Is Regular Visiting Associated with Lower Costs? Analyzing Service Utilization Patterns in the First Nations Population in Canada
Abstract Objectives: Using an administrative database of dental service records from the Non‐Insured Health Benefits (NIHB) program of Health Canada for 1994–2001, the authors set out to test whether regular visitors had lower program expenditures. Methods: The age‐specific mean expenditures per cli...
Published in: | Journal of Public Health Dentistry |
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Online Access: | http://dx.doi.org/10.1111/j.1752-7325.2006.tb02566.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fj.1752-7325.2006.tb02566.x https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1752-7325.2006.tb02566.x |
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crwiley:10.1111/j.1752-7325.2006.tb02566.x 2024-09-15T18:06:46+00:00 Is Regular Visiting Associated with Lower Costs? Analyzing Service Utilization Patterns in the First Nations Population in Canada Leake, James L. Birch, Stephen Main, Patricia A. Ho, Elsa 2006 http://dx.doi.org/10.1111/j.1752-7325.2006.tb02566.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fj.1752-7325.2006.tb02566.x https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1752-7325.2006.tb02566.x en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Journal of Public Health Dentistry volume 66, issue 2, page 116-122 ISSN 0022-4006 1752-7325 journal-article 2006 crwiley https://doi.org/10.1111/j.1752-7325.2006.tb02566.x 2024-06-25T04:11:19Z Abstract Objectives: Using an administrative database of dental service records from the Non‐Insured Health Benefits (NIHB) program of Health Canada for 1994–2001, the authors set out to test whether regular visitors had lower program expenditures. Methods: The age‐specific mean expenditures per client were compared among those with regular examinations in 8, 7 and fewer years. The study further examined the effect of regular visiting over the first 6 years on expenditures in the last 2 years. “Continuity of care” was measured by the numbers of consecutive years prior to 2000 in which clients had a regular examination. In a “gap analysis” individuals were classified according to the number of years prior to 2000 since they last had an initial or recall examination. Mean expenditures per client were analyzed by age group and type of service. Findings: Over the 8‐year period, clients with regular visits had the highest expenditures. In both the continuity of care and gap analyses, the findings were generally consistent; the more that clients visited over the first 6 years, the higher the expenditures in the final 2 years. Clients with more “regulaf (initial and recall) examinations received a relatively standard, age‐specific, pattern of service but incurred greater expenditures compared to clients with fewer regular, or longer gaps in, examinations. Conclusion: The observations of the authors in this client group do not support the thesis that regular visiting is Associated with lower expenditures on dental care . Article in Journal/Newspaper First Nations Wiley Online Library Journal of Public Health Dentistry 66 2 116 122 |
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Wiley Online Library |
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English |
description |
Abstract Objectives: Using an administrative database of dental service records from the Non‐Insured Health Benefits (NIHB) program of Health Canada for 1994–2001, the authors set out to test whether regular visitors had lower program expenditures. Methods: The age‐specific mean expenditures per client were compared among those with regular examinations in 8, 7 and fewer years. The study further examined the effect of regular visiting over the first 6 years on expenditures in the last 2 years. “Continuity of care” was measured by the numbers of consecutive years prior to 2000 in which clients had a regular examination. In a “gap analysis” individuals were classified according to the number of years prior to 2000 since they last had an initial or recall examination. Mean expenditures per client were analyzed by age group and type of service. Findings: Over the 8‐year period, clients with regular visits had the highest expenditures. In both the continuity of care and gap analyses, the findings were generally consistent; the more that clients visited over the first 6 years, the higher the expenditures in the final 2 years. Clients with more “regulaf (initial and recall) examinations received a relatively standard, age‐specific, pattern of service but incurred greater expenditures compared to clients with fewer regular, or longer gaps in, examinations. Conclusion: The observations of the authors in this client group do not support the thesis that regular visiting is Associated with lower expenditures on dental care . |
format |
Article in Journal/Newspaper |
author |
Leake, James L. Birch, Stephen Main, Patricia A. Ho, Elsa |
spellingShingle |
Leake, James L. Birch, Stephen Main, Patricia A. Ho, Elsa Is Regular Visiting Associated with Lower Costs? Analyzing Service Utilization Patterns in the First Nations Population in Canada |
author_facet |
Leake, James L. Birch, Stephen Main, Patricia A. Ho, Elsa |
author_sort |
Leake, James L. |
title |
Is Regular Visiting Associated with Lower Costs? Analyzing Service Utilization Patterns in the First Nations Population in Canada |
title_short |
Is Regular Visiting Associated with Lower Costs? Analyzing Service Utilization Patterns in the First Nations Population in Canada |
title_full |
Is Regular Visiting Associated with Lower Costs? Analyzing Service Utilization Patterns in the First Nations Population in Canada |
title_fullStr |
Is Regular Visiting Associated with Lower Costs? Analyzing Service Utilization Patterns in the First Nations Population in Canada |
title_full_unstemmed |
Is Regular Visiting Associated with Lower Costs? Analyzing Service Utilization Patterns in the First Nations Population in Canada |
title_sort |
is regular visiting associated with lower costs? analyzing service utilization patterns in the first nations population in canada |
publisher |
Wiley |
publishDate |
2006 |
url |
http://dx.doi.org/10.1111/j.1752-7325.2006.tb02566.x https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1111%2Fj.1752-7325.2006.tb02566.x https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1752-7325.2006.tb02566.x |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
Journal of Public Health Dentistry volume 66, issue 2, page 116-122 ISSN 0022-4006 1752-7325 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1111/j.1752-7325.2006.tb02566.x |
container_title |
Journal of Public Health Dentistry |
container_volume |
66 |
container_issue |
2 |
container_start_page |
116 |
op_container_end_page |
122 |
_version_ |
1810444143529295872 |