Inequity in a market-based health system: Evidence from Canada's dental sector

Grignon, Michel; Hurley, Jeremiah; Wang, Li; Allin, Sara

doi:10.1016/j.healthpol.2010.05.018

Cited by 84 publications

(72 citation statements)

References 17 publications

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“…In this respect, especially US-American and Australian patients express a level of discontent with their health system that is several times higher than that of patients from European insurance-based sytems [5,34,35].…”

Section: Possible Reasons For Variations In System Performancementioning

confidence: 99%

Evaluation of different oral care systems: Results for Germany and selected highly developed countries. An update of a former study

Saekel¹

2018

Dent Oral Craniofac Res

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Section: Possible Reasons For Variations In System Performancementioning

confidence: 99%

Evaluation of different oral care systems: Results for Germany and selected highly developed countries. An update of a former study

Saekel¹

2018

Dent Oral Craniofac Res

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“…So, unlike physician care, income and insurance coverage are more important factors affecting an individual's decision to visit a dentist in Canada. 8,[10][11][12][13] More people with poor oral health thus face greater financial barriers to accessing care as a result of low income.…”

mentioning

confidence: 99%

Investigating the “inverse care law” in dental care: A comparative analysis of Canadian jurisdictions

Dehmoobadsharifabadi

Singhal

Quiñonez

2016

Can J Public Health

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OBJECTIVES:To compare physician and dentist visits nationally and at the provincial/territorial level and to assess the extent of the "inverse care law" in dental care among different age groups in the same way. METHODS:Publicly available data from the 2007 to 2008 Canadian Community Health Survey were utilized to investigate physician and dentist visits in the past 12 months in relation to self-perceived general and oral health by performing descriptive statistics and binary logistic regression, controlling for age, sex, education, income, and physician/dentist population ratios. Analysis was conducted for all participants and stratified by age groups -children (12-17 years), adults (18-64 years) and seniors (65 years and over).RESULTS: Nationally and provincially/territorially, it appears that the "inverse care law" persists for dental care but is not present for physician care. Specifically, when comparing to those with excellent general/oral health, individuals with poor general health were 2.71 (95% confidence interval [CI]: 2.70-2.72) times more likely to visit physicians, and individuals with poor oral health were 2.16 (95% CI: 2.16-2.17) times less likely to visit dentists. Stratified analyses by age showed more variability in the extent of the "inverse care law" in children and seniors compared to adults. CONCLUSIONS:The "inverse care law" in dental care exists both nationally and provincially/territorially among different age groups. Given this, it is important to assess the government's role in improving access to, and utilization of, dental care in Canada.KEY WORDS: Dental health services; health services; health care utilization; oral health La traduction du résumé se trouve à la fin de l'article.

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“…This is supported by surveys that show lower proportions of low-income Canadians visit the dentist compared with their more affluent counterparts (Leake, 2006;Grignon et al, 2010;Health Canada, 2009). The consequences of this limited access include significant economic losses, such as missed work and school days (Rule, & Welie 2009;Hwang, 2013;Health Canada, 2009).…”

Section: Public Funding For Dental Carementioning

confidence: 94%

“…The literature repeatedly demonstrates that those individuals in lower SES groups, and those who are generally disadvantaged exhibit profoundly inferior oral health status (Asadoorian, 2008;Evans, 2006;Wallace, 2008;Wallace and MacEntee, 2012;Rule, & Welie 2009;Grignon, Hurley, Wang, & Allin, 2010;Snow and McNally, 2010;Hwang, 2013). This is supported by surveys that show lower proportions of low-income Canadians visit the dentist compared with their more affluent counterparts (Leake, 2006;Grignon et al, 2010;Health Canada, 2009).…”

Section: Public Funding For Dental Carementioning

confidence: 99%

“…One third of Canadian dentists have reduced the proportion of patients who rely on public insurance in their practice (Quinonez, Figueiredo, Azarpazooh, and Locker, 2010). The ' inverse care law' describes this phenomenon whereby those needing care the most are least likely to receive it (Asadoorian, 2008;Main et al, 2006;Snow and McNally, 2010;Williamson et al, 2006;Grignon et al, 2010). Residents of rural and northern BC face numerous barriers in accessing oral care including: fmancial barriers for those without dental insurance, limitations of public dental benefits, refusal of care, limitations of private practice dentistry, limitations of charitable dentistry, insufficient numbers of dentists, limited capacity of dental professionals, cultural and linguistic barriers, and patients' beliefs about dental care (Wallace, 2008).…”

Section: Public Funding For Dental Carementioning

confidence: 99%

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Breaking down barriers: towards the development of a low-cost community dental clinic in Prince George, British Columbia

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Inequity in a market-based health system: Evidence from Canada's dental sector

Cited by 84 publications

References 17 publications

Evaluation of different oral care systems: Results for Germany and selected highly developed countries. An update of a former study

Evaluation of different oral care systems: Results for Germany and selected highly developed countries. An update of a former study

Investigating the “inverse care law” in dental care: A comparative analysis of Canadian jurisdictions

Breaking down barriers: towards the development of a low-cost community dental clinic in Prince George, British Columbia

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