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Enhancing dental attendance rates for children from deprived areas in the UK

J A Davies1

  • 1Dental Health Services Research Unit, University of Dundee, Dundee Dental Hospital and School.

British Dental Journal
|December 10, 1999
PubMed

Insights

Enhanced capitation payments aim to increase dental registration for young children in deprived areas. Patient postcodes offer better targeting than practice postcodes, though both methods may miss eligible individuals.

Area of Science:

  • Health Services Research
  • Dental Public Health
  • Health Economics

Background:

  • The UK introduced enhanced capitation registration payments in April 1998.
  • The aim was to increase dental registration for children aged 0-5 years from deprived areas.

Purpose of the Study:

  • To compare methods for determining eligibility for enhanced capitation registration payments.
  • To assess the effectiveness of these payments in improving dental registration rates among target populations.

Main Methods:

  • A comparative study of enhanced capitation registration payment schemes.
  • Analysis of data from a longitudinal study of Scottish children.
  • Comparison of patient and dentist postcodes against deprivation scores.

Main Results:

  • Quarterly registration rates for 3-5-year-olds showed minimal improvement.
  • Scottish figures for 0-2-year-olds indicated a substantial increase, potentially influenced by other initiatives.
  • Agreement between patient/dentist postcode deprivation scores was lower for patients from deprived areas.

Conclusions:

  • Patient postcodes provide superior targeting for enhanced payments compared to practice postcodes.
  • Area-based deprivation measures, whether patient or practice postcodes, may exclude a significant number of eligible individuals.
  • More granular data breakdown using enhanced payment criteria is needed for definitive results.
Abstract

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