Demographic and rural-urban variations in dental service utilization in Taiwan
This study assesses whether demographic and rural-urban variations in dental care service utilization still exist in Taiwan after 15 years of the implementation of universal health insurance coverage, which largely reduces financial barriers to dental care. The data analysed in this cohort study wer...
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| Veröffentlicht in: | Rural and remote health 2017-07, Vol.17 (3), p.4161-4161 |
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| container_title | Rural and remote health |
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| creator | Wen, Pei-Chun Lee, Chiachi Bonnie Chang, Ya-Hui Ku, Li-Jung Elizabeth Li, Chung-Yi |
| description | This study assesses whether demographic and rural-urban variations in dental care service utilization still exist in Taiwan after 15 years of the implementation of universal health insurance coverage, which largely reduces financial barriers to dental care.
The data analysed in this cohort study were based on a random sample of one million beneficiaries retrieved from Taiwan's National Health Insurance Research Database (NHIRD) in 2005. The follow-up was made between 2005 and 2010. Poisson regression models were used to explore the associations of dental service utilization rates with urbanization and demographic characteristics.
The highest and lowest rates of preventive dental care were obtained in people aged 55-64 years (579.2/1000 person-years) and |
| doi_str_mv | 10.22605/RRH4161 |
| format | Article |
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The data analysed in this cohort study were based on a random sample of one million beneficiaries retrieved from Taiwan's National Health Insurance Research Database (NHIRD) in 2005. The follow-up was made between 2005 and 2010. Poisson regression models were used to explore the associations of dental service utilization rates with urbanization and demographic characteristics.
The highest and lowest rates of preventive dental care were obtained in people aged 55-64 years (579.2/1000 person-years) and <15 years (178.6/1000 person-years). The corresponding figures for curative care were 1592.0/1000 person-years (<15 years) and 757.2/1000 person-years (35-44 years). Compared with the people living in the least urbanized areas, those from the most urbanized areas presented significantly higher rates of preventive and curative dental services; a greater estimated rate ratio was noted for preventive services than for curative services (1.57 vs 1.42).
The urban-rural disparity in dental care service utilization still exists after 15 years of the implementation of the national health insurance in Taiwan, suggesting that factors other than affordability may play roles in such disparity.</description><identifier>ISSN: 1445-6354</identifier><identifier>EISSN: 1445-6354</identifier><identifier>DOI: 10.22605/RRH4161</identifier><identifier>PMID: 28838246</identifier><language>eng</language><publisher>Australia</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Dental Care - utilization ; Humans ; Middle Aged ; National Health Programs - statistics & numerical data ; Rural Population - statistics & numerical data ; Sex Factors ; Socioeconomic Factors ; Taiwan ; Urban Population - statistics & numerical data ; Young Adult</subject><ispartof>Rural and remote health, 2017-07, Vol.17 (3), p.4161-4161</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c317t-7ef7c58c7f8beab9a5ab3abba86303396b40d086431550510c4199a91b838a443</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,860,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28838246$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wen, Pei-Chun</creatorcontrib><creatorcontrib>Lee, Chiachi Bonnie</creatorcontrib><creatorcontrib>Chang, Ya-Hui</creatorcontrib><creatorcontrib>Ku, Li-Jung Elizabeth</creatorcontrib><creatorcontrib>Li, Chung-Yi</creatorcontrib><title>Demographic and rural-urban variations in dental service utilization in Taiwan</title><title>Rural and remote health</title><addtitle>Rural Remote Health</addtitle><description>This study assesses whether demographic and rural-urban variations in dental care service utilization still exist in Taiwan after 15 years of the implementation of universal health insurance coverage, which largely reduces financial barriers to dental care.
The data analysed in this cohort study were based on a random sample of one million beneficiaries retrieved from Taiwan's National Health Insurance Research Database (NHIRD) in 2005. The follow-up was made between 2005 and 2010. Poisson regression models were used to explore the associations of dental service utilization rates with urbanization and demographic characteristics.
The highest and lowest rates of preventive dental care were obtained in people aged 55-64 years (579.2/1000 person-years) and <15 years (178.6/1000 person-years). The corresponding figures for curative care were 1592.0/1000 person-years (<15 years) and 757.2/1000 person-years (35-44 years). Compared with the people living in the least urbanized areas, those from the most urbanized areas presented significantly higher rates of preventive and curative dental services; a greater estimated rate ratio was noted for preventive services than for curative services (1.57 vs 1.42).
The urban-rural disparity in dental care service utilization still exists after 15 years of the implementation of the national health insurance in Taiwan, suggesting that factors other than affordability may play roles in such disparity.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Dental Care - utilization</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>National Health Programs - statistics & numerical data</subject><subject>Rural Population - statistics & numerical data</subject><subject>Sex Factors</subject><subject>Socioeconomic Factors</subject><subject>Taiwan</subject><subject>Urban Population - statistics & numerical data</subject><subject>Young Adult</subject><issn>1445-6354</issn><issn>1445-6354</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkEtLAzEUhYMoVqvgL5As3YzmPZml1EeFolDqerjJZDQyk6nJTEV_vbXWx-oeOB-Hy4fQCSXnjCkiL-bzqaCK7qADKoTMFJdi918eocOUXghhOdFsH42Y1lwzoQ7Q_ZVru6cIy2dvMYQKxyFCkw3RQMAriB5634WEfcCVCz00OLm48tbhofeN_9jUX-0C_BuEI7RXQ5Pc8faO0ePN9WIyzWYPt3eTy1lmOc37LHd1bqW2ea2NA1OABMPBGNCKE84LZQSpiFaCUymJpMQKWhRQULP-G4TgY3T2vbuM3evgUl-2PlnXNBBcN6SSFpxpQYQmf6iNXUrR1eUy-hbie0lJubFXbu2t0dPt6mBaV_2CP7r4JzsiaX0</recordid><startdate>201707</startdate><enddate>201707</enddate><creator>Wen, Pei-Chun</creator><creator>Lee, Chiachi Bonnie</creator><creator>Chang, Ya-Hui</creator><creator>Ku, Li-Jung Elizabeth</creator><creator>Li, Chung-Yi</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201707</creationdate><title>Demographic and rural-urban variations in dental service utilization in Taiwan</title><author>Wen, Pei-Chun ; Lee, Chiachi Bonnie ; Chang, Ya-Hui ; Ku, Li-Jung Elizabeth ; Li, Chung-Yi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c317t-7ef7c58c7f8beab9a5ab3abba86303396b40d086431550510c4199a91b838a443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Dental Care - utilization</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>National Health Programs - statistics & numerical data</topic><topic>Rural Population - statistics & numerical data</topic><topic>Sex Factors</topic><topic>Socioeconomic Factors</topic><topic>Taiwan</topic><topic>Urban Population - statistics & numerical data</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wen, Pei-Chun</creatorcontrib><creatorcontrib>Lee, Chiachi Bonnie</creatorcontrib><creatorcontrib>Chang, Ya-Hui</creatorcontrib><creatorcontrib>Ku, Li-Jung Elizabeth</creatorcontrib><creatorcontrib>Li, Chung-Yi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Rural and remote health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wen, Pei-Chun</au><au>Lee, Chiachi Bonnie</au><au>Chang, Ya-Hui</au><au>Ku, Li-Jung Elizabeth</au><au>Li, Chung-Yi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Demographic and rural-urban variations in dental service utilization in Taiwan</atitle><jtitle>Rural and remote health</jtitle><addtitle>Rural Remote Health</addtitle><date>2017-07</date><risdate>2017</risdate><volume>17</volume><issue>3</issue><spage>4161</spage><epage>4161</epage><pages>4161-4161</pages><issn>1445-6354</issn><eissn>1445-6354</eissn><abstract>This study assesses whether demographic and rural-urban variations in dental care service utilization still exist in Taiwan after 15 years of the implementation of universal health insurance coverage, which largely reduces financial barriers to dental care.
The data analysed in this cohort study were based on a random sample of one million beneficiaries retrieved from Taiwan's National Health Insurance Research Database (NHIRD) in 2005. The follow-up was made between 2005 and 2010. Poisson regression models were used to explore the associations of dental service utilization rates with urbanization and demographic characteristics.
The highest and lowest rates of preventive dental care were obtained in people aged 55-64 years (579.2/1000 person-years) and <15 years (178.6/1000 person-years). The corresponding figures for curative care were 1592.0/1000 person-years (<15 years) and 757.2/1000 person-years (35-44 years). Compared with the people living in the least urbanized areas, those from the most urbanized areas presented significantly higher rates of preventive and curative dental services; a greater estimated rate ratio was noted for preventive services than for curative services (1.57 vs 1.42).
The urban-rural disparity in dental care service utilization still exists after 15 years of the implementation of the national health insurance in Taiwan, suggesting that factors other than affordability may play roles in such disparity.</abstract><cop>Australia</cop><pmid>28838246</pmid><doi>10.22605/RRH4161</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adolescent Adult Age Factors Aged Dental Care - utilization Humans Middle Aged National Health Programs - statistics & numerical data Rural Population - statistics & numerical data Sex Factors Socioeconomic Factors Taiwan Urban Population - statistics & numerical data Young Adult |
| title | Demographic and rural-urban variations in dental service utilization in Taiwan |
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