ArticleInternational journal of environmental research and public health2015
Changes in socioeconomic inequalities in the use of dental care following major healthcare reform in Chile, 2004-2009.
Article in International journal of environmental research and public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 35 citations in OpenAlex.
- Trial
- Socio-Economic Consequences of Dental Trauma due to Police Use-of-Force: A Multi-Method Study.Dental traumatology : official publication of International Association for Dental Traumatology · 2026Article
- Oral health approach in universal health coverage.BMC public health · 2024Review
- Indicators of integrating oral health care within universal health coverage and general health care in low-, middle-, and high-income countries: a scoping review.BMC oral health · 2023Article
- Moral Hazard and the Demand for Dental Treatment: Evidence from a Nationally Representative Survey in Thailand.International journal of dentistry · 2022Article
- Inequality in dental care expenditure in Iranian households: analysis of income quintiles and educational levels.BMC oral health · 2021Article
- What makes inequality in the area of dental and oral health in developing countries? A scoping review.Cost effectiveness and resource allocation : C/E · 2021Article
- Disparities in Dental Service Utilization among Adults in Chinese Megacities: Do Health Insurance and City of Residence Matter?International journal of environmental research and public health · 2020Article
- Does the national dental scaling policy reduce inequalities in dental scaling usage? A population-based quasi-experimental study.BMC oral health · 2019Article
- Use of oral health care services in Peru: trends of socio-economic inequalities before and after the implementation of Universal Health Assurance.BMC oral health · 2019Article
- Comparing Oral Health Services Use in the Spanish and Immigrant Working Population.Journal of immigrant and minority health · 2018Article
- What should we expect from Switzerland's compulsory dental insurance reform?BMC health services research · 2018Article
- Association between socio-economic status and dental caries in elderly people in Sichuan Province, China: a cross-sectional study.BMJ open · 2017Article
- The Efficiency Assessment of Dental Units Using Data Envelopment Analysis Approach: The Case of Iran.Iranian journal of public health · 2017Article
- Patterns of use of oral health care services and barriers to dental care among ambulatory older Chilean.BMC oral health · 2017Article
- Gaps in need, demand, and effective demand for dental care utilization among residents of Krishna district, Andhra Pradesh, India.Journal of International Society of Preventive & Community Dentistry · 2016Article
- Patients' Perceptions of Endodontic Treatment as Part of Public Health Services: A Qualitative Study.International journal of environmental research and public health · 2016Article
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The study examines changes in the distribution and socioeconomic inequalities of dental care utilization among adults after the major healthcare reform in Chile, 2004-2009. We evaluated the proportion of people who visited the dentist at least once in the previous two years, and the mean number of visits. These outcome variables were stratified by sex, age (20-39, 40-59, 60-63; ≥64 years), educational level (primary, secondary, higher), type of health insurance (public, private, uninsured), and socioeconomic status (quintiles of an asset-index). We also used the concentration index (CIndex) to assess the extent of socioeconomic inequalities in the use of dental care, stratified by age and sex as a proxy for dental care needs. The use of dental care significantly increased between 2004 and 2009, especially in those with public health insurance, with lower educational level and lower socioeconomic status. The CIndex for the total population significantly decreased both for the proportion who used dental care, and also the mean number of visits. Findings suggest that the use of dental care increased and socioeconomic-related inequalities in the utilization of dental care declined after a Major Health Reform, which included universal coverage for some dental cares in Chile. However, efforts to ameliorate these inequalities require an approach that moves beyond a sole focus on rectifying health coverage.
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