Health economic analyses of domiciliary dental care and care at fixed clinics for elderly nursing home residents in Sweden
2015 (English)In: Community Dental Health, ISSN 0265-539X, Vol. 32, no 1, 39-43 p.Article in journal (Refereed) Published
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.
aged; dentistry; domiciliary care; geriatric dentistry; health care economics and organizations; home care services; nursing homes; Sweden
Health Care Service and Management, Health Policy and Services and Health Economy
IdentifiersURN: urn:nbn:se:liu:diva-117382DOI: 10.1922/CDH_3407Lundqvist05ISI: 000351993500008OAI: oai:DiVA.org:liu-117382DiVA: diva2:807791
Funding Agencies|CMT at Linkoping University; Oral Care AB; CMT2015-04-242015-04-242016-04-11