Determinants of Dental Service Use Based on the Andersen Model: A Study Protocol for a Systematic Review

Hajek, André; Kretzler, Benedikt; König, Hans‐Helmut

doi:10.3390/healthcare8030333

Cited by 6 publications

(4 citation statements)

References 17 publications

(21 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It should be noted that our work was registered to the International Prospective Register of Systematic Reviews (PROSPERO, registration number: CRD42020193094). Additionally, a systematic review protocol has been published [ 12 ].…”

Section: Methodsmentioning

confidence: 99%

“…To date, several studies [ 10 , 11 , 12 ] exist analyzing the factors associated with dental service use based on the Andersen model [ 6 ] mainly showing that predisposing characteristics, enabling resources (depending on the healthcare system) and need factors (such as oral health-related quality of life [ 13 , 14 ]) can determine dental service use.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Factors Associated with Dental Service Use Based on the Andersen Model: A Systematic Review

Hajek

Kretzler

König

2021

IJERPH

Self Cite

View full text Add to dashboard Cite

Background: A systematic review synthesizing studies examining the determinants of dental service use drawing on the (extended) Andersen model is lacking. Hence, our purpose was to fill this knowledge gap; Methods: Three established electronic databases (PubMed, PsycInfo, as well as CINAHL) were searched. Observational studies focusing on the determinants of dental service use drawing on the Andersen model were included; Results: In sum, 41 studies have been included (ten studies investigating children/adolescents and 31 studies investigating adults). Among children, particularly higher age (predisposing characteristic), higher income (enabling resource) and more oral health problems (need factor) were associated with increased dental service use. Among adults, findings are, in general, less consistent. However, it should be noted that one half of the studies found an association between increased education (predisposing characteristic) and increased dental service. In general, study quality was rather high. However, it should be noted that most studies did not report how they dealt with missing data; Conclusions: Our systematic review revealed that all components (i.e., predisposing characteristics, enabling resources and need factors) of the Andersen model tend to be associated with dental service use among children, whereas the findings are more mixed among adults. In conclusion, beyond need factors, dental service use also tend to be driven by other factors. This may indicate over—or, more likely—underuse of dental services and could enrich the inequality discussion in dental services research.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Factors Associated with Dental Service Use Based on the Andersen Model: A Systematic Review

Hajek

Kretzler

König

2021

IJERPH

Self Cite

View full text Add to dashboard Cite

show abstract

“…Second, health behaviors related to the utilization of dental services were not included in this study. Andersen's behavioral model of service utilization explained that there are several domains, such as predisposing, enabling, need, and behavioral factors, which result in outcomes of perceived health, evaluated health, or patient satisfaction [80][81][82][83]. As mentioned above, the dataset provided by the NHISS had a limitation on the range of variables related to oral health.…”

Section: Discussionmentioning

confidence: 99%

An Investigation of the Association between Health Screening and Dental Scaling in Korea

Shin

Heo

Ryu

2021

IJERPH

View full text Add to dashboard Cite

Dental disease is one of the most prevalent chronic diseases worldwide, and its expenditure is continuously increasing. Periodontal disease is increasing as a chronic non-communicable disease in adults and older people. Health screening has been shown to be cost-effective and improves the quality of life through the early detection of diseases. This study aimed to analyze the relationship between national health screening and dental scaling as a preventive service for periodontal disease. The study used sample cohort data from 2002 to 2015 provided by the National Health Insurance Sharing Service in South Korea. A logistic regression analysis of the utilization of dental scaling was performed to identify the independent effects of national health screening. People who underwent health screening showed a higher tendency to undergo dental scaling. Additionally, disparities in utilization according to socioeconomic status were reduced among those who underwent screening. The intervention to extend dental coverage could be more beneficial when combined with health screening, encouraging more people to participate and reducing inequalities in utilization.

show abstract

“…The Andersen model was developed by Andersen et al ,19 applied to health service utilisation and integrated with the maintenance and improvement of vital health 20. The Andersen model is now flexibly used in various studies,21–25 and research on the use of services by the elderly is more mature 26 27. In recent years, Andersen’s model has been applied more to the factors influencing the way elderly people combine healthcare or their willingness to age.…”

Section: Introductionmentioning

confidence: 99%

Utilisation willingness for institutional care by the disabled elderly and its influencing factors based on Andersen’s model: a cross-sectional survey of Henan, China

et al. 2022

View full text Add to dashboard Cite

ObjectiveTo explore the factors that influence institutional care for the disabled elderly in China and the key factors that influence individuals based on the Andersen model.DesignCross-sectional survey.SettingThe research was conducted in 18 cities in Henan Province, China.Main outcome measuresA multistage, stratified sampling design was employed. The χ2test was used to compare the differences in basic information of the disabled elderly. A binary Logit model was used to examine the factors influencing the willingness to institutionalise elderly people with disabilities. The determinants of willingness to care in an institution were also explored in a stratified study by gender, age and region to identify the key differences affecting institutionalisation. The Andersen model was used as the theoretical framework to infer the impact strength of each model.ResultsOf the 2810 disabled elderly people in Henan, China, 7.4% of the elderly had a willingness for institutional care. In the binary logistic regression analysis, whether living alone (OR (95% CI)=0.596 (0.388 to 0.916)), medical payment method (basic medical insurance for urban employees: OR (95% CI)=2.185 (1.091 to 4.377)), having mental illness (OR (95% CI)=2.078 (1.044 to 4.137)) had a statistically significant difference (p<0.05) on the impact on the willingness of the disabled elderly to receive institutional care. Validation of the fitted coefficients of the model revealed that the needs factor had the most significant effect on the enabling variable, while the predisposing factor had more minerally effect.ConclusionsSeveral factors influence the willingness of the disabled elderly to institutionalise. Therefore, it is recommended that relevant authorities take targeted measures to focus on the disabled elderly to identify more precise elderly care services to deal with the ageing crisis.

show abstract

Determinants of Dental Service Use Based on the Andersen Model: A Study Protocol for a Systematic Review

Cited by 6 publications

References 17 publications

Factors Associated with Dental Service Use Based on the Andersen Model: A Systematic Review

Factors Associated with Dental Service Use Based on the Andersen Model: A Systematic Review

An Investigation of the Association between Health Screening and Dental Scaling in Korea

Utilisation willingness for institutional care by the disabled elderly and its influencing factors based on Andersen’s model: a cross-sectional survey of Henan, China

Contact Info

Product

Resources

About