Is regular visiting associated with lower costs?:Analyzing service utilization patterns in the first nations population in Canada
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...
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ftumanchesterpub:oai:pure.atira.dk:publications/b08ba070-1749-4e19-b89e-255f2c49546c 2024-06-23T07:52:52+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 https://research.manchester.ac.uk/en/publications/b08ba070-1749-4e19-b89e-255f2c49546c https://doi.org/10.1111/j.1752-7325.2006.tb02566.x eng eng https://research.manchester.ac.uk/en/publications/b08ba070-1749-4e19-b89e-255f2c49546c info:eu-repo/semantics/closedAccess Leake , J L , Birch , S , Main , P A & Ho , E 2006 , ' Is regular visiting associated with lower costs? Analyzing service utilization patterns in the first nations population in Canada ' , Journal of Public Health Dentistry , vol. 66 , no. 2 , pp. 116-22 . https://doi.org/10.1111/j.1752-7325.2006.tb02566.x , https://doi.org/10.1111/j.1752-7325.2006.tb02566.x Adolescent Adult Age Factors Canada Child Preschool Continuity of Patient Care/economics Dental Care/economics Health Expenditures Humans Indians North American Infant Inuits Medically Uninsured/statistics & numerical data Middle Aged National Health Programs/economics Office Visits/economics Orthodontics Corrective/economics article 2006 ftumanchesterpub https://doi.org/10.1111/j.1752-7325.2006.tb02566.x 2024-06-04T00:15:23Z 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 "regular" (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 inuits The University of Manchester: Research Explorer Canada Journal of Public Health Dentistry 66 2 116 122 |
institution |
Open Polar |
collection |
The University of Manchester: Research Explorer |
op_collection_id |
ftumanchesterpub |
language |
English |
topic |
Adolescent Adult Age Factors Canada Child Preschool Continuity of Patient Care/economics Dental Care/economics Health Expenditures Humans Indians North American Infant Inuits Medically Uninsured/statistics & numerical data Middle Aged National Health Programs/economics Office Visits/economics Orthodontics Corrective/economics |
spellingShingle |
Adolescent Adult Age Factors Canada Child Preschool Continuity of Patient Care/economics Dental Care/economics Health Expenditures Humans Indians North American Infant Inuits Medically Uninsured/statistics & numerical data Middle Aged National Health Programs/economics Office Visits/economics Orthodontics Corrective/economics 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 |
topic_facet |
Adolescent Adult Age Factors Canada Child Preschool Continuity of Patient Care/economics Dental Care/economics Health Expenditures Humans Indians North American Infant Inuits Medically Uninsured/statistics & numerical data Middle Aged National Health Programs/economics Office Visits/economics Orthodontics Corrective/economics |
description |
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 "regular" (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 |
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 |
publishDate |
2006 |
url |
https://research.manchester.ac.uk/en/publications/b08ba070-1749-4e19-b89e-255f2c49546c https://doi.org/10.1111/j.1752-7325.2006.tb02566.x |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations inuits |
genre_facet |
First Nations inuits |
op_source |
Leake , J L , Birch , S , Main , P A & Ho , E 2006 , ' Is regular visiting associated with lower costs? Analyzing service utilization patterns in the first nations population in Canada ' , Journal of Public Health Dentistry , vol. 66 , no. 2 , pp. 116-22 . https://doi.org/10.1111/j.1752-7325.2006.tb02566.x , https://doi.org/10.1111/j.1752-7325.2006.tb02566.x |
op_relation |
https://research.manchester.ac.uk/en/publications/b08ba070-1749-4e19-b89e-255f2c49546c |
op_rights |
info:eu-repo/semantics/closedAccess |
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 |
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1802644282406862848 |