March 2015

Volume 32, Issue 1

Health economic analyses of domiciliary dental care and care at fixed clinics for elderly nursing home residents in Sweden

Authors: M. Lundqvist T. Davidson S. Ordell O. Sjöström M. Zimmerman P. Sjögren
doi: 10.1922/CDH_3407Lundqvist05

Abstract

Health economic analyses of domiciliary dental care and care at fixed clinics for elderly nursing home residents in Sweden M. Lundqvist, T. Davidson, S. Ordell, O. Sjöström, M. Zimmerman and P. Sjögren Objectives: Dental care for elderly nursing home residents is traditionally provided at fixed dental clinics, but domiciliary dental care is an emerging alternative. Longer life expectancy accompanied with increased morbidity, and hospitalisation or dependence on the care of others will contribute to a risk for rapid deterioration of oral health so alternative methods for delivering oral health care to vulnerable individuals for whom access to fixed dental clinics is an obstacle should be considered. The aim was to analyse health economic consequences of domiciliary dental care for elderly nursing home residents in Sweden, compared to dentistry at a fixed clinic. Methods: A review of relevant literature was undertaken complemented by interviews with nursing home staff, officials at county councils, and academic experts in geriatric dentistry. Domiciliary dental care and fixed clinic care were compared in cost analyses and cost-effectiveness analyses. Results: The mean societal cost of domiciliary dental care for elderly nursing home residents was lower than dental care at a fixed clinic, and it was also considered cost-effective. Lower cost of dental care at a fixed dental clinic was only achieved in a scenario where dental care could not be completed in a domiciliary setting. Conclusions: Domiciliary dental care for elderly nursing home residents has a lower societal cost and is cost-effective compared to dental care at fixed clinics. To meet current and predicted need for oral health care in the ageing population alternative methods to deliver dental care should be available. Key words: aged, dentistry, domiciliary care, geriatric dentistry, health care economics and organizations, home care services, nursing homes, Sweden

£10 single article

Other articles in this issue

Article Pages Access
Editorial 2-3 Download
Tackling a dry mouth: an oral health intervention for Sjögren’s sufferers 5-7 £10 single article
Fractional Urinary Fluoride Excretion (FUFE) of 3-4 year children in the Gaza Strip 8-15 £10 single article
The relationship between tooth loss and psychological factors 16-19 £10 single article
Comparing lifecourse models of social class and adult oral health using the 1958 National Child Development Study 20-25 £10 single article
Socioeconomic inequalities in oral health among adults in Tehran, Iran 26-31 £10 single article
Barriers to providing oral health care to pre-school children– differences between paediatric dentists’ and general dental practitioners’ beliefs 32-38 £10 single article
Health economic analyses of domiciliary dental care and care at fixed clinics for elderly nursing home residents in Sweden 39-43 £10 single article
School-based intervention for improving the oral health of children in southern Thailand 44-50 Download
Tooth brushing among 11- to 15-year-olds in Denmark: combined effect of social class and migration status. 51-55 £10 single article
The incidence and nature of complaints against dentists for the treatment of children in Israel from 1992–2011 56-59 £10 single article
Treatment provided in the Public Dental Service in Finland in 2009 60-64 £10 single article

Subscribe

Print
£130
Online (Single user only)
£130
Print & Online (Single user only)
£150
Institution Online (IP address validation)
£220

Back issues may be obtained from the publisher

Consider recommending subscription to your institution's library

You can view Open Access papers without a subscription.