TY  - JOUR
AB  - BACKGROUND: Healthcare utilization either may be guided by a preventive orientation leading to regular visits to the doctor, or it may be triggered by impaired health. Using data from three German national surveys, we wanted to examine whether the effects of income on the utilization of dental health services increased over time owing to the considerable decrease in insurance coverage over the years and the increase in higher out-of-pocket costs from patients. METHODS: Data from three national dental health surveys (1989, 1997 and 2005) were used. The data of all respondents aged between 35 and 44 years were available, and the number of caries-free and unrestored healthy teeth was used as outcome. RESULTS: Over the years, the proportion of routine attenders increased considerably, and the dental health measure used indicates the improvement. The least educated respondents and those with the lowest income profited less than other groups. In spite of higher copayments, the effects of income on the utilization of dental care did not increase over time. Regarding the results of education, a significant effect was only found in the study from 2005. No clear differences between routine- and problem-oriented attenders emerged with respect to the dental health measure chosen. CONCLUSIONS: Material conditions and education had effects on utilization behaviour. Contrary to expectation, increasing copayments did not yield higher effects of income on healthcare utilization.
AD  - Medical Sociology Unit, Hannover Medical School, Hannover, Germany. geyer.siegfried@mh-hannover.de
AN  - 22548319
AU  - Geyer, Siegfried
AU  - Micheelis, Wolfgang
DA  - Oct
DO  - 10.1111/j.1600-0528.2012.00690.x
IS  - 5
J2  - Community Dent Oral Epidemiol
KW  - Adult
Chi-Square Distribution
Dental Care/*utilization
*Dental Health Surveys
Educational Status
Female
Germany
Humans
Income/statistics & numerical data
Least-Squares Analysis
Logistic Models
Male
Oral Health
Statistics, Nonparametric
L1  - internal-pdf://0075743904/Geyer-2012-Changes in problem-based and routin.pdf
N1  - Geyer, Siegfried
Micheelis, Wolfgang
eng
Comparative Study
Denmark
2012/05/03 06:00
Community Dent Oral Epidemiol. 2012 Oct;40(5):459-67. doi: 10.1111/j.1600-0528.2012.00690.x. Epub 2012 Apr 30.
PY  - 2012
SN  - 1600-0528 (Electronic)
0301-5661 (Linking)
SP  - 459-467
ST  - Changes in problem-based and routine-based healthcare attendance: a comparison of three national dental health surveys
T2  - Community Dentistry and Oral Epidemiology
TI  - Changes in problem-based and routine-based healthcare attendance: a comparison of three national dental health surveys
UR  - http://www.ncbi.nlm.nih.gov/pubmed/22548319
http://onlinelibrary.wiley.com/doi/10.1111/j.1600-0528.2012.00690.x/abstract;jsessionid=5E14790A8F1319902607DD8253BE1CC2.f03t01?systemMessage=Wiley+Online+Library+usage+report+download+page+will+be+unavailable+on+Friday+24th+November+2017+at+21%3A00+EST+%2F+02.00+GMT+%2F+10%3A00+SGT+%28Saturday+25th+Nov+for+SGT+
VL  - 40
ID  - 769
ER  -