ReviewInternational journal of environmental research and public health2021
Dental Expenditure by Household Income in Korea over the Period 2008-2017: A Review of the National Dental Insurance Reform.
Review in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Current status of burden of oral diseases among Chinese adolescents: evidence from the National Oral Health surveys.BMC oral health · 2026Article
- Upstream Interventions to Promote Oral Health and Reduce Oral Health Inequalities: A Scoping Review.Community dentistry and oral epidemiology · 2026Article
- Temporal Trends and Future Projections of Oral Disorders Among Women of Childbearing Age in South Korea.International journal of women's health · 2026Article
- Occurrence rate and estimated economic burden of pulp and periapical disease treatment among Korean older adults: a national population-based retrospective study.Epidemiology and health · 2025Article
- The Effects of the Expansion of Dental Care Coverage for the Elderly.Healthcare (Basel, Switzerland) · 2024Article
- Analysis of Dental Prosthetic Treatment in Patients with Cancer Aged 65 Years and Older after Expanded Health Insurance Coverage: A Retrospective Clinical Study.Medicina (Kaunas, Lithuania) · 2024Article
- The association of food insecurity with tooth decay and periodontitis among middle-aged and older adults in the United States and Korea.Gerodontology · 2023Article
- A time-dependent subdistribution hazard model for major dental treatment events in cancer patients: a nationwide cohort study.BMC oral health · 2023Article
- The effects of orthodontic treatment on personal dental expenditures in South Korea: a follow-up study using Korean health panel survey.BMC health services research · 2022Article
- Relationship between Precarious Employment and Unmet Dental Care Needs among Korean Workers: A Longitudinal Panel Study.Medicina (Kaunas, Lithuania) · 2022Article
- Travel Time for Dental Care Services Based on Patient Preference in South Korea.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Since 2009, the National Health Insurance in Korea (NHI) has been implementing a series of policies to expand the scope of dental benefits. This study reviewed the changes in co-payments and dental use patterns before (2008 to 2012) and after (2013 to 2017) the NHI's dental health insurance reform. The study used Korea Health Panel data of 7681 households (16,493 household members) from a 10-year period (2008-2017). Dental expenditures and equivalent income using square root of household size were analyzed. Dental services were categorized into 13 types and a concentration index and 95% confidence interval using the delta method was calculated to identify income-related inequalities by a dental service. Dental expenditures and the number of dental services used increased significantly, while the proportion of out-of-pocket spending by the elderly decreased. The expenditure ratio for implant services to total dental expenditures increased substantially in all age groups, but the ratio of expenditures for dentures and fixed bridges decreased relatively. The concentration index of implant services was basically in favor of the rich, but there was no longer a significant bias favoring the better-off after the reforms. The dental health insurance reform in Korea appears to contribute not only to lowering the ratio of out-of-pocket to total dental expenses per episode in the elderly but also to improving the inequality of dental expenses.
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