Dental service mix among working-age adults in the United States, 1999 and 2009

Published 2013. This article has been contributed to by U.S. Government employees and their work is in the public domain in the US..

OBJECTIVE: In the United States, health-care costs are increasing while state and federal budgets contract. In order to establish a baseline and provide data for alternative oral health workforce models, this report describes the types of dental procedures received by US working-age adults in 2009 and looks at trends since 1999.

METHODS: Data for this analysis came from the 1999 and 2009 Medical Expenditure Panel Surveys. The primary outcome variable represented the types of dental procedures undergone during a dental visit in the preceding year. Descriptive variables included dental insurance coverage and income. Analysis was restricted to adults aged 21-64 years.

RESULTS: In 2009, diagnostic and preventive procedures accounted for >75 percent of all dental services received by working-age adults. Those with public insurance and those who were uninsured, as well as those with lower income, were less likely to receive these services than their peers. Between 1999 and 2009, small but statistically significant increases in the proportion of preventive and diagnostic procedures received occurred in the nation. The likelihood that a preventive service would be received during a visit also increased during this period, while the probability that a restorative procedure would be undergone went down.

CONCLUSIONS: Preventive-type procedures represented the vast majority of dental services received by working-age adults in 2009. Between 1999 and 2009, receipt of preventive-type procedures generally increased while receipt of surgical-type procedures decreased. These findings emphasize the health-promoting role of the dental team and provide a baseline for the measurement of future trends.

Medienart:

E-Artikel

Erscheinungsjahr:

2014

Erschienen:

2014

Enthalten in:

Zur Gesamtaufnahme - volume:74

Enthalten in:

Journal of public health dentistry - 74(2014), 2 vom: 15., Seite 102-9

Sprache:

Englisch

Beteiligte Personen:

Manski, Richard J [VerfasserIn]
Macek, Mark D [VerfasserIn]
Brown, Erwin [VerfasserIn]
Carper, Kelly V [VerfasserIn]
Cohen, Leonard A [VerfasserIn]
Vargas, Clemencia [VerfasserIn]

Links:

Volltext

Themen:

Adult
Dental care
Dental insurance
Health-care surveys
Historical Article
Journal Article
Poverty
United States

Anmerkungen:

Date Completed 12.01.2015

Date Revised 04.06.2014

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/jphd.12032

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM230833829