Utilisation of dental services in Turkey: a cross-sectional survey

Mumcu, Gonca; Sur, Haydar; Yildirim, Celal; Söylemez, Didem; Atli, Hakki; Hayran, Osman

doi:10.1111/j.1875-595x.2004.tb00261.x

Cited by 36 publications

(31 citation statements)

References 17 publications

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“…This finding is in agreement with the findings of other studies showing that women tend to use health services more frequently [9-12]. It is also of note that only a small proportion of children make use of the PDS b .…”

Section: Discussionsupporting

confidence: 93%

The efficiency of the public dental services (PDS) in Cyprus and selected determinants

Charalambous

Maniadakis

Polyzos

et al. 2013

BMC Health Serv Res

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BackgroundCurrently there is a dual system of oral healthcare delivery in Cyprus: the public dental system (PDS) run by the Government and the private system provided by private dental practitioners. Although 83% of the population is entitled to free treatment by the PDS only 10% of the population make use of them. As Cyprus faces now the challenges of the introduction of a new health care system and rising healthcare costs in general, surveys that examine, among other things, the efficiency of the PDS become very important as tools to make important cost savings. The aims of this study are to assess trends regarding the number of visits and the age distribution of patients using PDS from 2004 to 2007, to measure the technical efficiency of the PDS and to investigate various factors that may affect it.MethodsNon-parametric Data Envelopment Analysis (DEA) was employed to assess technical efficiency. Two separate cases were examined. Efficiency was calculated, firstly using as inputs the wages and the working hours of the personnel, and secondly the working hours of the personnel and the cost of the materials. As outputs, in both cases, the treatment offered (divided into primary, secondary and tertiary care) and the numbers of visits were used. In the second stage Tobit analysis was used to explore various predictors of efficiency (time per patient, location, age of dentists, age of patients and age of assistants).ResultsThe study showed that whilst there was an increase in the number of patients using the PDS from 2004 to 2007, only a small proportion of the population (10%) make use of them. Women, middle and older aged patients, make more use of the PDS. Regarding efficiency, there were large differences between the units. The average Technical Efficiency score was 68% in the first model and 81% in the second. Urban areas and low time per patient are predictors of increased efficiency.ConclusionThe results suggest that many of the rural PDS are underperforming. Given that the option of shutting them down is undesirable, measures should be taken to reduce inputs (e.g. by reducing the personnel’s working hours) and to increase outputs (remove barriers, make PDS more accessible and increase the number of patients).

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Section: Discussionsupporting

confidence: 93%

The efficiency of the public dental services (PDS) in Cyprus and selected determinants

Charalambous

Maniadakis

Polyzos

et al. 2013

BMC Health Serv Res

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“…This finding is consistent with previous studies, which revealed that less satisfaction is reported by people who visit dentists only for pain relief [16], while other studies showed patient satisfaction increased with more OHC utilization and dental visits [17, 18]. Further, our study revealed that male patients are less likely to have a higher cumulative number of visits to a dentist ( p = 0.017) as compared to female, which is consistent with findings of previous studies that female patients visit dentist more frequently to utilize OHC services [19]. …”

Section: Discussionsupporting

confidence: 91%

Primary health care centers, extent of challenges and demand for oral health care in Riyadh, Saudi Arabia

Al-Jaber

Da’ar

2016

BMC Health Serv Res

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BackgroundAs primary health care (PHC) centers in Saudi Arabia provide standardized preventive and curative oral health care (OHC) services, challenges remain. In addition, evidence of determinants of OHC seeking behavior is unknown. The aim of this study was to identify common challenges faced by patients seeking OHC in PHC centers and assess determinants of demand for OHC in Riyadh.MethodsAfter institutional approval and piloting, 320 adult patients were sampled at two large PHC centers in October 2015. Using a modified version of General Practice Assessment (GAPQ) and New York State Department of Health (NYSDOH) Questionnaires, information about cumulative number of visits to a dentist, patient profiles, provider characteristics, and challenges were collected. We used descriptive statistics to summarize data and employed ordinal regression for analyzing extent of effects of challenges and determinants of demand for OHC.ResultsOral health condition was reported to be good in 31 % of the patients, very good in 25 % of the patients, and fair in 20 % of the patients. More than half (53 %) of patients visited a dentist in the past 12 months once, 20 % twice, and 25 % at least three times. High cost of private clinic and unavailability of dentists were reported as the most common difficulties in seeing a dentist. Patients who were very satisfied with dental care and treatment plan, those with less than excellent oral health conditions and male patients had less number of cumulative visits to a dentist compared with patients with less satisfaction, patients with perceived excellent oral health, and female patients respectively.ConclusionsOur findings provide a strong evidence of challenges faced by patients and determinants of demand for OHC seeking behavior. The findings can inform policy maker not only in patient satisfaction of OHC, but also implications on facilities and health care systems. We conclude with recommendations for future research, especially on oral health preventive measures in PHC centers that correct inherent dental problems and other underlying challenges.

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“…Logistic regression analysis, controlling for gender and age, indicated that social class was a signifi cant independent predictor for non-utilisation of professional dental services and perceived treatment need. The fi ndings that dental services were more commonly accessed by men compared to women 24 and by those having higher education compared to those having low education 25 have been reported. Concern over the dental care of young adults and the demographic and economic factors that infl uence access has been expressed, but little research has been done on their use of dental services.…”

Section: Discussionmentioning

confidence: 99%

Demographic and socio-economic correlates of dental pain among adults in the United Kingdom, 1998

2007

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Utilisation of dental services in Turkey: a cross-sectional survey

Abstract: Utilisation of dental services is low amongst Turkish adults. Women and individuals with higher levels of education use dental services more than others. The majority of the people prefer private dental offices, where the patient satisfaction is high.

Cited by 36 publications

References 17 publications

The efficiency of the public dental services (PDS) in Cyprus and selected determinants

The efficiency of the public dental services (PDS) in Cyprus and selected determinants

Primary health care centers, extent of challenges and demand for oral health care in Riyadh, Saudi Arabia

Demographic and socio-economic correlates of dental pain among adults in the United Kingdom, 1998

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