Willingness and ability to pay for unexpected dental expenses by Finnish adults

Widström, Eeva; Seppälä, Timo

doi:10.1186/1472-6831-12-35

Cited by 25 publications

(40 citation statements)

References 8 publications

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“…Firstly, about 80% of dentists are working in private sector [14] and dental services are generally provided with high copayments by users. Since people with higher SR have higher capacity to pay and/or higher knowledge about the importance of oral health, then they have potentially higher demand for dental services than their counterpart with poor SR [37,38,39]. Secondly, as it was shown by a recent study in Iran [40], better employment and social opportunities are determinant factors in decision-making for their career among dentists.…”

Section: Discussionmentioning

confidence: 99%

Pure and Social Disparities in Distribution of Dentists: A Cross-Sectional Province-Based Study in Iran

Kiadaliri

Hosseinpour²,

Haghparast‐Bidgoli

et al. 2013

IJERPH

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During past decades, the number of dentists has continuously increased in Iran. Beside the quantity, the distribution of dentists affects the oral health status of population. The current study aimed to assess the pure and social disparities in distribution of dentists across the provinces in Iran in 2009. Data on provinces’ characteristics, including population and social situation, were obtained from multiple sources. The disparity measures (including Gini coefficient, index of dissimilarity, Gaswirth index of disparity and relative index of inequality (RII)) and pairwise correlations were used to evaluate the pure and social disparities in the number of dentists in Iran. On average, there were 28 dentists per 100,000 population in the country. There were substantial pure disparities in the distribution of dentists across the provinces in Iran. The unadjusted and adjusted RII values were 3.82 and 2.13, respectively; indicating area social disparity in favor of people in better-off provinces. There were strong positive correlations between density of dentists and better social rank. It is suggested that the results of this study should be considered in conducting plans for redistribution of dentists in the country. In addition, further analyses are needed to explain these disparities.

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Section: Discussionmentioning

confidence: 99%

Pure and Social Disparities in Distribution of Dentists: A Cross-Sectional Province-Based Study in Iran

Kiadaliri

Hosseinpour²,

Haghparast‐Bidgoli

et al. 2013

IJERPH

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“…Private dentists regularly recall most of their patients [20] and a recent questionnaire study of middle aged Finnish adults living in the Helsinki metropolitan region in 2007 showed that slightly fewer than half of them would have been able to pay for private care. The same study also showed that only 9.2% of the respondents had used both sectors [21]. Our results are also limited to one PDS unit and thus cannot be extrapolated to all the PDS units in Finland.…”

Section: Discussionmentioning

confidence: 62%

Heavy consumption of dental services; a longitudinal cohort study among Finnish adults

2013

Self Cite

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BackgroundA reform to Dental Care legislation in 2002 abolished age limits restricting adults’ use of public dental services in Finland. In the Public Dental Service (PDS) unit of Espoo, the proportion of adult patients rose from 36% to 57%. The aim of this study was to investigate heavy use of dental services by adults and its determinants.MethodsA longitudinal cohort study was undertaken based on a PDS patient register. Of all adults who attended the PDS in Espoo in 2004, those who had six or more visits (n=3,173) were assigned to the heavy user group and a comparison group of low users (n=22,820) had three or fewer dental visits. A sample of 320 patients was randomly selected from each group. Baseline information (year 2004) on age, sex, number and type of visit, oral health status and treatment provided was collected from treatment records. Each group was followed-up for five years and information on the number and types of visit was recorded for each year from 2005 to 2009.ResultsMost heavy users (61.6%) became low users and only 11.2% remained chronic heavy users. Most low users (91.0%) remained low users. For heavy users, the mean number of dental visits per year (3.0) during the follow-up period was significantly lower than initially in 2004 (8.3) (p<0.001) but 74.8% of heavy users had had emergency visits compared with 21.6% of the low users (p<0.001).A third (33%) of the visitors in each group had no proper examination and treatment planning during the 5-year follow-up period and two or more examinations were provided to fewer than half of the heavy (46.1%) or low (46.5%) users.The mean number of treating dentists was 5.7 for heavy users and 3.8 for low users (p<0.001).ConclusionsFrequent emergency visits were characteristic of heavy users of dental services. Treatment planning was inadequate, probably partly due to the many dentists involved and too many patients requesting care. Better local management and continuous education are needed to ensure good quality adult dental care and to reduce heavy consumption.

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“…Household income is one of the major factors that determine the levels of ability to pay according to Widström and Seppälä [12]. Their study conducted in three large municipalities near Helsinki proved that clinical (dental) history and the urgency of the dental service were also factors of critical importance.…”

Section: Discussionmentioning

confidence: 99%

Possibilities to Model Patients’ Preferences and Their Willingness to Pay for a Molar Treatment

Atanasov¹,

Stoyanova²,

Alexandrova³

2016

Dent. Med. Probl.

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The purpose of this study is to model two variables of essential importance to the analysis of the financial burden of certain dental diseases. These are the patients' preferences for the treatment of a broken molar with treated root canals and their willingness to pay for the selected option.The tools used to identify patients' preferences and their willingness to pay are based on Vernazza's interview [1] used in his doctoral thesis entitled "The monetary value of oral health: willingness to pay for treatment and prevention". Vernazza used an interview for his study. We compiled a direct anonymous questionnaire containing Vernazza's questions relating to: AbstractBackground. This study is an attempt to model patient's preferences for molar treatment and the willingness to pay (WTP) for a chosen health alternative. The results from modeling could be used as a basis for making more efficient decisions from both medical and economic point of view. The study is based on questions from Vernazza's interview. Objectives. The first purpose of present study is to be explored and established the most wished preferences from previously stated ones and closely related with patient choice's WTP. The second aim is to be built and interpreter models of the consumer choices and its WTP. Material and Methods. The sample consisted of 111 adult patients who visited for treatment different dental cabinets located in Plovdiv, Bulgaria. The study was conducted using the method of direct anonymous questionnaire containing questions on the choice of health alternative and the WTP for it; demographic, social and economic characteristics of respondents; history and severity of dental diseases, and frequency of dental visits. The study used two types of regression models: binominal logit of patient's choice and negative binominal of the WTP for a crown that led to statistically credible results. Results. The main predictor for the willingness to pay turned out to be the total monthly income of the household. Other factors, such as frequency of visits to the dentist, age or employment status of respondents can not be used to explain the changes in their WTP. Conclusions. The economical factors especially the WTP and the household income stay essential. That empirically confirmed fact puts the economic welfare and it variables as predictors with critical meaning in health market researches. The second important outline is that we found a similarity in results with Vernazza's study. That fact supports a reliability of the applied instrument (Dent. Med. Probl. 2016, 53, 1, 41-49).

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Willingness and ability to pay for unexpected dental expenses by Finnish adults

Cited by 25 publications

References 8 publications

Pure and Social Disparities in Distribution of Dentists: A Cross-Sectional Province-Based Study in Iran

Pure and Social Disparities in Distribution of Dentists: A Cross-Sectional Province-Based Study in Iran

Heavy consumption of dental services; a longitudinal cohort study among Finnish adults

Possibilities to Model Patients’ Preferences and Their Willingness to Pay for a Molar Treatment

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