Optimizing the mix of basic dental services for Southern Thai schoolchildren based on resource consumption, service needs and parental preference.
OBJECTIVES: To identify the optimal levels and mix of basic dental services (sealants and fillings for permanent teeth and extraction of primary teeth) under two different dental settings: hospital-based and mobile dental clinics under specified resource constraints. METHODS: A linear programming mo...
| Publicado en: | Community Dentistry & Oral Epidemiology Vol. 37; no. 4; pp. 372 - 381 |
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| Autores principales: | , , |
| Formato: | equations & formulas pictorial research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Aug2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105410920&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105410920 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03015661 HXZ jtl: Community Dentistry & Oral Epidemiology issn: 03015661 maglogo: Y pubinfo: dt: Aug2009 vid: 37 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 105410920 2010376791 10.1111/j.1600-0528.2009.00481.x NLM19515195 105410920 ppf: 372 ppct: 9 formats: tig: atl: Optimizing the mix of basic dental services for Southern Thai schoolchildren based on resource consumption, service needs and parental preference. aug: au: Tianviwat S Chongsuvivatwong V Birch S affil: Faculty of Dentistry, Prince of Songkla University, Hatyai, Thailand. sukanya.ti@psu.ac.th sug: subj: Dental Care for Children Thailand Dental Care Classification Health Facility Departments Mobile Health Units Child Dental Restoration, Permanent Descriptive Statistics Funding Source Pit and Fissure Sealants Sample Size Thailand Tooth Extraction Human Child: 6-12 years ab: OBJECTIVES: To identify the optimal levels and mix of basic dental services (sealants and fillings for permanent teeth and extraction of primary teeth) under two different dental settings: hospital-based and mobile dental clinics under specified resource constraints. METHODS: A linear programming model is used based on explicit identification of system objectives and resource constraints. The objective was to maximize benefits as measured by parental willingness to pay (WTP) for basic dental services provided to schoolchildren subject to constraints on total resources, service need and parental preferences among different dental care settings. RESULTS: Optimization was identified to require 270, 180, 552, 828, 228 and 532 cases of hospital sealant, mobile sealant, hospital filling, mobile filling, hospital extraction and mobile extraction, respectively. The corresponding current service levels were 48, 281, 191, 170, 479, and 677 respectively. The optimal service configuration produced a total WTP of 485 860 baht which exceeded the WTP for the current service configuration by more than 75.4%. CONCLUSIONS: Mobile clinic fillings were the highest priority among basic dental services. The current service configurations fail to reflect the setting preferences and provide greater emphasis to extractions than the optimal configuration with less emphasis given to preventive and restorative services. pubtype: Academic Journal doctype: equations & formulas pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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