A need-based model to project national dental expenditures

Journal of Public Health Dentistry
D B GillingsC W Douglass

Abstract

A national model on need for dental treatment, as measured by the HANES survey of the National Center for Health Statistics, is described and applied to determine expenditures required to provide necessary dental services under third-party funding of a national dental program. Services have been divided into five components by type of service and age of the population and expenditures are projected for each year, 1980-84. Total expenditures are projected to increase from 18.98 billion dollars in 1980 to 26.42 billion in 1984. Separate projections are also provided for each component and each service. Expenditures derived from this model are compared to direct projections of trends taking place in the current dental care system. Only minor discrepancies in total expenditures are noted but there are large differences for individual services, notably in the areas of prevention and periodontal diseases. Separate comparisons with demand-based projections derived from the experience of the California Dental Service are also presented. Again, the major differences relate to expenditures for individual services, particularly crowns, for which demand expenditures outstripped need by a three-fold margin.

Citations

Sep 5, 2002·Statistics in Medicine·Hisako SasaharaMakoto Kawamura
Jan 25, 2002·The Journal of Prosthetic Dentistry·Chester W Douglass, Ascella J Watson
Jul 1, 1991·Journal of Clinical Periodontology·P Gjermo
Jan 1, 1990·Journal of Public Health Dentistry·H S Goodman, R J Weyant
Jan 1, 1992·Journal of Public Health Dentistry·S M McGuire
Jul 1, 1989·Journal of Periodontology·C W Douglass
Mar 1, 1985·Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry·L C Niessen, C W Douglass
Jun 1, 1993·Periodontology 2000·R C OliverH Löe
Jul 1, 1989·Journal of Periodontology·Chester W Douglass
Sep 1, 1990·The Journal of Prosthetic Dentistry·C W Douglass
Jan 1, 1988·The Journal of Prosthetic Dentistry·C W DouglassD A Atwood

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