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Economics of dental services

In: Handbook of Health Economics

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  • Sintonen, Harri
  • Linnosmaa, Ismo

Abstract

The purpose of this chapter is to review dental economics in three major areas: (i) demand for and utilisation of dental care, (ii) productivity, technical efficiency and economies of scale in dental care production, and finally (iii) economic evaluation of dental care procedures and programmes. As a background to the review, we consider what makes dental care different from other health care, describe briefly dental care systems in a number of countries and present data on inputs and outcomes in terms of dental health. Within each major area, we review developments in conceptual and theoretical thinking, consider developments in the measurement of key variables and methods, and present some major results. We also draw lessons to be learnt concerning the state of the art in terms of theory, methodology and results, and outline directions for future research.

Suggested Citation

  • Sintonen, Harri & Linnosmaa, Ismo, 2000. "Economics of dental services," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 24, pages 1251-1296, Elsevier.
    • Handle: RePEc:eee:heachp:1-24
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    Cited by:

    1. Brent Kreider & Richard J. Manski & John Moeller & John Pepper, 2015. "The Effect of Dental Insurance on the Use of Dental Care for Older Adults: A Partial Identification Analysis," Health Economics, John Wiley & Sons, Ltd., vol. 24(7), pages 840-858, July.
    2. Ando Michihito & Takaku Reo, 2016. "Affordable False Teeth: The Effects of Patient Cost Sharing on Denture Utilization and Subjective Chewing Ability," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 16(3), pages 1387-1438, September.
    3. Jabłonowski, Janusz & Müller, Christoph, 2014. "A fiscal outlook for Poland: Update 2014. Background paper prepared for the World Bank's Country Economic Memorandum (CEM) for Poland," FZG Discussion Papers 54, University of Freiburg, Research Center for Generational Contracts (FZG).
    4. 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.
    5. Grignon, Michel & Hurley, Jeremiah & Wang, Li & Allin, Sara, 2010. "Inequity in a market-based health system: Evidence from Canada's dental sector," Health Policy, Elsevier, vol. 98(1), pages 81-90, November.
    6. Elamin H. Elbasha & Mark L. Messonnier, 2004. "Cost‐effectiveness analysis and health care resource allocation: decision rules under variable returns to scale," Health Economics, John Wiley & Sons, Ltd., vol. 13(1), pages 21-35, January.
    7. Nathan Kettlewell, 2019. "Utilization and Selection in an Ancillaries Health Insurance Market," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 86(4), pages 989-1017, December.
    8. Mazzanti, Giovanni Maria & Fiorentini, Gianluca, 2012. "Proposte per una revisione del finanziamento e dell’offerta dei servizi odontoiatrici in Italia. L’intervento pubblico e i fondi integrativi," AICCON Working Papers 100-2012, Associazione Italiana per la Cultura della Cooperazione e del Non Profit.
    9. Tanya Wanchek & Terance J. Rephann & William Shobe, 2011. "Oral Health and the Dental Care Workforce in Southwest Virginia," Reports 2011-03, Center for Economic and Policy Studies.
    10. Gutacker, Nils & Harris, Anthony & Brennan, David & Hollingsworth, Bruce, 2015. "The determinants of dentists' productivity and the measurement of output," Social Science & Medicine, Elsevier, vol. 124(C), pages 76-84.
    11. Lupi-Pegurier, Laurence & Clerc-Urmes, Isabelle & Abu-Zaineh, Mohammad & Paraponaris, Alain & Ventelou, Bruno, 2011. "Density of dental practitioners and access to dental care for the elderly: A multilevel analysis with a view on socio-economic inequality," Health Policy, Elsevier, vol. 103(2), pages 160-167.
    12. Terance J. Rephann & Tanya Wanchek, 2012. "Filling the Gaps: Dentist Disparities along the Rural Urban Continuum," Working Papers 2012-02, Center for Economic and Policy Studies.
    13. UŢĂ, Cristian, 2011. "Reform In The Dental Services Area In Romania – Objective Necessity Or Second Option," Annals of Spiru Haret University, Economic Series, Universitatea Spiru Haret, vol. 2(3), pages 105-111.
    14. 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.
    15. Janusz Jabłonowski & Christoph Müller, 2014. "A fiscal outlook for Poland: Update 2014," NBP Working Papers 187, Narodowy Bank Polski.
    16. Rephann, Terance J. & Wanchek, Tanya N., 2016. "Filling the Gaps: Explanations for Disparities in the Distribution of Dentists among U.S. Counties," Journal of Regional Analysis and Policy, Mid-Continent Regional Science Association, vol. 46(1).
    17. Shinya Sugawara & Yasuhiro Omori, 2017. "An Econometric Analysis of Insurance Markets with Separate Identification for Moral Hazard and Selection Problems," Computational Economics, Springer;Society for Computational Economics, vol. 50(3), pages 473-502, October.
    18. Gheorghe Raftu, 2016. "Dental Practice Management," Ovidius University Annals, Economic Sciences Series, Ovidius University of Constantza, Faculty of Economic Sciences, vol. 0(2), pages 388-392, February.
    19. Shinya Sugawara & Yasuhiro Omori, 2013. "An Econometric Analysis of Insurance Markets with Separate Identification for Moral Hazard and Selection," CIRJE F-Series CIRJE-F-882, CIRJE, Faculty of Economics, University of Tokyo.
    20. Jaapar, Mustaffa & Musa, Ghazali & Moghavvemi, Sedigheh & Saub, Roslan, 2017. "Dental tourism: Examining tourist profiles, motivation and satisfaction," Tourism Management, Elsevier, vol. 61(C), pages 538-552.
    21. Martin Chalkley & Colin Tilley, 2005. "The Existence and Nature of Physician Agency: Evidence of Stinting from the British National Health Service," Journal of Economics & Management Strategy, Wiley Blackwell, vol. 14(3), pages 647-664, September.
    22. Kristensen, Nicolai & Andersen, Henrik Lindegaard, 2016. "Consumption Smoothing in the Demand for Health Care," IZA Discussion Papers 9655, Institute of Labor Economics (IZA).

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    JEL classification:

    • I1 - Health, Education, and Welfare - - Health

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