Abstract:OBJECTIVE To quantify the household expenditure per capita and to estimate the percentage of Brazilian households that have spent with dental insurance.METHODS We analyzed data from 55,970 households that participated in the research Pesquisa de Orçamentos Familiares in 2008–2009. We have analyzed the annual household expenditure per capita with dental insurance (business and private) according to the Brazilian states and the socioeconomic and demographic characteristics of the households (sex, age, race, and … Show more
“…Although Brazil has a large, free public health system, employed individuals are targeted by private health insurance companies. Regulation of the private health system began a few decades ago, and still needs to be improved to the extent that public services will no longer provide free services to private health insurance companies, 32 as has already occurred in Chile, Argentina and Colombia 33 . Unlike Brazil, other countries have private health insurance systems that are closely controlled by the federal government 29 .…”
Objectives
To explore contextual factors associated with overall dental service use, and investigate whether these factors influenced choice of the type of service according to the healthcare financing alternatives (public services; out‐of‐pocket services; and private health insurance), by adults and older individuals, based on the most recent Andersen's behavioural model.
Methods
Cross‐sectional study with individual data on 17,305 adults from 177 Brazilian municipalities in the National Oral Health Survey (SBBrasil 2010). Municipal‐level information was obtained from health information systems and census data. Multilevel multinomial logistic regression was carried out for multivariable analysis.
Results
In the previous year, 38.2% of the individuals visited the dentist; of which 21.4% used out‐of‐pocket spending, 11.6% used public services and 5.2% private dental insurance. Municipalities with population coverage of public primary dental care >80% had higher chances of using public services (OR = 1.28, 95%CI:1.00‐1.64) than those with ≤60%, but lower chances of using private insurance (OR = 0.56, 95%CI:0.38‐0.83). Municipalities with population coverage of private dental insurance > 5% had lower chances of using public services (OR = 0.62, 95%CI:0.47‐0.81) than those with <1% coverage, and greater chances of using private insurance (OR = 4.33, CI:95% 2.02‐9.29). These factors were not associated with out‐of‐pocket dental services.
Conclusions
Municipal coverage of dental services is associated with dental care use, and this is different according to the type of financing system (public or private), as they may change the individual's choice of service. A large public healthcare system may increase public service use for those with reduced access and decrease private service use.
“…Although Brazil has a large, free public health system, employed individuals are targeted by private health insurance companies. Regulation of the private health system began a few decades ago, and still needs to be improved to the extent that public services will no longer provide free services to private health insurance companies, 32 as has already occurred in Chile, Argentina and Colombia 33 . Unlike Brazil, other countries have private health insurance systems that are closely controlled by the federal government 29 .…”
Objectives
To explore contextual factors associated with overall dental service use, and investigate whether these factors influenced choice of the type of service according to the healthcare financing alternatives (public services; out‐of‐pocket services; and private health insurance), by adults and older individuals, based on the most recent Andersen's behavioural model.
Methods
Cross‐sectional study with individual data on 17,305 adults from 177 Brazilian municipalities in the National Oral Health Survey (SBBrasil 2010). Municipal‐level information was obtained from health information systems and census data. Multilevel multinomial logistic regression was carried out for multivariable analysis.
Results
In the previous year, 38.2% of the individuals visited the dentist; of which 21.4% used out‐of‐pocket spending, 11.6% used public services and 5.2% private dental insurance. Municipalities with population coverage of public primary dental care >80% had higher chances of using public services (OR = 1.28, 95%CI:1.00‐1.64) than those with ≤60%, but lower chances of using private insurance (OR = 0.56, 95%CI:0.38‐0.83). Municipalities with population coverage of private dental insurance > 5% had lower chances of using public services (OR = 0.62, 95%CI:0.47‐0.81) than those with <1% coverage, and greater chances of using private insurance (OR = 4.33, CI:95% 2.02‐9.29). These factors were not associated with out‐of‐pocket dental services.
Conclusions
Municipal coverage of dental services is associated with dental care use, and this is different according to the type of financing system (public or private), as they may change the individual's choice of service. A large public healthcare system may increase public service use for those with reduced access and decrease private service use.
“…Again, R$5.10 is spent on dental insurance of the total dental care expenditure and of this amount R$4.70 was for private dental coverage. Nonetheless, only 2.5% of Brazilians spend money on dental insurance [187]. Another study reported that in Brazil dental care is traditionally based on private dental service [188].…”
Section: Morbidity Mortality and Increase Healthcare Cost In Denmentioning
Antibiotics are widely used in dental caries and another dental related issues, both for therapeutic and prophylactic reasons. Unfortunately, in recent years the use of antibiotics has been accompanied by the rapid emergence antimicrobial resistance. Dental caries and periodontal diseases are historically known as the top oral health burden in both developing and developed nations affecting around 20–50% of the population of this planet and the uppermost reason for tooth loss. Dental surgeons and family practitioners frequently prescribed antimicrobials for their patients as outpatient care. Several studies reported that antibiotics are often irrationally- and overprescribed in dental diseases which is the basis of antimicrobial resistance. The aim of this review is to evaluate the use of antibiotics in dental diseases. Almost certainly the promotion of primary oral health care (POHC) in primary health care program especially among the least and middle-income countries (LMIC) may be the answer to ensure and promote rational dental care.
“…Moreover, it should be noted that in Brazil, it is estimated that at least 80% of the population depends exclusively on public dental care 15,32 , which, compared to the subsidized Finnish population, would be the most severely affected, in-creasing oral health disparities. Considering that the Finnish government postponed plans to extend health insurance to cover dental services for the entire adult population due to economic constraints 18 , one can assume that oral health is often outside the list of governments' priorities, when it comes to ensure the access of their populations to health care.…”
Resumo O objetivo desse estudo foi analisar, por meio de uma revisão integrativa da literatura, os possíveis impactos das crises financeiras sobre os indicadores de saúde bucal em diferentes países, bem como verificar as medidas adotadas de forma a traçar um paralelo com a realidade brasileira. Uma busca de artigos que atendessem a estes critérios foi realizada nas bases PUBMED, EMBASE, Lilacs, SCOPUS e também na literatura cinzenta. Ao final, nove estudos foram incluídos. Os resultados indicam que a população em maior vulnerabilidade, menor renda e menor escolaridade são as mais afetadas, independentemente do indicador avaliado (cárie dentária não tratada, acesso aos serviços de Atenção Odontológica e hábitos de higiene). Quando medidas protetivas com alocação de recursos financeiras foram tomadas, as disparidades diminuíram. Concluiu-se que, frente às crises econômicas, a saúde bucal passa a não ser prioridade enquanto centro nucleador de políticas, o que impacta o acesso ao cuidado dos estratos sociais menos favorecidos.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.