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Updated: Jun 22, 2026

Oral Health Assessment by Lay Personnel for Older Adults

Oral Health Assessment by Lay Personnel for Older Adults

Published on: February 2, 2020

Public programs, insurance, and dental access.

Richard J Manski¹

¹Division of Health Services Research, Department of Health Promotion and Policy, Dental School, University of Maryland, 650 West Baltimore Street, Baltimore, MD 21201, USA. manski@dental.umaryland.edu

Dental Clinics of North America

|June 2, 2009

Summary

This summary is machine-generated.

Dental care access in the US is unequal. This study analyzes dental insurance programs, examining how patient preferences, costs, and third-party coverage affect treatment utilization and spending.

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Area of Science:

Health Services Research
Dental Public Health
Health Economics

Background:

Significant disparities persist in the United States regarding access to dental care.
Understanding the factors influencing dental treatment utilization is crucial for addressing these inequities.

Purpose of the Study:

To assess current dental insurance coverage programs in the United States.
To examine the impact of patient preferences, cost, and third-party coverage on dental care use and expenditures.

Main Methods:

Analysis of person-level data on dental care utilization.
Examination of expenditures related to dental services.
Assessment of the role of preferences, price, and third-party insurance in healthcare decisions.

Main Results:

Dental insurance coverage programs vary in their effectiveness.
Patient preferences, out-of-pocket costs, and the extent of third-party coverage significantly influence dental treatment seeking behavior.
Expenditures on dental care are closely linked to insurance status and individual choices.

Conclusions:

Current dental insurance programs may not fully mitigate access disparities.
Addressing socioeconomic and preference-related factors is essential for improving equitable dental care utilization.
Policy interventions should consider the interplay of cost, coverage, and patient behavior to enhance dental health outcomes.