December 2018

Volume 35, Issue 4

The impact of age and deprivation on NHS payment claims for domiciliary dental care in England

Authors: Andrew R. Geddis-Regan Rhiannon C. O’Connor
doi: 10.1922/CDH_4355Geddis-Regan05


Domiciliary dental care provides care to patients who are unable to attend dental clinics for a variety of reasons. Objective: This research analyses NHS payment claim data for domiciliary dental care in England to identify any variations by area and determine whether age or deprivation are associated with levels of domiciliary care provided. Methods: Publicly available data from the NHS Business Services Authority and demographic data from additional public datasets were linked to assess the variation in claims made for NHS domiciliary activity across England. Associations with factors such as the proportion of older people and deprivation were investigated using correlation, univariable and multivariable regression models. Results: There was substantial variation by area in the number of NHS payment claims made for domiciliary activity and a statistically significant but very weak positive correlation between the population of each area and the number of domiciliary payment claims made. Correlation, univariable and multivariable analyses demonstrated positive but weak associations between area deprivation measures and the number of claims per population. There was little evidence of an association between proportions of older adults and numbers of domiciliary claims per population. Conclusion: As older and more deprived populations are those most likely to require domiciliary dental care, these results suggest that access to services is variable and not always based upon need. This highlights a potential need to reconsider the criteria upon which this type of dental care is offered and the commissioning of these services in different localities. Keywords: Domiciliary, Older Adults, Deprivation, Dental Health Services, Special Care Dentistry

£10 single article

Other articles in this issue

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Editorial: Public Health at Christmas 195-196 Download
Dental Public Health in Action: Understanding oral health care needs and oral health-related quality of life in vulnerable adults in Plymouth 197-200 £10 single article
Dental Public Health in Action: A feasibility study to explore the governance processes required for linkage between dental epidermiological, and birth cohort, data in the UK 201-203 £10 single article
Illuminating Mexican migrant adolescents’ dental access and utilization experiences 204-210 £10 single article
Results of a two year dental health education program to reduce dental caries in young Aboriginal children in New South Wales, Australia 211-216 £10 single article
A multi-variable analysis of four factors affecting caries levels among five-year-old children; deprivation, ethnicity, exposure to fluoridated water and geographic region 217-222 Download
The impact of age and deprivation on NHS payment claims for domiciliary dental care in England 223-227 £10 single article
A critical review of protocols for conventional microwave oven use for denture disinfection 228-234 £10 single article
Why might patients in the UK consult a general medical practitioner when experiencing dental problems? A literature review of patients’ perspectives 235-240 £10 single article
The distribution of dental health specialist locations in Sri Lanka 241-246 £10 single article
Decision tree analysis for factors associated with dental caries in school-aged children in Japan 247-251 £10 single article
Dentist’s views on incorporating oral health collaborative practice into primary medical care in Ireland 252-256 £10 single article


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