Insurance status and provision of dental services in Australian private general practice

Brennan, David S.; Spencer, A. John; Szuster, F. S. P.

doi:10.1111/j.1600-0528.1997.tb01733.x

Cited by 29 publications

(31 citation statements)

References 12 publications

(13 reference statements)

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“…Insured adults receive more preventive care and fewer extractions. 11,13 Despite these considerations, there was no variation in total expenditure by dental insurance status. However, having insurance was strongly associated with lower out-of-pocket expenditure.…”

Section: Discussion Key Findingsmentioning

confidence: 99%

“…9 Another study, also of older adults, found that out-ofpocket costs were positively associated with being uninsured for dental care, higher family income, having a high school or college degree, having poor or fair self-reported general health and with being edentulous. 10 Variations in dental attendance and types of services received by insurance status have been well reported; [11][12][13] however, it is not known whether the total costs associated with care also differ by insurance status. Deriving current estimates of expenditure for uninsured populations are necessary for informing policy.…”

Section: Introductionmentioning

confidence: 99%

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Individual dental expenditure by Australian adults

2013

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Background: While dental service use in Australia has been extensively reported, little is known about associated costs. The aim of this article was to describe the annual individual dental expenditure of Australian adults. Methods: Self-reported service use and expenditure data were sourced from a sample of 3000 adults aged 30 to 61 years who were randomly selected from the electoral roll. Bivariate associations between total individual dental expenditure and out-of-pocket expenditure (fees less insurance rebate) and a range of participant characteristics were explored. Results: Response rate for the baseline questionnaire was 39.4% and of these, 53.1% responded at 12-month follow-up. The mean total dental expenditure was $702 and mean out-of-pocket expenditure was $489. Toothache was associated with total dental expenditure; adults experiencing toothache had higher median expenditure ($445) than adults who hardly ever/never had toothache ($308) (p < 0.05). Dental insurance status was not associated with total expenditure, but insured had lower median out-of-pocket expenditure ($146) than uninsured adults ($320) (p < 0.01). Conclusions: Affordability variables typically associated with access to dental care, such as insurance status, were not associated with total expenditure, while poorer oral health was associated with higher total expenditures.

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Section: Discussion Key Findingsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Individual dental expenditure by Australian adults

2013

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“…32 Patients with dental insurance have been reported to be more likely to receive preventive, crown and bridge and endodontic services, but less likely to receive extractions and with no differences in receipt of diagnostic, restorative or prosthodontic services. 33 For low socioeconomic groups having dental insurance was associated with better self-rated dental health.…”

Section: Accepted Articlementioning

confidence: 98%

Diagnostic services in Australia: service rates and characteristics of patients

Brennan

Balasubramanian

Spencer

2016

Australian Dental Journal

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Publishing in a subscription based journal Accepted (peer-reviewed) VersionThe accepted version of an article is the version that incorporates all amendments made during the peer review process, but prior to the final published version (the Version of Record, which includes; copy and stylistic edits, online and print formatting, citation and other linking, deposit in abstracting and indexing services, and the addition of bibliographic and other material.Self-archiving of the accepted version is subject to an embargo period of 12-24 months. The embargo period is 12 months for scientific, technical, and medical (STM) journals and 24 months for social science and humanities (SSH) journals following publication of the final article.• the author's personal website • the author's company/institutional repository or archive • not for profit subject-based repositories such as PubMed Central Articles may be deposited into repositories on acceptance, but access to the article is subject to the embargo period. The version posted may not be updated or replaced with the final published version (the Version of Record). Authors may transmit, print and share copies of the accepted version with colleagues, provided that there is no systematic distribution, e.g. a posting on a listserve, network or automated delivery.There is no obligation upon authors to remove preprints posted to not for profit preprint servers prior to submission. October 2017 Accepted ArticleThis article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. Please cite this article as doi: 10.1111/adj.12373 This article is protected by copyright. All rights reserved. Accepted ArticleThis article is protected by copyright. All rights reserved. AbstractBackground: Diagnostic services are the most common area of dental service in Australia. The

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“…The questions in this interview were based on related studies,14,18,25,26 and after the pilot study were slightly modified. The questionnaire covered respondents’ insurance status, characteristics of dental attendance, and socio-demographic information.…”

Section: Methodsmentioning

confidence: 99%

“…In addition to insurance status, other receiver-based factors should be taken into account. These include demographic factors,14 socioeconomic status,11 dental conditions,12 reason for visit, and attitudes towards health care 13…”

Section: Introductionmentioning

confidence: 99%

Does Dental Insurance Make a Difference in Type of Service Received by Iranian Dentate Adults?

et al. 2011

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Objectives:To assess the relationship between insurance status and type of service received among dentate adults in a developing oral health care system.Methods:A cross-sectional survey based on phone interviews in Tehran, Iran. Four trained interviewers collected data using a structured questionnaire. Of 1,531 subjects answering the phone call, 224 were <18 years; of the remaining 1,307, 221 (17%) refused to participate, and 85 (6%) were excluded as edentate or reporting no dental visit, leaving 1,001 eligible subjects in the sample. The questionnaire covered insurance status, socio-demographics, frequency of tooth brushing, dental attendance as reasons for, and time since last dental visit, and dental service received then. Data analysis included the chi-square test and logistic regression.Results:Of the subjects, 71% had a dental insurance. Those with no insurance were more likely to report tooth extractions (OR=1.5) than those with an insurance coverage; for all other treatments no differences according to the insurance status appeared. Among the insured subjects, extractions were more likely for those reporting a problem-based dental visit (OR=6.0) or having a low level of education (OR=2.3).Conclusions:In Iran, with its developing oral health care system, dental insurance had only a minor impact on dental services reported.

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Insurance status and provision of dental services in Australian private general practice

Cited by 29 publications

References 12 publications

Individual dental expenditure by Australian adults

Individual dental expenditure by Australian adults

Diagnostic services in Australia: service rates and characteristics of patients

Does Dental Insurance Make a Difference in Type of Service Received by Iranian Dentate Adults?

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