Is the utilisation of dental care based on need or socioeconomic status? A study of dental care in Indonesia from 1999 to 2009
Objective: One of the goals of Indonesian health policy is ‘Health for All’; this includes dental health care. Therefore, it is important to continually evaluate and dynamically assess the effects of government policies, particularly whether these policies promote or obstruct social justice. This s...
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Veröffentlicht in: | International dental journal 2012-04, Vol.62 (2), p.90-94 |
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creator | Maharani, Diah A. Rahardjo, Anton |
description | Objective: One of the goals of Indonesian health policy is ‘Health for All’; this includes dental health care. Therefore, it is important to continually evaluate and dynamically assess the effects of government policies, particularly whether these policies promote or obstruct social justice. This study is intended to describe the need for and utilisation of dental care and how disparities in dental care provision to people of varying socioeconomic status (SES) have changed over time.
Methods: We used secondary cross‐sectional data from the Indonesian Socioeconomic Surveys for 1999, 2001, 2003, 2005, 2007 and 2009. The concentration index was used to describe disparities in need for and utilisation of dental care.
Results: The concentration index showed a significant concentration of dental care utilisation among groups of higher SES.
Conclusions: The use of dental care services is more dependent on ability to pay than on need for care. In addition, inequality in dental care in Indonesia persisted from 1999 to 2009. |
doi_str_mv | 10.1111/j.1875-595X.2011.00095.x |
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Methods: We used secondary cross‐sectional data from the Indonesian Socioeconomic Surveys for 1999, 2001, 2003, 2005, 2007 and 2009. The concentration index was used to describe disparities in need for and utilisation of dental care.
Results: The concentration index showed a significant concentration of dental care utilisation among groups of higher SES.
Conclusions: The use of dental care services is more dependent on ability to pay than on need for care. In addition, inequality in dental care in Indonesia persisted from 1999 to 2009.</description><identifier>ISSN: 0020-6539</identifier><identifier>EISSN: 1875-595X</identifier><identifier>DOI: 10.1111/j.1875-595X.2011.00095.x</identifier><identifier>PMID: 22420478</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Age Factors ; Biological and medical sciences ; Concentration index ; Cross-Sectional Studies ; Dental care ; Dental Care - statistics & numerical data ; Dental Care - utilization ; Dental insurance ; Facial bones, jaws, teeth, parodontium: diseases, semeiology ; Family Characteristics ; Female ; Health Promotion ; Health Services Needs and Demand - statistics & numerical data ; Healthcare Disparities ; Humans ; Indonesia ; Male ; Medical sciences ; Middle Aged ; Needs Assessment - statistics & numerical data ; Non tumoral diseases ; Original ; Otorhinolaryngology. Stomatology ; Population Surveillance ; Rural Health - statistics & numerical data ; Sex Factors ; Social Class ; Social Justice ; socioeconomic ; Socioeconomic factors ; Urban Health - statistics & numerical data ; Young Adult</subject><ispartof>International dental journal, 2012-04, Vol.62 (2), p.90-94</ispartof><rights>2012 FDI World Dental Federation</rights><rights>2015 INIST-CNRS</rights><rights>2012 FDI World Dental Federation.</rights><rights>Copyright © 2012 FDI World Dental Federation. Published by Elsevier Inc. 2012 FDI World Dental Federation</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5675-9ec11f65abd53904f4f62f53c1b6f1e165203f8f84a908d07255bffac39e78983</citedby><cites>FETCH-LOGICAL-c5675-9ec11f65abd53904f4f62f53c1b6f1e165203f8f84a908d07255bffac39e78983</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9374974/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9374974/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,728,781,785,886,1418,27928,27929,45578,45579,53795,53797</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25699097$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22420478$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Maharani, Diah A.</creatorcontrib><creatorcontrib>Rahardjo, Anton</creatorcontrib><title>Is the utilisation of dental care based on need or socioeconomic status? A study of dental care in Indonesia from 1999 to 2009</title><title>International dental journal</title><addtitle>Int Dent J</addtitle><description>Objective: One of the goals of Indonesian health policy is ‘Health for All’; this includes dental health care. Therefore, it is important to continually evaluate and dynamically assess the effects of government policies, particularly whether these policies promote or obstruct social justice. This study is intended to describe the need for and utilisation of dental care and how disparities in dental care provision to people of varying socioeconomic status (SES) have changed over time.
Methods: We used secondary cross‐sectional data from the Indonesian Socioeconomic Surveys for 1999, 2001, 2003, 2005, 2007 and 2009. The concentration index was used to describe disparities in need for and utilisation of dental care.
Results: The concentration index showed a significant concentration of dental care utilisation among groups of higher SES.
Conclusions: The use of dental care services is more dependent on ability to pay than on need for care. In addition, inequality in dental care in Indonesia persisted from 1999 to 2009.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Biological and medical sciences</subject><subject>Concentration index</subject><subject>Cross-Sectional Studies</subject><subject>Dental care</subject><subject>Dental Care - statistics & numerical data</subject><subject>Dental Care - utilization</subject><subject>Dental insurance</subject><subject>Facial bones, jaws, teeth, parodontium: diseases, semeiology</subject><subject>Family Characteristics</subject><subject>Female</subject><subject>Health Promotion</subject><subject>Health Services Needs and Demand - statistics & numerical data</subject><subject>Healthcare Disparities</subject><subject>Humans</subject><subject>Indonesia</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Needs Assessment - statistics & numerical data</subject><subject>Non tumoral diseases</subject><subject>Original</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Population Surveillance</subject><subject>Rural Health - statistics & numerical data</subject><subject>Sex Factors</subject><subject>Social Class</subject><subject>Social Justice</subject><subject>socioeconomic</subject><subject>Socioeconomic factors</subject><subject>Urban Health - statistics & numerical data</subject><subject>Young Adult</subject><issn>0020-6539</issn><issn>1875-595X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkVFvFCEUhYnR2LX6FwyJMT7NCAPMQExsmq7WbRp9qbFvhGHAss5AhRndffG3y7jrqn2SBy7hfufm3BwAIEYlzuflusS8YQUT7LqsEMYlQkiwcnMPLA6N-2CBUIWKmhFxBB6ltEaIcoLqh-CoqmiFaMMX4McqwfHGwGl0vUtqdMHDYGFn_Kh6qFU0sFXJdDD_ezPXCFPQLhgdfBichmlU45RO4Gl-Td32rtp5uPJd8CY5BW0MA8RCCDgGWGXPj8EDq_pknuzrMfj49s3V2bvi8sP56uz0stCszvsIozG2NVNtl7dB1FJbV5YRjdvaYoNrViFiueVUCcQ71FSMtdYqTYRpuODkGLzezb2d2sF0OhuMqpe30Q0qbmVQTv7b8e5Gfg7fpCANFQ3NA17sB8TwdTJplINL2vS98iZMSYqKC5QvlMlnd8h1mKLP20nMKBWoqQnJFN9ROoaUorEHLxjJOWO5lnOUco5SzhnLXxnLTZY-_XuXg_B3qBl4vgdU0qq3UXnt0h-O1SJ7bTL3asd9d73Z_rcBuVpeCJbVxU7t0mg2B7WKX2TdkCz89P5cLq_Y8uKaMMnJT2fR0KA</recordid><startdate>201204</startdate><enddate>201204</enddate><creator>Maharani, Diah A.</creator><creator>Rahardjo, Anton</creator><general>Blackwell Publishing Ltd</general><general>FDI World Dental Federation</general><general>Elsevier Limited</general><general>Elsevier</general><scope>BSCLL</scope><scope>IQODW</scope><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>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201204</creationdate><title>Is the utilisation of dental care based on need or socioeconomic status? A study of dental care in Indonesia from 1999 to 2009</title><author>Maharani, Diah A. ; Rahardjo, Anton</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5675-9ec11f65abd53904f4f62f53c1b6f1e165203f8f84a908d07255bffac39e78983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Biological and medical sciences</topic><topic>Concentration index</topic><topic>Cross-Sectional Studies</topic><topic>Dental care</topic><topic>Dental Care - statistics & numerical data</topic><topic>Dental Care - utilization</topic><topic>Dental insurance</topic><topic>Facial bones, jaws, teeth, parodontium: diseases, semeiology</topic><topic>Family Characteristics</topic><topic>Female</topic><topic>Health Promotion</topic><topic>Health Services Needs and Demand - statistics & numerical data</topic><topic>Healthcare Disparities</topic><topic>Humans</topic><topic>Indonesia</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Needs Assessment - statistics & numerical data</topic><topic>Non tumoral diseases</topic><topic>Original</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Population Surveillance</topic><topic>Rural Health - statistics & numerical data</topic><topic>Sex Factors</topic><topic>Social Class</topic><topic>Social Justice</topic><topic>socioeconomic</topic><topic>Socioeconomic factors</topic><topic>Urban Health - statistics & numerical data</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maharani, Diah A.</creatorcontrib><creatorcontrib>Rahardjo, Anton</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International dental journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maharani, Diah A.</au><au>Rahardjo, Anton</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is the utilisation of dental care based on need or socioeconomic status? A study of dental care in Indonesia from 1999 to 2009</atitle><jtitle>International dental journal</jtitle><addtitle>Int Dent J</addtitle><date>2012-04</date><risdate>2012</risdate><volume>62</volume><issue>2</issue><spage>90</spage><epage>94</epage><pages>90-94</pages><issn>0020-6539</issn><eissn>1875-595X</eissn><abstract>Objective: One of the goals of Indonesian health policy is ‘Health for All’; this includes dental health care. Therefore, it is important to continually evaluate and dynamically assess the effects of government policies, particularly whether these policies promote or obstruct social justice. This study is intended to describe the need for and utilisation of dental care and how disparities in dental care provision to people of varying socioeconomic status (SES) have changed over time.
Methods: We used secondary cross‐sectional data from the Indonesian Socioeconomic Surveys for 1999, 2001, 2003, 2005, 2007 and 2009. The concentration index was used to describe disparities in need for and utilisation of dental care.
Results: The concentration index showed a significant concentration of dental care utilisation among groups of higher SES.
Conclusions: The use of dental care services is more dependent on ability to pay than on need for care. In addition, inequality in dental care in Indonesia persisted from 1999 to 2009.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>22420478</pmid><doi>10.1111/j.1875-595X.2011.00095.x</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Age Factors Biological and medical sciences Concentration index Cross-Sectional Studies Dental care Dental Care - statistics & numerical data Dental Care - utilization Dental insurance Facial bones, jaws, teeth, parodontium: diseases, semeiology Family Characteristics Female Health Promotion Health Services Needs and Demand - statistics & numerical data Healthcare Disparities Humans Indonesia Male Medical sciences Middle Aged Needs Assessment - statistics & numerical data Non tumoral diseases Original Otorhinolaryngology. Stomatology Population Surveillance Rural Health - statistics & numerical data Sex Factors Social Class Social Justice socioeconomic Socioeconomic factors Urban Health - statistics & numerical data Young Adult |
title | Is the utilisation of dental care based on need or socioeconomic status? A study of dental care in Indonesia from 1999 to 2009 |
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