June 2019

Volume 36, Issue 2

Costs of dental care and its financial impacts on patients in a population with low availability of services

Authors: Nyamuryekung’e Kasusu Klint Lahti Satu Tuominen Risto
doi: 10.1922/CDH_4389Nyamuryekung’e06


Objectives: To determine the direct and indirect costs of accessing and utilizing dental services in Tanzania and the proportion of patients experiencing economic burden due to treatment costs. Basic research design: Survey of 489 dental patients utilizing an out-of-pocket payment modality was carried out in four regional hospitals. Direct and indirect costs for service utilization were calculated. Financial expenditures were used to assess signifi cant fi nancial impacts of utilization of dental services on household economies. Results: Direct costs comprised 80% of the total treatment costs, whereas indirect costs comprised 20%. About half of the patients experienced signifi cant fi nancial impacts as a result of their utilization of dental services. Proportionately more patients from low-income households (92.2%) experienced signifi cant fi nancial impacts. Most patients attended the clinics due to toothache and the most widely expected treatment was dental extraction. Only 7.1% of the patients received a fi lling. The costs for dental restorations were three-times those for tooth extraction. Conclusions: Dental service utilization leads to signifi cant fi nancial impacts on many of the households in this setting. Increasing the rate of prepayment for health services and reducing income inequality may help to mitigate these impacts. Keywords: healthcare costs, dental utilization


Other articles in this issue

Article Pages Access
Editorial - How soon is soon enough? The challenge of implementing behaviours conducive to good oral health in at-risk infants and toddlers 89-90 Download
Dental Public Health in Action - Patient and professional engagement in the procurement of dental services 91-94 Download
A qualitative study on the oral health of humanitarian migrants in Canada 95-100 Download
What influences use of dental services by the Korean disabled people? The role of perceived barriers in dental care system 101-105 Download
In-school toothbrushing programs in Aboriginal communities in New South Wales, Australia: A thematic analysis of teachers’ perspectives 106-110 Download
Relationship between Caregivers’ Oral Health Literacy and their Child’s Caries Experience 111-117 Download
What evidence do economic evaluations in dental care provide? A scoping review 118-125 Download
The Effectiveness of Reform in the Dental Health Systems of Transitional Countries: The Case of Montenegro Health Reform (pilot study) 126-130 Download
Costs of dental care and its financial impacts on patients in a population with low availability of services 131-136 Download
Identifying the barriers and facilitators for homeless people to achieve good oral health 137-142 Download
Comparison of two measures to determine the oral health-related quality of life in elders with periodontal disease 143-149 Download
Transnational corporations and oral health inequalities; an introduction 151-151 Download
Political economy, trade relations and health inequalities: lessons from general health 152-156 Download
Transnational corporations and oral health: examples from the sugar industry 157-162 Download
The Transnational Tobacco Industry and Oral Health 163-168 Download
Transnational corporations, oral health and human agency: a sociological perspective 169-174 Download


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