TY - JOUR AB - OBJECTIVES: Assessing the spatial distribution of oral morbidity-related demand and the workforce-related supply is relevant for planning dental services. We aimed to establish and validate a model for estimating the spatially specific demand and supply. This model was then applied to compare demand-supply ratios in 2001 and 2011 in the federal state of Mecklenburg-Vorpommern (Northern Germany). METHODS: The spatial units were zip code areas. Demand per area was estimated by linking population-specific oral morbidities to working times via insurance claim data. Estimated demand was validated against the provided demand in 2001 and 2011. Supply was calculated for both years using cohort data from the dentist register. The ratio of demand and supply was geographically mapped and its distribution between areas assessed using the Gini coefficient. RESULTS: Between 2001 and 2011, a significant decrease of the general population (-7.0 percent), the annual demand (-13.1 percent), and the annual supply (-12.9 percent) was recorded. The estimated demands were nearly (2001: -4 percent) and completely (2011: +/-0 percent) congruent with provided demands. The average demand-supply-ratio did not change significantly between 2001 and 2011 (P > 0.05), but was increasingly unequally distributed. In both years, few areas were over-serviced, while many were under-serviced. CONCLUSIONS: The established model can be used to estimate spatially specific demand and supply. AD - Charite Universitatsmedizin Berlin, Berlin, Germany. AN - 26959942 AU - Schwendicke, Falk AU - Jäger, Ralf AU - Hoffmann, Wolfgang AU - Jordan, Rainer A. AU - van den Berg, Neeltje DA - Sep DO - 10.1111/jphd.12142 IS - 4 KW - Dental care Health services accessibility Health services needs and demand L1 - internal-pdf://3593559757/Schwendicke-2016-Estimating spatially specific.pdf N1 - Schwendicke, Falk Jager, Ralf Hoffmann, Wolfgang Jordan, Rainer A van den Berg, Neeltje eng 2016/03/10 06:00 J Public Health Dent. 2016 Sep;76(4):269-275. doi: 10.1111/jphd.12142. Epub 2016 Mar 9. PY - 2016 SN - 1752-7325 (Electronic) 0022-4006 (Linking) SP - 269-275 ST - Estimating spatially specific demand and supply of dental services: a longitudinal comparison in Northern Germany T2 - Journal of Public Health Dentistry TI - Estimating spatially specific demand and supply of dental services: a longitudinal comparison in Northern Germany UR - https://www.ncbi.nlm.nih.gov/pubmed/26959942 VL - 76 ID - 3786 ER -