The use of dental services for children: Implications of the 2010 dental reform in Israel

Shahrabani, Shosh; Ben‐Zion, Uri; Machnes, Yaffa; Gal, Assaf

doi:10.1016/j.healthpol.2014.11.007

Cited by 17 publications

(8 citation statements)

References 15 publications

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“…Prior studies using Andersen's behavioural model have shown that oral health services may be influenced by parental education levels, perception of the child's quality, dental insurance and pain [15][16][17]. Additionally, characteristics such as poor oral health knowledge and poor oral health attitudes are frequently cited as barriers to dental care [18,19]. In China, there are few studies on the utilization of oral health services, especially studies involving children.…”

Section: Introductionmentioning

confidence: 99%

Utilization of dental services and associated factors among preschool children in China

Gao

Ding

et al. 2020

BMC Oral Health

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Background: This study sought to evaluate dental utilization among 3-,4-, and 5-year-old children in China and to use Andersen's behavioural model to explore influencing factors, thereby providing a reference for future policy making.Methods: This study is a cross-sectional study. Data of 40,305 children aged 3-5 years were extracted from the Fourth National Oral Health Survey, which was performed from August 2015 to December 2016. Patient data were collected using a questionnaire, which was answered by the child's parents, and clinical data were collected during a clinical examination. Stratification and survey weighting were incorporated into the complex survey design. Descriptive statistics, bivariate correlations and hierarchical logistic regression results were then analysed to find the factors associated with oral health service utilization.Results: The oral health service utilization prevalence during the prior 12 months were 9.5% (95%CI: 8.1-11.1%) among 3-year-old children, 12.1% (95%CI: 10.8-13.5%) among 4-year-old children, and 17.5% (95%CI: 15.6-19.4%) among 5year-old children. "No dental diseases" (71.3%) and "dental disease was not severe" (12.4%) were the principal reasons why children had not attended a dental visit in the past 12 months. The children whose parents had a bachelor's degree or higher (OR: 2.29, 95%CI: 1.97-2.67, p < 0.001), a better oral health attitude ranging from 5 to 8(OR: 1.64, 95%CI: 1.43-1.89, p < 0.001), annual per capital income more than 25,000 CNY (OR: 1.40, 95%CI: 1.18-1.65, p < 0.001), think their child have worse or bad oral health (OR: 3.54, 95%CI: 2.84-4.40, p < 0.001), and children who often have toothaches (OR: 9.72, 95%CI: 7.81-12.09, p < 0.001) were more likely to go to the dentist in the past year. Conclusion:The prevalence of dental service utilization was relatively low among preschool children. It is necessary to strengthen oral health education for parents and children, thereby improving oral health knowledge as well as attitude, and promoting dental utilization.

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Section: Introductionmentioning

confidence: 99%

Utilization of dental services and associated factors among preschool children in China

Gao

Ding

et al. 2020

BMC Oral Health

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“…Regular checkups are essential for good oral health; however, the vast majority of people do not come for routine checkups [ 23 ]. Only 9% of people attend without an acute problem [ 24 ]. The results from a large cohort (n=608) telephone survey conducted by Sharabany et al [ 23 ] showed that 47.2% of respondents had a dental examination at least once a year, and the remaining individuals were examined once every two years or less frequently.…”

Section: Introductionmentioning

confidence: 99%

Developing a Mobile App (iGAM) to Promote Gingival Health by Professional Monitoring of Dental Selfies: User-Centered Design Approach

Tobias¹,

Spanier²

2020

JMIR Mhealth Uhealth

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Background Dental visits are unpleasant; sometimes, patients only seek treatment when they are in intolerable pain. Recently, the novel coronavirus (COVID-19) pandemic has highlighted the need for remote communication when patients and dentists cannot meet in person. Gingivitis is very common and characterized by red, swollen, bleeding gums. Gingivitis heals within 10 days of professional care and with daily, thorough oral hygiene practices. If left untreated, however, its progress may lead to teeth becoming mobile or lost. Of the many medical apps currently available, none monitor gingivitis. Objective This study aimed to present a characterization and development model of a mobile health (mHealth) app called iGAM, which focuses on periodontal health and improves the information flow between dentists and patients. Methods A focus group discussed the potential of an app to monitor gingivitis, and 3 semistructured in-depth interviews were conducted on the use of apps for monitoring gum infections. We used a qualitative design process based on the Agile approach, which incorporated the following 5 steps: (1) user story, (2) use cases, (3) functional requirements, (4) nonfunctional requirements, and (5) Agile software development cycles. In a pilot study with 18 participants aged 18-45 years and with different levels of health literacy, participants were given a toothbrush, toothpaste, mouthwash, toothpicks, and dental floss. After installing iGAM, they were asked to photograph their gums weekly for 4 weeks. Results All participants in the focus group believed in the potential of a mobile app to monitor gingivitis and reduce its severity. Concerns about security and privacy issues were discussed. From the interviews, 2 themes were derived: (1) “what's in it for me?” and (2) the need for a take-home message. The 5 cycles of development highlighted the importance of communication between dentists, app developers, and the pilot group. Qualitative analysis of the data from the pilot study showed difficulty with: (1) the camera, which was alleviated with the provision of mouth openers, and (2) the operation of the phone, which was alleviated by changing the app to be fully automated, with a weekly reminder and an instructions document. Final interviews showed satisfaction. Conclusions iGAM is the first mHealth app for monitoring gingivitis using self-photography. iGAM facilitates the information flow between dentists and patients between checkups and may be useful when face-to-face consultations are not possible (such as during the COVID-19 pandemic).

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“…Under a reform of Israel's National Health Insurance Law in 2010, free dental services were offered to children up to age 12. [ 32 ] A survey was conducted to examine the use of dental services for children and the factors affecting mothers’ decision to take their children for routine check-ups. It was found that mothers’ sociodemographic status and oral health beliefs affected their decision to take their children for dental check-ups.…”

Section: Oral Health Care Reforms In Developed Countriesmentioning

confidence: 99%

“…Therefore, the reform has helped reduce gaps in Israeli society regarding children's dental health. [ 32 ]…”

Section: Oral Health Care Reforms In Developed Countriesmentioning

confidence: 99%

Need for oral health policy in India

Gambhir¹,

Gupta²

2016

Ann Med Health Sci Res

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Dental diseases are a significant public health menace having a substantial impact on the quality of life which in turn affects the daily performance and general life satisfaction. There is a vast difference in health status including the oral health between urban and rural population of India and in other developing countries. The existing situation demands the formulation and implementation of National Oral Health Policy in India in order to expand the oral health care to make it more affordable, and reachable. An extensive literature search was conducted using various search engines in order to include relevant information in the review. Number of keywords and their combinations were used in order to extract appropriate data. Finally 24 out of 35 articles were selected upon detailed reading. The present paper focusses on some of the important subjects that can be considered while formulation of a National Oral Health Policy for the benefits of both the dental profession and community as a whole. There is a need of dental health planners and policy makers that have relevant qualifications and training in public health dentistry to understand the unique needs and resources for the development of an effective oral health policy. Professional dental organizations can also support government programs to provide basic oral health needs of extensive underserved population of this country.

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The use of dental services for children: Implications of the 2010 dental reform in Israel

Cited by 17 publications

References 15 publications

Utilization of dental services and associated factors among preschool children in China

Utilization of dental services and associated factors among preschool children in China

Developing a Mobile App (iGAM) to Promote Gingival Health by Professional Monitoring of Dental Selfies: User-Centered Design Approach

Need for oral health policy in India

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