative economic analyses of overdenture and conventional denture use may lead to the expansion of implant-supported dentures to selected patients who, to date, have not had access to this treatment modality.
PubMed: 9474548
Affiliations:
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pubmed:9474548Le document en format XML
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<term>Évaluation de résultat (soins)</term>
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<term>Health Services Accessibility</term>
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<term>Attitude envers la santé</term>
<term>Bouche édentée</term>
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<front><div type="abstract" xml:lang="en">After proof of the clinical effectiveness of prosthodontic interventions, comparative economic analyses (cost-effectiveness, cost benefit, cost utility) should be undertaken to establish the relative value of each intervention in terms of its costs and consequences. Over time, these analyses must consider the balance between each intervention's initial and maintenance costs versus a broad array of clinician and patient-based multidimensional benefits or outcomes. The findings of current research will enhance increased economic analysis in prosthodontics, which, in turn, may help both dentists' and patients' decision-making. Even implant-supported prostheses that are clinically effective have yet to be proven societally effective because they are inaccessible economically to some who need them. Long-term, multidimensional comparative economic analyses of overdenture and conventional denture use may lead to the expansion of implant-supported dentures to selected patients who, to date, have not had access to this treatment modality.</div>
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