Public Policy Options for Better Dental Health Report of a Study (1980) / Chapter Skim
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Need for Dental Treatment and Utilization of Services
Need for Dental Treatment and Utilization of Services
Pages 13-26
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From page 13... ...
Extent and severity of dental disease in a population is only an indirect indicator of the types and amount of treatment needed. The primary dental health status data in this chapter are from the 1971-74 Health and Nutrition Examination Survey (HANES)
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From page 14... ...
"Need" in this chapter refers to unmet patient requirements for specific quantities of dental services as determined in a national population-based survey by dentist examiners performing a standardized examination. The services include removal of debris and calculus; treatment of gingivitis, other periodontal disease, severe malocclusion, and decay in both permanent and primary teeth; and provision of fixed bridges and partial and full dentures.
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From page 20... ...
Awareness of need for treatment of permanent teeth is indicated beginning in the 5 to 14 age group by a sharp rise in the percent of the population who visit a dentist in any one year, and in the number of dental visits made per year 25-27/. Patterns of utilization and utilization rates of adults seem to be changing, perhaps as a result of increased private dental insurance.
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From page 21... ...
But SES also implies differences in beliefs, attitudes, and specific behavior patterns associated with social class values. Although lower SES implies less disposable income and therefore reduced ability to pay for health care, cost is not the only reason differences in utilization occur.
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From page 23... ...
Total Service Private household Other service workers Total Farm Farm managers Farm laborers and foremen Visits per person per year 1.6 2.1 2.1 2.0 2.0 2.1 1.3 1.3 1.3 1.3 1.5 1.2 1.6 1.2 1.2 1.3 Source: Health Interview Survey, National Center for Health Statistics 59/ sets of attitudes and behaviors. Three conceptual approaches to these are 1)
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From page 24... ...
Because persons from lower socioeconomic groups have more extractions and less preventive treatment, they may be more fearful of dental visits. But fear and anxiety have been shown to be associated with differences in preventive care utilization at all income levels, with no apparent differences between socioeconomic levels 74-75/.
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From page 25... ...
More than 65 percent of those who believed both in the susceptibility to dental disease and the benefits to be derived from preventive care had made preventive visits to the dentist between the studies, while only about 40 percent of those who did not hold either belief had made preventive dental visits 86/. Associations between beliefs in susceptibility and benefits and other kinds of preventive health actions also have been found 87-90/.
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From page 26... ...
financial and physical access to care, but also encourage and support behavior that results in more appropriate utilization of these services. Thus, the committee emphasizes preventive services, particularly for children, in its recommendations.
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