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"Reduced Public Coverage Did Not Decrease Dental Visits": Fact or Fiction?

Z Sarroukh1, P Jeurissen2, S Listl1,3

  • 1Department of Dentistry, Quality and Safety of Oral Health Care, Radboud University Medical Center, Nijmegen, the Netherlands.

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|May 12, 2025
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Summary
This summary is machine-generated.

Reductions in public dental coverage in the Netherlands led to decreased dental visits. This study challenges policy arguments, showing reduced access to care for adults. Keywords: dental coverage, dental visits, public health policy.

Keywords:
access to caredental economicsdental insurancehealth care reformnational health policyuniversal coverage

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Area of Science:

  • Health Policy
  • Dental Public Health
  • Health Services Research

Background:

  • Political debates in the Netherlands surround dental coverage access for adults.
  • Policymakers argue past public coverage reductions did not decrease dental attendance.
  • Evaluating the impact of these policy changes on dental care utilization is crucial.

Purpose of the Study:

  • To assess the effect of public dental coverage reductions since 1995 on dental care utilization in the Netherlands.
  • To provide evidence for informed oral health policy making.

Main Methods:

  • Utilized a population-wide dataset from Statistics Netherlands (1981-2019).
  • Employed an interrupted time series design with segmented regressions.
  • Compared dental attendance rates between publicly insured adults and control groups (privately insured, non-adults).

Main Results:

  • Following the 1995 reform, dental attendance for publicly insured adults decreased by 3.5% immediately and 0.6% annually compared to privately insured individuals.
  • Dental attendance for 20-45 year olds dropped by 4.6% immediately and 1.2% annually compared to the non-adult population.
  • Findings contradict policymakers' claims regarding the impact of coverage reductions.

Conclusions:

  • Reduced public dental coverage in the Netherlands has led to decreased dental care utilization among adults.
  • Policy evaluation is essential for developing evidence-based oral health policies.
  • The study underscores the importance of public coverage for maintaining dental attendance.