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Do health systems cover the mouth? Comparing dental care coverage for older adults in eight jurisdictions

Author

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  • Allin, Sara
  • Farmer, Julie
  • Quiñonez, Carlos
  • Peckham, Allie
  • Marchildon, Gregory
  • Panteli, Dimitra
  • Henschke, Cornelia
  • Fattore, Giovanni
  • Lamloum, Demetrio
  • Holden, Alexander C.L.
  • Rice, Thomas

Abstract

Oral health is an important component of general health, yet there is limited financial protection for the costs of oral health care in many countries. This study compares public dental care coverage in a selection of jurisdictions: Australia (New South Wales), Canada (Alberta), England, France, Germany, Italy, Sweden, and the United States. Drawing on the WHO Universal Coverage Cube, we compare breadth (who is covered), depth (share of total costs covered), and scope (services covered), with a focus on adults aged 65 and older. We worked with local experts to populate templates to provide detailed and comparable descriptions of dental care coverage in their jurisdictions. Overall most jurisdictions offer public dental coverage for basic services (exams, x-rays, simple fillings) within four general types of coverage models: 1) deep public coverage for a subset of the older adult population based on strict eligibility criteria: Canada (Alberta), Australia (New South Wales) and Italy; 2) universal but shallow coverage of the older adult population: England, France, Sweden; 3) universal, and predominantly deep coverage for older adults: Germany; and 4) shallow coverage available only to some subgroups of older adults in the United States. Due to the limited availability of comparable data within and across jurisdictions, further research would benefit from standardized data collection initiatives for oral health measures.

Suggested Citation

  • Allin, Sara & Farmer, Julie & Quiñonez, Carlos & Peckham, Allie & Marchildon, Gregory & Panteli, Dimitra & Henschke, Cornelia & Fattore, Giovanni & Lamloum, Demetrio & Holden, Alexander C.L. & Rice, T, 2020. "Do health systems cover the mouth? Comparing dental care coverage for older adults in eight jurisdictions," Health Policy, Elsevier, vol. 124(9), pages 998-1007.
    • Handle: RePEc:eee:hepoli:v:124:y:2020:i:9:p:998-1007
    DOI: 10.1016/j.healthpol.2020.06.015
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    References listed on IDEAS

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    1. Mazevet, Marco E. & Garyga, V. & Mayne, Catherine & Pitts, Nigel B. & Pennington, Mark W., 2020. "2018 French dental contracts: On the road to achieving universal dental health coverage?," Health Policy, Elsevier, vol. 124(8), pages 781-786.
    2. Ray Robinson;Darshan Patel;Rowena Pennycate, 2004. "The Economics of Dental Care," Monograph 000491, Office of Health Economics.
    3. Sabine Chaupain-Guillot & Olivier Guillot, 2015. "Health system characteristics and unmet care needs in Europe: an analysis based on EU-SILC data," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(7), pages 781-796, September.
    4. Richard J. Manski & John Moeller & Haiyan Chen & Patricia A. St. Clair & Jody Schimmel & Larry Magder & John V. Pepper, 2010. "Dental Care Expenditures and Retirement," Mathematica Policy Research Reports 8b80e91d32d0426183313dad7, Mathematica Policy Research.
    5. Eric French & Elaine Kelly & Mariacristina Nardi & Eric French & John Bailey Jones & Jeremy McCauley, 2016. "Medical Spending of the US Elderly," Fiscal Studies, Institute for Fiscal Studies, vol. 37, pages 717-747, September.
    6. Mazevet, Marco E. & Garyga, V. & Pitts, Nigel B. & Pennington, Mark W., 2018. "The highly controversial payment reform of dentists in France: Seeking a new compromise after the 2017 strike," Health Policy, Elsevier, vol. 122(12), pages 1273-1277.
    7. Böhm, Katharina & Schmid, Achim & Götze, Ralf & Landwehr, Claudia & Rothgang, Heinz, 2013. "Five types of OECD healthcare systems: Empirical results of a deductive classification," Health Policy, Elsevier, vol. 113(3), pages 258-269.
    8. Ake Blomqvist & Frances Woolley, 2018. "Filling the Cavities: Improving the Efficiency and Equity of Canada’s Dental Care System," C.D. Howe Institute Commentary, C.D. Howe Institute, issue 510, May.
    9. repec:mpr:mprres:7565 is not listed on IDEAS
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    1. Hwa-Young Lee & Eun-Young Bae & Kyungdo Lee & Minah Kang & Juhwan Oh, 2021. "Public Preferences in Resource Allocation for Insurance Coverage of Dental Implant Service in South Korea: Citizens’ Jury," IJERPH, MDPI, vol. 18(8), pages 1-11, April.
    2. Katarina Vojvodic & Zorica Terzic-Supic & Jovana Todorovic & Cristina Gagliardi & Milena Santric-Milicevic & Marina Popovic, 2022. "Financial Burden of Medical Care, Dental Care, and Medicines among Older-Aged Population in Slovenia, Serbia, and Croatia," IJERPH, MDPI, vol. 19(6), pages 1-23, March.
    3. Nazik M. Nurelhuda & Mark T. Keboa & Herenia P. Lawrence & Belinda Nicolau & Mary Ellen Macdonald, 2021. "Advancing Our Understanding of Dental Care Pathways of Refugees and Asylum Seekers in Canada: A Qualitative Study," IJERPH, MDPI, vol. 18(16), pages 1-11, August.

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