Dental attendance among adult Finns after a major oral health care reform

Raittio, Eero; Kiiskinen, Urpo; Helminen, Sari; Aromaa, Arpo; Suominen, Anna Liisa

doi:10.1111/cdoe.12117

Cited by 27 publications

(46 citation statements)

References 25 publications

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“…Our results were similar to another Finnish study where data were gathered by repeated postal questionnaires in 2001, 2004 and 2007 [16]. However, in our study, the last measurement point was 4 years later than in the questionnaire study, thus giving a more up-to-date picture.…”

Section: Discussionsupporting

confidence: 89%

Use of oral health care services in Finnish adults – results from the cross-sectional Health 2000 and 2011 Surveys

et al. 2017

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BackgroundDuring the 2000s, two major legislative reforms concerning oral health care have been implemented in Finland. One entitled the whole population to subsidized care and the other regulated the timeframes of access to care. Our aim was, in a cross-sectional setting, to assess changes in and determinants of use of oral health care services before the first reform in 2000 and after both reforms in 2011.MethodsThe data were part of the nationally representative Health 2000 and 2011 Surveys of adults aged ≥ 30 years and were gathered by interviews and questionnaires. The outcome was the use of oral health care services during the previous year. Determinants of use among the dentate were grouped according to Andersen’s model: predisposing (sex, age group), enabling (education, recall, dental fear, habitual use of services, household income, barriers of access to care), and need (perceived need, self-rated oral health, denture status). Chi square tests and logistic regression analyses were used for statistical evaluation.ResultsNo major changes or only a minor increase in overall use of oral health care services was seen between the study years. An exception were those belonging to oldest age group who clearly increased their use of services. Also, a significant increase in visiting a public sector dentist was observed, particularly in the age groups that became entitled to subsidized care in 2000. In the private sector, use of services decreased in younger age groups. Determinants for visiting a dentist, regardless of the service sector, remained relatively stable. Being a regular dental visitor was the most significant determinant for having visited a dentist during the previous year. Enabling factors, both organizational and individual, were emphasized. They seemed to enable service utilization particularly in the private sector.ConclusionsOverall changes in the use of oral health care services were relatively small, but in line with the goals set for the reform. Older persons increased use of services in both sectors, implying growing need. Differences between public and private sectors persisted, and recall, costs of care and socioeconomic factors steered choices between the sectors, sustaining inequity in access to care.

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Section: Discussionsupporting

confidence: 89%

Use of oral health care services in Finnish adults – results from the cross-sectional Health 2000 and 2011 Surveys

et al. 2017

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“…() as the main predictor of oral health behaviour. A study of dental attendance amongst adult Finns also found perceived need for care to be a predictor of use of dental services in logistic regression analysis (Raittio, Kiiskinen, Helminen, Aromaa, & Suominen, ). Frequency of participants with regular dental visiting habits was similar to reports from the other studies.…”

Section: Discussionmentioning

confidence: 99%

Periodontitis and quality of life: What is the role of socioeconomic status, sense of coherence, dental service use and oral health practices? An exploratory theory‐guided analysis on a Norwegian population

Holde

Baker

Jönsson

2018

J Clinic Periodontology

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“…For example, two studies examined the major oral health care reform introduced in Finland between 2001 and 2002 [14,15]. This reform led to the opening of the Public Dental Services (PDS) and extended subsidies for private dental services to all adults.…”

Section: Literature Reviewmentioning

confidence: 99%

“…By 2004, when subsidies had been extended to the entire adult population, this figure increased to almost every second adult. In three consecutive surveys of the Finn population (2001,2004,2007), Raittio et al [15] showed that between 2001 and 2007 the percentage of respondents who regularly sought dental care rose. In particular, the proportion of respondents who used the Public Dental Services increased, while the average number of visits to private dentists decreased between 2001 and 2007.…”

Section: Literature Reviewmentioning

confidence: 99%

The use of dental services for children: Implications of the 2010 dental reform in Israel

et al. 2015

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Dental attendance among adult Finns after a major oral health care reform

Abstract: The use of oral health care services rose and age did not seem to be a barrier to the use of oral health care services after the reform, as was the aim of the reform. No change in the association of household income with the use of oral health care services was seen after the OHCR.

Cited by 27 publications

References 25 publications

Use of oral health care services in Finnish adults – results from the cross-sectional Health 2000 and 2011 Surveys

Use of oral health care services in Finnish adults – results from the cross-sectional Health 2000 and 2011 Surveys

Periodontitis and quality of life: What is the role of socioeconomic status, sense of coherence, dental service use and oral health practices? An exploratory theory‐guided analysis on a Norwegian population

The use of dental services for children: Implications of the 2010 dental reform in Israel

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