The impact of the economic crisis on unmet dental care needs in Spain

Fernández, Silvia Calzón; Ajuria, Alberto Fernández; Martín, José Jesús Martín; Murphy, Matthew

doi:10.1136/jech-2014-204493

Cited by 26 publications

(39 citation statements)

References 21 publications

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“…Faced with the economic crisis, the indicator "untreated dental caries" was evaluated in the United States 20 and Spain 24 , respectively. Both studies showed an increased need for dental treatment in the assessed population.…”

Section: Main Results Conclusionmentioning

confidence: 99%

“…In this context, in Spain, publicly-funded dental care for adults was limited to acute cases (urgent care) and acute pathologies. This population was the most affected regarding oral health, indicating the need to rethink the offer of public dental services in the local area 24 . This type of consequence of the financial crisis places oral health at a non-priority level in health systems, so that care actions are restricted to damage limitation, typical of the surgical-restorative dental paradigm, which has been so strongly opposed in the last decades, and that, possibly, will gain support again, even in Brazil, with the support of the austerity policies and containment of expenditures signaled by the federal government.…”

Section: Main Results Conclusionmentioning

confidence: 99%

“…Fernández et al, 2015 24 The combination of increased Medicaid reimbursement rates for enrolled dentists, better program management, and the economic recession led to an unprecedented increase in utilization rates of program-related oral health services. Specifically, service utilization rates increased, while the United States experienced the worst economic recession since the Great Depression of 1929.…”

Section: Author Year Study Design Objective Economic Crisis Considermentioning

confidence: 99%

See 2 more Smart Citations

Impacto das crises financeiras sobre os indicadores de saúde bucal: revisão integrativa da literatura

Probst

Pucca

Pereira

et al. 2019

Ciênc. saúde coletiva

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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.

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Section: Main Results Conclusionmentioning

confidence: 99%

Section: Main Results Conclusionmentioning

confidence: 99%

Section: Author Year Study Design Objective Economic Crisis Considermentioning

confidence: 99%

See 1 more Smart Citation

Impacto das crises financeiras sobre os indicadores de saúde bucal: revisão integrativa da literatura

Probst

Pucca

Pereira

et al. 2019

Ciênc. saúde coletiva

View full text Add to dashboard Cite

show abstract

“…(2014)[12] in the United States of America and Fernandez et al . (2015)[13] in Spain. In the United States of America, Manski et al .…”

Section: Discussionmentioning

confidence: 99%

“…In Spain, there was an increase of untreatable needs particularly in sections of the population with reduced purchasing power and the unemployed. [13]…”

Section: Discussionmentioning

confidence: 99%

The effects of economic crisis on the demand and supply of the dental services in Greece

Kostas¹,

Niakas

2017

J Int Soc Prevent Communit Dent

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Objectives:This paper attempts to explore the impact of the economic crisis on the supply and demand of dental care services by listing the changes in costs for dental care as well as by the use of a questionnaire administered to dentists.Materials and Methods:The Health Accounts System, the Household Budget Surveys of the Greek Statistical Authority, and a questionnaire distributed to dentists working as self-employed were used as analysis tools. The survey involved a total of 361 dentists from all the regions of the country.Results:During the period of the economic crisis, the household expenses for dental care decreased by 57% according to the Health Accounts System and by 59.38% according to the Household Budget Surveys. Regarding public expenditures, the direct government expenses decreased (excluding social insurance) by 57.55% and social insurance by 91.04%. On the demand side, the majority of respondents indicate a reduction in quantity and prices of dental procedures. An increase is noted in the number of extractions and changes are not reflected in the number of fillings and surgical extractions. For root canal treatments, the percentage of dentists stating decrease in the number is almost equal to the percentage indicating increase. On the supply side, respondents notice an increase in professional costs due to an increase taxes and materials.Conclusions:Dental expenditures and private income for dentists collapsed during the Greek economic crisis, and demand for dental services remained stable only for emergency cases and pain management.

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Ending the neglect of global oral health: time for radical action

et al. 2019

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75Oral diseases are a major global public health problem affecting over 3.5 billion people. 76Dentistry however has failed to tackle this problem. A fundamentally different approach is 77 now needed. In this second paper on oral health, we present a critique of dentistry 78 highlighting its key limitations and the urgent need for system reform. In high-income 79 countries (HIC) the current treatment-dominated, increasingly high-tech, interventionist and 80 specialised approach, is failing to tackle the underlying causes of disease and is not 81 addressing oral health inequalities. In low-and middle-income countries (LMIC) the 82 limitations of "westernised" dentistry are most acutedentistry is often unavailable, 83 unaffordable and inappropriate to the majority of these populations, but particularly the rural 84 poor. Rather than being isolated and separated from the mainstream health care system, 85 dentistry needs to be more integrated with primary care services in particular. The global 86 drive for universal health coverage (UHC) provides an ideal opportunity for this. Dental care 87 systems should focus more on promoting and maintaining oral health and achieving greater 88 oral health equity, rather than the interventionist treatment approach that currently dominates. 89Sugar, alcohol and tobacco use and their driving social and commercial determinants are the 90 underlying causes of oral diseases, common risks shared with a range of other non-91 communicable diseases (NCDs). Coherent and comprehensive regulation and legislation is 92 needed to tackle these shared risk factors. In this paper we focus on the need to reduce sugars 93 consumption through the adoption of a range of upstream policies designed to combat the 94 corporate strategies used by the global sugar industry to promote sugar consumption and 95 profits. At present the sugar industry is influencing dental research, oral health policy and 96 professional organisations through its well-developed corporate strategies. There is a pressing 97 need to develop clearer and more transparent conflict of interest policies and procedures to 98 limit and clarify the influence of the sugar industry on research, policy and practice. 99

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The impact of the economic crisis on unmet dental care needs in Spain

Abstract: There has been an increase in unmet dental care needs as well as in the social gradient for service access. The most vulnerable groups are those with less purchasing power and the unemployed. The economic crisis has also increased this unmet need.

Cited by 26 publications

References 21 publications

Impacto das crises financeiras sobre os indicadores de saúde bucal: revisão integrativa da literatura

Impacto das crises financeiras sobre os indicadores de saúde bucal: revisão integrativa da literatura

The effects of economic crisis on the demand and supply of the dental services in Greece

Ending the neglect of global oral health: time for radical action

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