Inequalities in dental service utilization among Thai adults from 2000 to 2017

Chaianant, Nichamon; Tussanapirom, Teerawat; Kettratad, Matana; Prasertsom, Piyada; Vejvithee, Warangkana; Niyomsilp, Kornkamol; Leelasithorn, Srisuda; Gaewkhiew, Piyada

doi:10.1111/cdoe.12884

Cited by 1 publication

(3 citation statements)

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“…Access to oral health care was generally poor in all the countries, including those with significant dental manpower. [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29] Among the SEARO countries, Bhutan, India, Indonesia, Nepal, Sri Lanka, Thailand, Timor Leste, and Maldives have included 'Routine and preventive oral healthcare' and 'Essential curative oral healthcare' in their package of dental care services, forming the core of what should be made available to all citizens through public funds. However, India and Myanmar did not offer 'Advanced Curative Dental/Oral Care' as part of their essential package.…”

Section: Oral Health Interventions As Part Of Health Benefit Packagesmentioning

confidence: 99%

“…These three schemes covered similar comprehensive dental services, such as oral examinations, scaling, fillings, extractions, and wisdom tooth removal. 29 Indonesia adopted a managed capitation payment model under the Jaminan Kesehatan Nasional national health insurance programme. 35,36 Private fee-for-payment systems predominated in most countries.…”

Section: Health Care Financingmentioning

confidence: 99%

“…Recent reports highlighted significant shortcomings in dental coverage under universal health insurance schemes in Thailand, 28,29 including socioeconomic and occupation-based disparities in care utilisation and limited budget allocations that cover only basic oral prophylaxis once a year. Limited choice in selecting dental care providers among beneficiaries of these schemes was also noted.…”

Section: Positives and The Negatives Of The Health Systemsmentioning

confidence: 99%

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Assessing the status of oral health integration in South East Asian Regional Office countries' Universal Health Coverage–A scoping review

Acharya,

Mathur,

Tadakamadla

et al. 2024

Health Planning & Management

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BackgroundOral diseases affect close to 3.5 billion people worldwide and there has been a call by the World Health Organization (WHO) to integrate oral health into the Universal Health Coverage (UHC) agenda.ObjectivesTo collate and synthesise information regarding the status of integration of oral health into the health systems covered by UHC across the 11 countries in the South East Asian Regional Office.MethodsDrawing on the framework of the six building blocks of health systems as devised by WHO, we compared the public dental care coverage models, with a focus on outpatient dental care in these countries. We gathered this information from publicly available resources, databases and peer‐reviewed publications to populate the template guided by the WHO Health System Building Blocks.ResultsWe found a poor access to oral health care, lopsided distribution of manpower, rickety health information systems, and private sector domination and inadequate or absent financing mechanisms for outpatient procedures. The private sector was dominant in all countries except Thailand and Srilanka. Financing was absent in most countries and deficient in Thailand and Indonesia. Dental workforce was deficient in most countries except India, Srilanka, and Thailand. Health information systems were weak with no dental items under price control. Better UHC indicators did not guarantee a lower oral disease burden.ConclusionsOur review highlighted the close connection between service quality and human resources, governance, and finance. There is a need to establish standardised dental treatment guidelines that are uniformly adopted across countries, integrate oral health into national health and development programs, push for functional oral health research through collecting robust surveillance, economic, and social impact data and the development of cost‐effective strategies tailored to each country's unique needs.

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