Author:
Bas Anne-Charlotte,Azogui-Lévy Sylvie
Abstract
(1) Background: This study investigated how individual enabling resources influence (i) their probability of using dental services and (ii) consumers’ expenditure on dental treatment. (2) Methods: Data were derived from a self-administered national health survey questionnaire and from expenditure data from national health insurance. Multiple linear regression methods were used to analyze entry into the dental health system (yes/no) and, independently, the individual expenditure of dental care users. (3) Results: People with the highest incomes were more likely to use dental service (aOR = 1.59; 95% CI = 1.28, 1.97), as were those with complementary health insurance and the lowest deprivation scores. For people using dental services, good dental health status was associated with less expenditure (−70.81 EUR; 95% CI = −116.53, −25.08). For dental service users, the highest deprivation score was associated with EUR +43.61 dental expenditure (95% CI = −0.15; 87.39). (4) Conclusion: Socioeconomic determinants that were especially important for entry into the dental health service system were relatively insignificant for ongoing service utilization. These results are consistent with our hypothesis of a dental care utilization process in two steps. Public policies in countries with private fees for dentistry should improve the clarity of dental fees and insurance payments.
Subject
Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health
Reference28 articles.
1. Impact of fees on access to dental care: evidence from France
2. Income-Related Inequalities in Health Service Utilisation in 19 OECD Countries, 2008–2009;Devaux,2012
3. QuickTake: The forgotten health care need: Gaps in dental care for insured adults remain under ACA;Shartzer,2015
4. Socio-Economic Determinants of the Need for Dental Care in Adults
5. Access to urgent dental care: A scoping review;Worsley;Community Dent. Health,2017
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