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Health economic analyses of domiciliary dental care and care at fixed clinics for elderly nursing home residents in Sweden
Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Medicine and Health Sciences. (Ctr Med Technol Assessment CMT)
Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Medicine and Health Sciences. (Ctr Med Technol Assessment CMT)
Region Östergötland, Public Dental Health Care.
Oral Care AB, Sweden.
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2015 (English)In: Community Dental Health, ISSN 0265-539X, Vol. 32, no 1, 39-43 p.Article in journal (Refereed) Published
Abstract [en]

Objectives: Dental care for elderly nursing home residents is traditionally provided at fixed dental clinics, but domiciliary dental care is an emerging alternative. Longer life expectancy accompanied with increased morbidity, and hospitalisation or dependence on the care of others will contribute to a risk for rapid deterioration of oral health so alternative methods for delivering oral health care to vulnerable individuals for whom access to fixed dental clinics is an obstacle should be considered. The aim was to analyse health economic consequences of domiciliary dental care for elderly nursing home residents in Sweden, compared to dentistry at a fixed clinic. Methods: A review of relevant literature was undertaken complemented by interviews with nursing home staff, officials at county councils, and academic experts in geriatric dentistry. Domiciliary dental care and fixed clinic care were compared in cost analyses and cost-effectiveness analyses. Results: The mean societal cost of domiciliary dental care for elderly nursing home residents was lower than dental care at a fixed clinic, and it was also considered cost-effective. Lower cost of dental care at a fixed dental clinic was only achieved in a scenario where dental care could not be completed in a domiciliary setting. Conclusions: Domiciliary dental care for elderly nursing home residents has a lower societal cost and is cost-effective compared to dental care at fixed clinics. To meet current and predicted need for oral health care in the ageing population alternative methods to deliver dental care should be available.

Place, publisher, year, edition, pages
Dennis Barber , 2015. Vol. 32, no 1, 39-43 p.
Keyword [en]
aged; dentistry; domiciliary care; geriatric dentistry; health care economics and organizations; home care services; nursing homes; Sweden
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:liu:diva-117382DOI: 10.1922/CDH_3407Lundqvist05ISI: 000351993500008OAI: oai:DiVA.org:liu-117382DiVA: diva2:807791
Note

Funding Agencies|CMT at Linkoping University; Oral Care AB; CMT

Available from: 2015-04-24 Created: 2015-04-24 Last updated: 2016-04-11

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Lundqvist, MartinaDavidson, Thomas
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Division of Health Care AnalysisFaculty of Medicine and Health SciencesPublic Dental Health Care
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Health Care Service and Management, Health Policy and Services and Health Economy

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