L’effet du non-recours aux soins médicaux et dentaires sur les dépenses de santé des personnes ayant une maladie chronique

Bas, Anne-Charlotte; Azogui-Lévy, Sylvie

doi:10.1016/j.respe.2019.12.002

Cited by 1 publication

(2 citation statements)

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“…In general, there are very few chronic illnesses that generate complementary dental payments from the NHI. Despite the well-known relationship between certain chronic illnesses and oral diseases, there was no association between dental and medical expenses over a 4-year period in the French population with chronic diseases [12]. There is a lack of recent and reliable oral health data for the French population, but almost 13% of the population studied in this paper reported more than four missing teeth.…”

Section: Introductionmentioning

confidence: 63%

“…Policy makers could increase information about dental service's usefulness and dental cover in order to have an impact on health oral care habits that amplify oral health inequalities. The literature on the association between access to oral and medical health services is sparse, and dental expenditure is very different from medical expenditure in that it is not correlated with general health status or chronic disease medical care, as NHI participates more in medical costs, and dental care is often utilized at one point in time [12].…”

Section: Discussionmentioning

confidence: 99%

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Socio-Economic Determinants of Dental Service Expenditure: Findings from a French National Survey

Bas

Azogui-Lévy

2022

IJERPH

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(1) Background: This study investigated how individual enabling resources influence (i) their probability of using dental services and (ii) consumers’ expenditure on dental treatment. (2) Methods: Data were derived from a self-administered national health survey questionnaire and from expenditure data from national health insurance. Multiple linear regression methods were used to analyze entry into the dental health system (yes/no) and, independently, the individual expenditure of dental care users. (3) Results: People with the highest incomes were more likely to use dental service (aOR = 1.59; 95% CI = 1.28, 1.97), as were those with complementary health insurance and the lowest deprivation scores. For people using dental services, good dental health status was associated with less expenditure (−70.81 EUR; 95% CI = −116.53, −25.08). For dental service users, the highest deprivation score was associated with EUR +43.61 dental expenditure (95% CI = −0.15; 87.39). (4) Conclusion: Socioeconomic determinants that were especially important for entry into the dental health service system were relatively insignificant for ongoing service utilization. These results are consistent with our hypothesis of a dental care utilization process in two steps. Public policies in countries with private fees for dentistry should improve the clarity of dental fees and insurance payments.

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Section: Introductionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 99%