Measuring access to health services: General Dental Services in Scotland.
OBJECTIVE
Recently the issue of access to health services has been brought into sharp focus by clear evidence of rationing--patients queuing for NHS registration--in the NHS General Dental Services (GDS). Conventional estimates suggest that about 50% of adults are registered per annum. This paper demonstrates that these conventional measures of access and utilisation can generate potentially misleading inferences.


METHODS
By analysing individual-level claims data from over 35,000 patients over six years we are able to: identify the underlying patterns of utilisation that generate the aggregate 50% registration rate; provide more detailed estimates of utilisation and access; and suggest possible determinants of the patterns of utilisation we observe.


METHODS
Primary care health services.


RESULTS
In contrast to conventional estimates of access we find that close to 80% of the adult population in Scotland has had access to GDS over a six year period. Moreover, we find that the population is comprised of a relatively large group of patients (30% of the population) who access GDS at least once a year and a substantial group (19% of the adult population) who access services only once in six years. The groups who access services at intermediate frequencies are less numerous.


CONCLUSIONS
Assessing the effectiveness of the public provision of health care services requires accurate information regarding access to those services. This paper sets out a framework for analysing and interpreting longitudinal data to provide information on the extent of access to health care services.
Tilley
C J
CJ
Dental Health Services Unit, The Mackenzie Building, Kirsty Semple Way, Dundee, DD2 4BF. c.j.tilley@dundee.ac.uk
Chalkley
M J
MJ
D000328:Adult; D003752:Dental Health Services / Q000706:statistics & numerical data*; D005260:Female; D005792:General Practice, Dental / Q000706:statistics & numerical data*; D019538:Health Care Surveys / Q000379:methods* / Q000706:statistics & numerical data; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D007345:Insurance Claim Review; D008297:Male; D008875:Middle Aged; D012606:Scotland; D013218:State Dentistry / Q000706:statistics & numerical data*