J Korean Acad Oral Health.  2022 Mar;46(1):11-20. 10.11149/jkaoh.2022.46.1.11.

Association between oral examination and out-of-pocket expenditures on dental care

Affiliations
  • 1Department of Dental Hygiene, Yonsei Graduate School, Wonju, Korea
  • 2Department of Dental Hygiene, MIRAE Campus, Yonsei University, Wonju, Korea

Abstract


Objectives
The purpose of this study is to identify the association between oral examinations and out-of-pocket (OOP) expenditures on dental care by age groups.
Methods
The Korea Health Panel 2011-2018 data were used to aggregate eight-year outpatient data for 12,684 individuals who were household members that responded to the 2011 survey. The final study subjects included 5,305 individuals who have been retained in the panel with at least one OOP expenditure on dental care over eight years. The dependent and independent variables were the individual’s average OOP dental care expenditures and oral examination, respectively. For age-stratification analysis, they were categorized into seven age groups: 18-24, 25-34, 35-44, 45-54, 55-64, 65-74, and 75+years. The difference in OOP expenditures on dental care by subject characteristics was analyzed using t-tests and ANOVA. Log-linear regression models were used to analyze the effect of oral examinations on OOP expenditures on dental care.
Results
Individuals who underwent an oral examination had an approximately 1.4% higher OOP expenditure on dental care than their counterparts (β=0.014, P=0.0072). Age-stratified analyses showed that among people in the 55-64 group those who underwent an oral examination had an approximately 2.3% higher OOP expenditure on dental care than non-examiners (β=0.023, P=0.0218).
Conclusions
There was no evidence that oral examination could lead to increased OOP expenditure on dental care, except among those aged 55-64.

Keyword

Age-stratification; Dental cost; Korea Health Panel Data; Oral examination; Out-ofpocket expenditure

Figure

  • Fig. 1 Study population.


Reference

References

1. Kim YM, Kang SH. 2012; The management strategies of national health screening patients in health examination center. Journal of Digital Convergence . 10:397–407.
2. Lee HH, Park JY. 2014; The association between health examination and personal medical cost through panel survey. Health Policy and Management. 24:35–46. DOI: 10.4332/KJHPA.2014.24.1.35.
Article
3. Ministry of Health and Welfare & KIHASA(Korea Institute for Health and Social Affairs). 2020. 2020 Social security factbook. Ministry of Health and Welfare & KIHASA;Sejong: p. 300–301. DOI: 10.4332/kjhpa.2014.24.1.35.
4. Ministry of Health and Welfare. 2011. 2010 Korean National Oral Health Survey: II. Survey Report. Ministry of Health and Welfare;Seoul: p. 119–120. DOI: 10.4332/kjhpa.2014.24.1.35.
5. Yeo JY, Jeong HS. 2012; Determinants of dental screening and unmet dental needs: interaction effect between geographical accessibility and economic affordability. Korean J Health Econ Policy. 18:109–126.
6. Yuk SH, Lee JM, Park HR, Park JY, Choi GY, Kim YK. 2015; The recognition of oral examination among national health examination by the residents of C area. Journal of the Korean Academy of Dental Insurance. 6:1–10.
7. Kim HS, Kim MK, Shin HS. 2012; Expenditure in ambulatory dental care and factors related to its spending. Health Policy and Management. 22:207–224. DOI: 10.4332/KJHPA.2012.22.2.207.
Article
8. Burton-Jeangros C, Cullati S, Sacker A, Blane D. 2015. A Life Course Perspective on Health Trajectories and Transitions. Springer;Switzerland: p. 39–84. DOI: 10.1007/978-3-319-20484-0. PMID: 27683923.
9. Listl S, Watt RG, Tsakos G. 2014; Early life conditions, adverse life events, and chewing ability at middle and later adulthood. Am J Public Health. 104:e55–e61. DOI: 10.2105/AJPH.2014.301918. PMID: 24625140. PMCID: PMC3987597.
Article
10. Kim DH, Seo YJ. 2017; Factors Influencing the regular oral check-ups: Based on the Data of the 2014 Korea National Health and Nutrition Examination Survey. J Dent Hyg Sci. 17:323–332. DOI: 10.17135/jdhs.2017.17.4.323.
Article
11. Kim JL, Kim JH, Jang JH. 2020; Relationship between dental checkups and unmet dental care needs in Korean adults. J Korean Soc Dent Hyg. 20:581–591. DOI: 10.13065/jksdh.20200053.
Article
12. Chun EJ, Cho SI, Cho YT, Moon OR, Jang SN. 2007; Disparities in participation in health examination by socio-economic position among adult Seoul residents. J Prev Med Public Health. 40:345–350. DOI: 10.3961/jpmph.2007.40.5.345. PMID: 17917482.
Article
13. Sheiham A, Alexander D, Cohen L, Marinho V, Moysés S, Petersen PE, et al. 2011; Global oral health inequalities: task group-implementation and delivery of oral health strategies. Adv Dent Res. 23:259–267. DOI: 10.1177/0022034511402084. PMID: 21490238.
14. Ahn ES. Shin. HS. 2017; Effectiveness of oral examination for infants and toddlers: effects on subsequent utilization and costs. J Korean Acad Oral Health. 4:73–79. DOI: 10.11149/jkaoh.2017.41.2.73.
Article
15. Shin GS, Choi SE. 2020; The impact of preventive dental check-up on the oral health: based on the 7th(2016-2018) Korean national health and nutrition examination survey. Health &. Welfare. 22:53–78. DOI: 10.23948/kshw.2020.12.22.4.53.
Article
16. Kim MY, Kim JH. 2018; Related Factors and whether Oral examination for economically active population. Jour. of KoCon.a. 18:175–182.
17. Jung MH, An SY, Jung SW, Kim BS, Ahn ES. 2020; Factors affecting oral examination in an economically active population. J Kor Dent Hyg Sci. 18:51–58.
18. Russell LB. 2007. Prevention's potential for slowing the growth of medical spending. National Coalition on Health Care;WashingtonDC: p. 1–15.
19. Cohen JT, Neumann PJ, Weinstein MC. 2008; Does preventive care save money? Health economics and the presidential candidates. N Engl J Med. 358:661–663. DOI: 10.1056/NEJMp0708558. PMID: 18272889.
Article
20. Vuong QH, Ho TM, Nguyen HK, Vuong TT. 2018; Healthcare consumers' sensitivity to costs: A reflection on behavioural economics from an emerging market. Palgrave Commun. 4:1–10. DOI: 10.1057/s41599-018-0127-3.
Article
21. Yoon HS, Chae YJ. 2017; Oral health care behavior according to dental screening of local community residents (Using community health survey data 2014). Journal of the Korea Academia-Industrial cooperation Society. 18:265–272. DOI: 10.11149/jkaoh.2017.41.3.194.
22. Ahn ES. Shin. HS. 2015; On decomposing the determinants of dental utilization inequalities. J Korean Official Stat. 20:140–159.
23. Sohn MS, Che XH, Lim SW, Park HJ. 2020; Estimating lifetime dental care expenditure in South Korea: an abridged life table approach. Int J Environ Res Public Health. 17:3308. DOI: 10.3390/ijerph17093308. PMID: 32397465. PMCID: PMC7246729. PMID: f80d349e09b64927a80296c563b022a4.
Article
24. Ahn ES, Shin MS. 2016; Factors related to the unmet dental care needs of adults with dental pain. J Dent Hyg Sci. 16:355–360. DOI: 10.17135/jdhs.2016.16.5.355.
Article
25. Cho YW, Kim SH. 2005; The Effects of Provides on Out-of-Pocket Payment. Korean Health Economic Review. 11:1–16.
26. Jung SJ, Sakong J. 2019; An Analysis on the Supplier-Induced Demand and the Medical Expenses in the Public and the Private Hospitals. Korean Health Economic Review. 25:1–28. DOI: 10.33900/KAPS.2019.28.1.1.
27. Moon SE, Song AH. 2016; Factors affecting unmet dental care needs of Korean: The 6th Korean national health and nutritional examination survey. J Korean Soc Dent Hyg. 16:767–774. DOI: 10.13065/jksdh.2016.16.05.767.
Article
28. Che XH, Park HJ. 2018; Factors associated with the persistence of unmet dental care needs. J Korean Acad Oral Health. 42:152–158. DOI: 10.11149/jkaoh.2018.42.4.152.
Article
29. Jeon JE, Chung WG, Kim NH. 2011; Determinants for dental service utilization among Koreans. J Korean Acad Oral Health. 35:441–449.
30. Roberts-Thomson KF, Stewart JF. 2003; Access to dental care by young South Australian adults. Aust Dent J. 48:169–174. DOI: 10.1111/j.1834-7819.2003.tb00027.x. PMID: 14640369.
Article
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