Evidence map›Paper›PMID 30782727›Full record

ArticleBMJ open2019

Spatial barriers and the bypassing of nearby dental clinics for dental services: a secondary data analysis in Korea.

Hosung Shin, Han-A Cho

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Travel Time for Dental Care Services Based on Patient Preference in South Korea.International journal of environmental research and public health · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Hosung ShinDepartment of Social and Humanity in Dentistry, Wonkwang University School of Dentistry, Iksan, Korea (the Republic of).ORCID 0000-0001-8146-8497
Han-A ChoDepartment of Social and Humanity in Dentistry, Wonkwang University School of Dentistry, Iksan, Korea (the Republic of).ORCID 0000-0002-5954-3558

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to calculate the distance patients travel to dental clinics, the rate of bypassing nearby dental clinics and the distance covered when bypassing nearby dental clinics, and explored factors associated with patients' spatial access to dental clinics.

designA secondary data analysis.

settingKorea Health Panel.

participantsWe included users of dental care services from 2008 to 2011. A total of 2375 patients and 15 978 dental visits were analysed. PRIMARY OUTCOME MEASURES: Korea Health Panel data (2008-2011) were used to geocode patients' and healthcare facilities' addresses. The distance travelled was calculated using road network information. To analyse the panel data, we adopted a generalised estimating equation: geographical measures on the choice of dental care facility were examined based on sex, age, educational level, equivalent income, treatment details and regional classification.

resultsThe median distance travelled to a dental clinic was 1.8 km, which is farther for rural (8.4 km) than for urban (1.5 km) patients. The bypass rate was 58.9%. Patients bypassing nearby dental clinics travelled 9.6 times farther for dental care (p<0.001). Unlike bypass distance, travel distance was not associated with equivalent income. People with higher education and those with implants/orthodontic treatment were more likely to bypass nearby dental clinics and travelled 1.27 times and 1.17 times farther (p<0.01), respectively.

conclusionsGiven the spatial barrier to available dental resources, factors associated with spatial access were mostly the same between travel and bypass distance except for equivalent income. The findings of this study suggest that spatial distance acts as a utilisation barrier and demands additional opportunity cost. At the same time, patients' preferences for services also increase their willingness to bypass nearby dental clinics and travel greater distances.

Indexed as

Dental ClinicsHealth Services AccessibilityTravelAdultAgedDental ImplantsEducational StatusFemaleGeographic MappingHumansIncomeMaleMiddle AgedOrthodonticsRepublic of KoreaRural PopulationDental Implantsaccess to carebypass ratespatial accessibilitytravel distance

Identifiers

PMID30782727
PMCPMC6347908

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.