Future treatment needs in children, adults and the elderly.
Future treatment needs for dental services are discussed in the perspective of the objective which the services are meant to fulfill. These are, broadly speaking, equal distribution of services and economic efficiency. Within the Nordic countries, the emphasis has been on equity, perhaps less on efficiency. Equity of utilization is best understood as being a situation where patients with equal needs for oral health care receive equal treatment, in terms of both the volume and the quality of the services. The justification for arguing that equality of utilization is the appropriate measure is mainly based on the externality argument: health-care consumption by one person may be the source of utility to another person. According to that view there are two beneficiaries of dental care: the patient who is sick, and the rest of society who care for the sick patient and who derive utility from seeing the patient become healthy. The public dental services for children in the Nordic countries are organized according to the principle of equity of utilization. Equity of access is best understood as being a situation where people with equal needs have equal opportunity to use dental services. It is a supply-side phenomenon; equal access is achieved when patients with the same needs face the same costs of dental-care consumption in terms of both time and money. The oral health situation among children, adults and the elderly is exemplified by national service data and recent studies.
Holst
D
D
Institute of Community Dentistry, University of Oslo, Norway.
Schuller
A
A
Grytten
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D003729:Dental Care / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data / Q000639:trends*; D016321:Dental Care for Aged / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data / Q000639:trends*; D019140:Dental Care for Children / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data / Q000639:trends*; D005544:Forecasting; D017048:Health Care Costs; D006297:Health Services Accessibility / Q000639:trends; D006301:Health Services Needs and Demand / Q000639:trends*; D006801:Humans; D008875:Middle Aged; D009313:National Health Programs / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data / Q000639:trends; D011636:Public Health Dentistry / Q000191:economics / Q000458:organization & administration / Q000639:trends; D011787:Quality of Health Care; D012537:Scandinavian and Nordic Countries