The socioeconomic impact of Korean dental health insurance policy on the elderly: a nationwide cohort study in South Korea
Journal of Periodontal & Implant Science
; : 248-257, 2019.
Article
em En
| WPRIM
| ID: wpr-766108
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
The purpose of this retrospective study was to investigate the relationships of types of dental insurance coverage in Korea with sociodemographic characteristics and the prevalence of systemic and oral diseases, as well as to evaluate the socioeconomic impact of Korean dental insurance policies.METHODS:
Sample cohort data from 2006 to 2015 were obtained from the National Health Insurance Service. Patients were divided into 2 groups. The exposed group comprised patients who received insurance benefits for complete dentures, removable partial dentures, and implant care, while the control group comprised patients who did not receive these benefits. The type of insurance coverage and the prevalence of systemic and oral diseases were compared between the 2 groups.RESULTS:
Patients who received benefits in the form of complete dentures, removable partial dentures, and implants had similar sociodemographic characteristics in terms of sex, age, income quintile, and type of insurance coverage to the control group. The prevalence of hypertension, anemia, renal disease, rheumatoid arthritis, osteoporosis, asthma, and cerebral infarction was higher in the exposed group than in the control group (P<0.05). The prevalence of periodontal diseases and dental caries was also higher in the exposed group.CONCLUSIONS:
Korean dental health insurance policy has been beneficial for the medical expenses of low-income and elderly people suffering from a cost burden due to systemic diseases. However, since there is a tendency to avoid invasive interventions in older patients due to the high risk of systemic diseases, insurance coverage of dentures may be more helpful from a socioeconomic perspective than coverage of dental implant treatments.Palavras-chave
Texto completo:
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Índice:
WPRIM
Assunto principal:
Osteoporose
/
Doenças Periodontais
/
Artrite Reumatoide
/
Asma
/
Implantes Dentários
/
Infarto Cerebral
/
Prevalência
/
Estudos Retrospectivos
/
Estudos de Coortes
/
Dentaduras
Tipo de estudo:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limite:
Aged
/
Humans
País/Região como assunto:
Asia
Idioma:
En
Revista:
Journal of Periodontal & Implant Science
Ano de publicação:
2019
Tipo de documento:
Article