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Explaining the utilisation of dental care. Experiences from the finnish dental market

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  • Harri Sintonen
  • Timo Maljanen

Abstract

In this paper a model based on the theory of demand for health and of supplier inducement is developed to explain the utilisation of dental care. Of special interest are the effects of money price and various forms of inducement. It is also explored how the results are affected if different model specifications and estimation techniques are applied and what is the most appropriate one, when utilisation is measured by dental expenditure. The data come from a sample of 1779 employees, whose dental expenditure is refunded from 0 to 99.75%. Other things being equal, the methodological choices make a clear difference in parameter estimates. Only a log‐linear two‐part model and two‐part tobit with selectivity were suitable for explaining expenditure and produced quite similar results. Money price elasticity was small, but significant (–0.069). General and personal inducement appear to have a considerable effect on utilisation, but did not have any systematic connection with dentist/population ratio.

Suggested Citation

  • Harri Sintonen & Timo Maljanen, 1995. "Explaining the utilisation of dental care. Experiences from the finnish dental market," Health Economics, John Wiley & Sons, Ltd., vol. 4(6), pages 453-466, November.
    • Handle: RePEc:wly:hlthec:v:4:y:1995:i:6:p:453-466
    DOI: 10.1002/hec.4730040603
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    Cited by:

    1. Kris De Jaegher & Marc Jegers, 2001. "The physician–patient relationship as a game of strategic information transmission," Health Economics, John Wiley & Sons, Ltd., vol. 10(7), pages 651-668, October.
    2. Urpo Kiiskinen & Anna Liisa Suominen‐Taipale & John Cairns, 2010. "Think twice before you book? Modelling the choice of public vs private dentist in a choice experiment," Health Economics, John Wiley & Sons, Ltd., vol. 19(6), pages 670-682, June.
    3. Preety Srivastava & Gang Chen & Anthony Harris, 2017. "Oral Health, Dental Insurance and Dental Service use in Australia," Health Economics, John Wiley & Sons, Ltd., vol. 26(1), pages 35-53, January.
    4. Lien Nguyen & Unto Häkkinen, 2006. "Choices and utilization in dental care," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 7(2), pages 99-106, June.
    5. Jostein Grytten & Rune Sørensen, 2000. "Competition and dental services," Health Economics, John Wiley & Sons, Ltd., vol. 9(5), pages 447-461, July.
    6. Anna-Lena Trescher & Stefan Listl & Onno Galien & Frank Gabel & Olivier Kalmus, 2020. "Once bitten, twice shy? Lessons learned from an experiment to liberalize price regulations for dental care," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(3), pages 425-436, April.
    7. Miaw-Chwen Lee & Andrew Jones, 2006. "Heterogeneity in dentists’ activity in Taiwan: an application of quantile regression," Empirical Economics, Springer, vol. 31(1), pages 151-164, March.
    8. Lien Nguyen & Unto Häkkinen & Matti Knuuttila & Marjo‐Riitta Järvelin, 2008. "Should we brush twice a day? Determinants of dental health among young adults in Finland," Health Economics, John Wiley & Sons, Ltd., vol. 17(2), pages 267-286, February.
    9. Sisko Arinen & Harri Sintonen & Gunnar Rosenqvist, 1996. "Dental utilisation by young adults before and after subsidisation reform in Finland," Working Papers 149chedp, Centre for Health Economics, University of York.

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