Use of oral health care services in Finnish adults – results from the cross-sectional Health 2000 and 2011 Surveys

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dc.contributor.author Suominen, Anna L
dc.contributor.author Helminen, Sari
dc.contributor.author Lahti, Satu
dc.contributor.author Vehkalahti, Miira M
dc.contributor.author Knuuttila, Matti
dc.contributor.author Varsio, Sinikka
dc.contributor.author Nordblad, Anne
dc.date.accessioned 2017-04-25T03:46:44Z
dc.date.available 2017-04-25T03:46:44Z
dc.date.issued 2017-04-24
dc.identifier.citation BMC Oral Health. 2017 Apr 24;17(1):78
dc.identifier.uri http://hdl.handle.net/10138/181068
dc.description.abstract Abstract Background During the 2000s, two major legislative reforms concerning oral health care have been implemented in Finland. One entitled the whole population to subsidized care and the other regulated the timeframes of access to care. Our aim was, in a cross-sectional setting, to assess changes in and determinants of use of oral health care services before the first reform in 2000 and after both reforms in 2011. Methods The data were part of the nationally representative Health 2000 and 2011 Surveys of adults aged ≥ 30 years and were gathered by interviews and questionnaires. The outcome was the use of oral health care services during the previous year. Determinants of use among the dentate were grouped according to Andersen’s model: predisposing (sex, age group), enabling (education, recall, dental fear, habitual use of services, household income, barriers of access to care), and need (perceived need, self-rated oral health, denture status). Chi square tests and logistic regression analyses were used for statistical evaluation. Results No major changes or only a minor increase in overall use of oral health care services was seen between the study years. An exception were those belonging to oldest age group who clearly increased their use of services. Also, a significant increase in visiting a public sector dentist was observed, particularly in the age groups that became entitled to subsidized care in 2000. In the private sector, use of services decreased in younger age groups. Determinants for visiting a dentist, regardless of the service sector, remained relatively stable. Being a regular dental visitor was the most significant determinant for having visited a dentist during the previous year. Enabling factors, both organizational and individual, were emphasized. They seemed to enable service utilization particularly in the private sector. Conclusions Overall changes in the use of oral health care services were relatively small, but in line with the goals set for the reform. Older persons increased use of services in both sectors, implying growing need. Differences between public and private sectors persisted, and recall, costs of care and socioeconomic factors steered choices between the sectors, sustaining inequity in access to care.
dc.publisher BioMed Central
dc.subject Health service use
dc.subject Visits to a dentist
dc.subject National survey
dc.subject Health care reform
dc.subject Subsidization
dc.subject Cost of care
dc.title Use of oral health care services in Finnish adults – results from the cross-sectional Health 2000 and 2011 Surveys
dc.date.updated 2017-04-25T03:46:45Z
dc.language.rfc3066 en
dc.rights.holder The Author(s).
dc.type.uri http://purl.org/eprint/entityType/ScholarlyWork
dc.type.uri http://purl.org/eprint/entityType/Expression
dc.type.uri http://purl.org/eprint/type/JournalArticle

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