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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xml:lang="fr"><term>Accessibilité des services de santé (économie)</term><term>Analyse coût-bénéfice</term><term>Attitude envers la santé</term><term>Bouche édentée ()</term><term>Bouche édentée (rééducation et réadaptation)</term><term>Changement social</term><term>Humains</term><term>Overdenture (économie)</term><term>Participation du patient</term><term>Prise de décision</term><term>Prothèse dentaire complète (économie)</term><term>Prothèse dentaire implanto-portée (économie)</term><term>Qualité de vie</term><term>Relations dentiste-patient</term><term>Résultat thérapeutique</term><term>Satisfaction du patient</term><term>Sujet âgé</term><term>Valeur de la vie</term><term>Études longitudinales</term><term>Évaluation de résultat (soins)</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Dental Prosthesis, Implant-Supported</term><term>Denture, Complete</term><term>Denture, Overlay</term><term>Health Services Accessibility</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Mouth, Edentulous</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Bouche édentée</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Mouth, Edentulous</term></keywords><keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Accessibilité des services de santé</term><term>Overdenture</term><term>Prothèse dentaire complète</term><term>Prothèse dentaire implanto-portée</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Attitude to Health</term><term>Cost-Benefit Analysis</term><term>Decision Making</term><term>Dentist-Patient Relations</term><term>Humans</term><term>Longitudinal Studies</term><term>Outcome Assessment (Health Care)</term><term>Patient Participation</term><term>Patient Satisfaction</term><term>Quality of Life</term><term>Social Change</term><term>Treatment Outcome</term><term>Value of Life</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Analyse coût-bénéfice</term><term>Attitude envers la santé</term><term>Bouche édentée</term><term>Changement social</term><term>Humains</term><term>Participation du patient</term><term>Prise de décision</term><term>Qualité de vie</term><term>Relations dentiste-patient</term><term>Résultat thérapeutique</term><term>Satisfaction du patient</term><term>Sujet âgé</term><term>Valeur de la vie</term><term>Études longitudinales</term><term>Évaluation de résultat (soins)</term></keywords></textClass></profileDesc></teiHeader><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></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">9474548</PMID><DateCompleted><Year>1998</Year><Month>03</Month><Day>25</Day></DateCompleted><DateRevised><Year>2006</Year><Month>11</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0022-3913</ISSN><JournalIssue CitedMedium="Print"><Volume>79</Volume><Issue>1</Issue><PubDate><Year>1998</Year><Month>Jan</Month></PubDate></JournalIssue><Title>The Journal of prosthetic dentistry</Title><ISOAbbreviation>J Prosthet Dent</ISOAbbreviation></Journal><ArticleTitle>Optimized therapy for the edentulous predicament: cost-effectiveness considerations.</ArticleTitle><Pagination><MedlinePgn>93-9</MedlinePgn></Pagination><Abstract><AbstractText>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.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lewis</LastName><ForeName>D W</ForeName><Initials>DW</Initials><AffiliationInfo><Affiliation>University of Toronto, Ontario, Canada.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Prosthet Dent</MedlineTA><NlmUniqueID>0376364</NlmUniqueID><ISSNLinking>0022-3913</ISSNLinking></MedlineJournalInfo><CitationSubset>D</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001294" MajorTopicYN="N">Attitude to Health</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003362" MajorTopicYN="N">Cost-Benefit Analysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003657" MajorTopicYN="N">Decision Making</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019094" MajorTopicYN="N">Dental Prosthesis, Implant-Supported</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="Y">economics</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003812" MajorTopicYN="N">Dentist-Patient Relations</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003824" MajorTopicYN="N">Denture, Complete</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="Y">economics</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003828" MajorTopicYN="N">Denture, Overlay</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="Y">economics</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006297" MajorTopicYN="N">Health Services Accessibility</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008137" MajorTopicYN="N">Longitudinal Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009066" MajorTopicYN="N">Mouth, Edentulous</DescriptorName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017063" MajorTopicYN="N">Outcome Assessment (Health Care)</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010358" MajorTopicYN="N">Patient Participation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017060" MajorTopicYN="N">Patient Satisfaction</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="N">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012922" MajorTopicYN="N">Social Change</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D026712" MajorTopicYN="N">Value of Life</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1998</Year><Month>2</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1998</Year><Month>2</Month><Day>25</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1998</Year><Month>2</Month><Day>25</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">9474548</ArticleId><ArticleId IdType="pii">S0022-3913(98)70200-8</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Canada</li></country><region><li>Ontario</li></region><settlement><li>Toronto</li></settlement><orgName><li>Université de Toronto</li></orgName></list><tree><country name="Canada"><region name="Ontario"><name sortKey="Lewis, D W" sort="Lewis, D W" uniqKey="Lewis D" first="D W" last="Lewis">D W Lewis</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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