Variations in the provision and cost of oral healthcare in 11 European countries: a case study.
Int Dent J
; 69(2): 130-140, 2019 Apr.
Article
em En
| MEDLINE
| ID: mdl-30229884
ABSTRACT
AIM:
To compare the provision and costs at the point of delivery of dental treatments in a sample of European Union (EU) Member States. MATERIALS ANDMETHODS:
A questionnaire with open-ended questions was sent to oral health policy-makers in Denmark, England, France, Germany, Hungary, Ireland, Italy, the Netherlands, Poland, Romania, Scotland and Spain. They were asked to answer questions on the probable costs and provision of treatment in their country for a vignette presented as a pre-defined case.RESULTS:
All respondents returned answers to all questions. Wide variations were reported in who would deliver care, cost of items of care and total cost. For example, in France, only a dentist would provide the treatment. In Denmark, England, Germany, Ireland, Italy, the Netherlands and Scotland, it was likely that the treatment would be provided by a combination of dentist, dental hygienist and dental nurse. Fees ranged from 72 in England (if treated within the NHS) to 603 in Denmark. In Italy, Spain and for most patients in Romania, all treatment costs were paid by the patient. In the other nine countries, some subsidy from public funds was available. In terms of percentage of per capita Gross National Income, the cost to the patient ranged from 0.12% in France to 1.57% in Spain.CONCLUSIONS:
It was apparent that there are wide variations between EU Member States in the manner in which oral healthcare is delivered, its cost and the extent to which the cost of treatment is subsidised from state funds or through private insurance.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
Base de dados:
MEDLINE
Assunto principal:
Atenção à Saúde
Tipo de estudo:
Health_economic_evaluation
Aspecto:
Determinantes_sociais_saude
Limite:
Humans
País/Região como assunto:
Europa
Idioma:
En
Revista:
Int Dent J
Ano de publicação:
2019
Tipo de documento:
Article