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Titolo:
EVALUATION OF A DENTAL BENEFIT PLAN FOR CHILDREN CONDUCTED IN AUVERGNE, FRANCE, SINCE 1992
Autore:
TUBERTJEANNIN S; MORELPAPERNOT A; WODA A;
Indirizzi:
UNIV CLERMONT FERRAND,FAC DENT,SCH DENT,LAB ORAL PREVENT MED,11 BLVD CHARLES DE GAULLE F-63000 CLERMONT FERRA FRANCE REG SICK FUND OFF SELF EMPLOYED PERSONS AUVERGNE CHAMALIERES FRANCE UNIV CLERMONT FERRAND,SCH DENT,LAB OROFACIAL PHYSIOL CLERMONT FERRA FRANCE
Titolo Testata:
Community dentistry and oral epidemiology
fascicolo: 4, volume: 26, anno: 1998,
pagine: 272 - 282
SICI:
0301-5661(1998)26:4<272:EOADBP>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
RESTORATIVE TREATMENT DECISIONS; CARIES PREVALENCE; FISSURE SEALANTS; ORAL HEALTH; CARE; INSURANCE; DENTISTS; SCHOOLCHILDREN; PRACTITIONERS; ADOLESCENTS;
Keywords:
CHILD; DENTAL CARIES; DENTAL SERVICES; INSURANCE, DENTAL; PREVENTIVE DENTISTRY; REIMBURSEMENT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
62
Recensione:
Indirizzi per estratti:
Citazione:
S. Tubertjeannin et al., "EVALUATION OF A DENTAL BENEFIT PLAN FOR CHILDREN CONDUCTED IN AUVERGNE, FRANCE, SINCE 1992", Community dentistry and oral epidemiology, 26(4), 1998, pp. 272-282

Abstract

Usually, the French dental insurance system covers the cost of restorative treatment but does not reimburse the cost of preventive therapies. A French sick-fund covering self-employed persons tested a new dental benefit plan for children intended to provide an incentive to develop office-based preventive activities. The programme, which started in1992, concerns all 4-year-old children of self-employed workers in a single French region (Auvergne). Participants undergo an annual examination by the dentist of their choice until their 15th birthday. If thechild is seen every year, all services related to dental caries (preventive and restorative) are provided free of charge. An ongoing evaluation of the programme was necessary to determine its influence on the development of office-based preventive activities and the dental health of the participants. A cohort of children enrolled in the programme in 1992 was followed over 4 years to examine the patterns of service use. In addition, a cross-sectional study comparing the caries experience of all 8-year-old children participating continuously in the programme (test sample) with that of a sample of control children (n=90) wasconducted in 1996. Data from the longitudinal follow-up indicate that43.37% of the 551 children to whom the programme was offered in 1992 underwent an annual examination in the first year. Of the children enrolled in 1992, 55.2% were still participating in the programme in 1996. Results showed that independent practitioners continued to focus on restorative treatment rather than preventive therapy. Results from thecross-sectional study are in accordance with this trend. The number of caries-free children was identical in test and control samples and the mean dft, DMFT, DT and dt did not vary between the two groups (Student's t-test, P>0.05). However the mean number of filled teeth was significantly higher in the test children than in the controls (P<0.01). For children with caries, the mean dft was 23.5% greater in the test group than in the control group (P<0.05). In Auvergne, a large number of families were not ready to participate in a plan that required them to take their child to the dentist every year. There was not a perceived need for regular preventive dental care, an attitude probably reinforced by the interventionist approach undertaken by the dentists over the survey period. Moreover, the plan did not provide an incentive fordentists to develop office-based preventive activities.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/07/20 alle ore 13:47:45