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Memorial University - Electronic Theses and Dissertations 5
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Document Description
Title"Evaluating the effect of a subsidy freeze on dental health utilization in Newfoundland and Labrador"
AuthorMurphy, Laura Anne
DescriptionThesis (M.Sc.)--Memorial University of Newfoundland, 2011. Medicine
Date2010
Paginationx, 135 leaves : ill., map.
SubjectDental care--Utilization--Newfoundland and Labrador; Dental fees--Newfoundland and Labrador; Dental caries in children--Newfoundland and Labrador
Subject.MESHDental Care for Children--utilization--Newfoundland and Labrador; Fees, Dental--Newfoundland and Labrador; Dental Caries
DegreeM.Sc.
Degree GrantorMemorial University of Newfoundland. Faculty of Medicine
DisciplineMedicine
LanguageEng
Spatial CoverageCanada--Newfoundland and Labrador
NotesBibliography: leaves 110-117.
AbstractIn 1995, fees for dental services under the Dental Health Plan (DHP) in Newfoundland and Labrador were frozen. The purpose of this thesis was to evaluate the effect of the subsidy freeze on dental health utilization in children ages 12 and under from 1996 to 2005. Utilization was determined by measuring the durations between dental maintenance visits. In addition, the effect of persons per dentists, gender, socioeconomic status, fee differential, fee differential linked with socioeconomic status, Census Division (CD), age and year on durations were studied. -- Over the 10-year observation period, there were longer average durations between maintenance visits. The number of persons per dentist, socioeconomic status, fee differential linked with socioeconomic status, the age of the child, CD and year were statistically significantly associated with the length of time between maintenance visits. -- To evaluate the effect of longer durations on oral health, the proportion of maintenance visits ending in caries and/or emergency visits were measured across socioeconomic quintiles for each year of the observation period. The results showed no increase in the incidences of caries and a slight increase in incidences of emergency visits in the lower socioeconomic quintiles. -- The frozen subsidy did lead to a decline in utilization as subjects were waiting for longer durations between maintenance visits. However, in most cases longer durations did not result in adverse dental outcomes.
TypeText
Resource TypeElectronic thesis or dissertation
FormatImage/jpeg; Application/pdf
SourcePaper copy kept in the Centre for Newfoundland Studies, Memorial University Libraries
RightsThe author retains copyright ownership and moral rights in this thesis. Neither the thesis nor substantial extracts from it may be printed or otherwise reproduced without the author's permission.
CollectionElectronic Theses and Dissertations
Scanning StatusCompleted
PDF File(16.32 MB) -- http://collections.mun.ca/PDFs/theses/Murphy_Laura.pdf
CONTENTdm file name18602.cpd