Evidence map›Paper›PMID 33478327›Full record

ArticleJournal of dental research2021

Reorienting Oral Health Services to Prevention: Economic Perspectives.

C R Vernazza, S Birch, N B Pitts

Open access · hybridAbstract read
In one paragraph

Article in Journal of dental research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Clinical effectiveness of restorative materials for the restoration of carious primary teeth without pulp therapy: a systematic review.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2022
    Pooled it
  2. Clinical effectiveness of restorative materials for the restoration of carious lesions in pulp treated primary teeth: a systematic review.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2022
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Economic evaluation on dental caries preventive interventions for Australian children using a priority-setting approach.The European journal of health economics : HEPAC : health economics in prevention and care · 2025
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Caries Etiology and Preventive Measures.European journal of dentistry · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. Characterizing the Content Related to Oral Health Education on TikTok.International journal of environmental research and public health · 2021
    Article
  18. Review
  19. Article
  20. 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

3 authors at 3 institutions in 2 countries.

C R VernazzaSchool of Dental Sciences, Newcastle University, Newcastle Upon Tyne, UK.ORCID 0000-0002-6927-2974
S BirchCentre for the Business and Economics of Health, University of Queensland, Saint Lucia, Queensland, Australia.
N B PittsFaculty of Dentistry, Oral and Craniofacial Sciences, Kings College London, London, UK.
King's College London · GBNewcastle University · GBThe University of Queensland · AU

Funding

Department of Health CS-2014-14-011
6 · The paper itself

Abstract

Despite the recognized need to change the emphasis of health services by shifting the balance from treatment to prevention, limited progress has been made in many settings. This is true in oral health, where evidence for preventive interventions that work has not been systematically exploited in oral health services. While reorienting health services is complex and context specific, economics can bring a helpful perspective in understanding and predicting the impact of changes in resource allocation, provider remuneration systems, and patient payments. There is an increasing literature on the economics of different prevention approaches. However, much of this literature focuses on the costs and potential savings of alternative approaches and fails to take into account benefits. Even where benefits are taken into account, these tend to be narrowly focused on clinical outcomes using cost-effectiveness analysis, which may be of little relevance to the policy maker, patient, and the public. Some commonly used economic approaches (such as quality-adjusted life years and incremental cost-effectiveness ratios) may also not be appropriate to oral health. Using alternative techniques, including wider measures of benefit and employing priority setting and resource allocation tools, may provide more comprehensive information on economic impact to decision makers and stakeholders. In addition, it is important to consider the effects of provider remuneration in reorienting services. While there is some evidence about traditional models of remuneration (fee for service and capitation), less is known about pay for performance and blended systems. This article outlines areas in which economics can offer an insight into reorientation of health systems toward prevention, highlighting areas for further research and consideration.

Indexed as

Reimbursement, IncentiveCost-Benefit AnalysisHumansQuality-Adjusted Life Yearscaries detection/diagnosisdecision makingdental public healtheconomic evaluationperiodontal disease(s)/periodontitispreventive dentistry

Identifiers

PMID33478327
PMCPMC8138330
OpenAlexW3118551283

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.