Evidence map›Paper›PMID 39719292›Full record

ArticleBMJ open2024

Optimisation of services to prevent dental caries for school-aged children in China: a discrete choice experiment.

Lidan Wang, Zhu Chen, Sixuan Chen, Xinyu Jin, Lu Hu, Jiacheng Jiang, Hong Yu, Jianguang Xu, Wenhua Xu

Abstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
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  3. 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

9 authors.

Lidan Wang *Stomatologic Hospital & College, Key Lab of Oral Diseases Research of Anhui Province, Anhui Medical University, Hefei, Anhui, China wanglidan@ahmu.edu.cn xujianguang@ahmu.edu.cn xuwenhua@ahmu.edu.cn.
Zhu Chen *School of Health Management, Anhui Medical University, Hefei, China.ORCID http://orcid.org/0009-0009-6994-1523
Sixuan ChenSchool of Health Management, Anhui Medical University, Hefei, China.
Xinyu JinSchool of Health Management, Anhui Medical University, Hefei, China.
Lu HuSchool of Health Management, Anhui Medical University, Hefei, China.
Jiacheng JiangSchool of Health Management, Anhui Medical University, Hefei, China.
Hong YuStomatologic Hospital & College, Key Lab of Oral Diseases Research of Anhui Province, Anhui Medical University, Hefei, Anhui, China.
Jianguang XuStomatologic Hospital & College, Key Lab of Oral Diseases Research of Anhui Province, Anhui Medical University, Hefei, Anhui, China wanglidan@ahmu.edu.cn xujianguang@ahmu.edu.cn xuwenhua@ahmu.edu.cn.
Wenhua XuStomatologic Hospital & College, Key Lab of Oral Diseases Research of Anhui Province, Anhui Medical University, Hefei, Anhui, China wanglidan@ahmu.edu.cn xujianguang@ahmu.edu.cn xuwenhua@ahmu.edu.cn.ORCID http://orcid.org/0000-0002-0263-6489

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe objective of this study is to analyse the preferences of guardians of school-aged children for children's caries prevention services (CPS) and their willingness to pay (WTP) for different levels of attributes.

designFour key attributes were identified through a literature review and expert consultations: preventive service time, preventive effectiveness, distance (driving time to service institution) and service cost (out-of-pocket for CPS). A D-efficient design was used to create a discrete choice experiment questionnaire, and data were collected via face-to-face interviews.

settingData collection was conducted between July 2021 and January 2022 in Anhui, China.

participantsGuardians (785) of children aged 3-12 years participated.

main outcome measuresA mixed-logit model was used to estimate preferences and WTP for different attribute levels, and the preference heterogeneity was assessed using a latent class logit model.

resultsPreventive effectiveness was the most important attribute, followed by service cost, preventive service time and distance. Guardians preferred CPS with over 90% preventive effectiveness, a distance of 10-25 min, services offered during vacations and lower service cost. Guardians were willing to pay 409 Chinese yuan (CNY) for higher effectiveness, 84 CNY for shorter distances and 87 CNY for services offered during vacation. Guardians with a college education or higher and females prioritise preventive effectiveness, while guardians who had children with a caries history and who had children with better oral health status preferred CPS during vacation.

conclusionsAll four attributes influenced guardians' preferences for CPS, with preventive effectiveness being the most important. Guardians were willing to pay extra money for better CPS, and preferences varied according to individual characteristics. These findings provide a reference for policy-makers to provide personalised, demand-based CPS.

Indexed as

Dental CariesAdultChildChild, PreschoolChinaChoice BehaviorDental Care for ChildrenFemaleHumansMaleMiddle AgedSurveys and QuestionnairesChinaCommunity child healthHEALTH ECONOMICSHealth EquityHealth ServicesHEALTH SERVICES ADMINISTRATION & MANAGEMENT

Identifiers

PMID39719292
PMCPMC11667323

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.