{"id":"https://openalex.org/W2587779694","doi":null,"title":"Dental insurance, dental service use and health outcomes: Effectiveness and cost-effectiveness among Australian adults","display_name":"Dental insurance, dental service use and health outcomes: Effectiveness and cost-effectiveness among Australian adults","publication_year":2016,"publication_date":"2016-05-01","ids":{"openalex":"https://openalex.org/W2587779694","mag":"2587779694"},"language":"en","primary_location":{"id":"pmh:oai:digital.library.adelaide.edu.au:2440/99888","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/2440/99888","pdf_url":"http://hdl.handle.net/2440/99888","source":{"id":"https://openalex.org/S4306401835","display_name":"Adelaide Research & Scholarship (AR&S) (University of Adelaide)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I5681781","host_organization_name":"The University of Adelaide","host_organization_lineage":["https://openalex.org/I5681781"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Theses"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"http://hdl.handle.net/2440/99888","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5066736257","display_name":"Emmanuel Sumithran Gnanamanickam","orcid":"https://orcid.org/0000-0002-8284-4746","observed_orcids":["https://orcid.org/0000-0002-8284-4746"]},"institutions":[{"id":"https://openalex.org/I5681781","display_name":"The University of Adelaide","ror":"https://ror.org/00892tw58","country_code":"AU","type":"education","lineage":["https://openalex.org/I4405259444","https://openalex.org/I5681781"]}],"countries":["AU"],"is_corresponding":true,"raw_author_name":"Emmanuel S. Gnanamanickam","raw_affiliation_strings":["University of Adelaide"],"raw_orcid":"https://orcid.org/0000-0002-8284-4746","affiliations":[{"raw_affiliation_string":"University of Adelaide","institution_ids":["https://openalex.org/I5681781"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5066736257"],"corresponding_institution_ids":["https://openalex.org/I5681781"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10368","display_name":"Dental Health and Care Utilization","score":0.9937000274658203,"subfield":{"id":"https://openalex.org/subfields/3500","display_name":"General Dentistry"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10368","display_name":"Dental Health and Care Utilization","score":0.9937000274658203,"subfield":{"id":"https://openalex.org/subfields/3500","display_name":"General Dentistry"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.0019000000320374966,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.00139999995008111,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/dental-insurance","display_name":"dental insurance","score":0.9919999837875366},{"id":"https://openalex.org/keywords/dental-service-use","display_name":"dental service use","score":0.878000020980835},{"id":"https://openalex.org/keywords/oral-health-outcomes","display_name":"oral health outcomes","score":0.9679999947547913},{"id":"https://openalex.org/keywords/cost-effectiveness","display_name":"cost-effectiveness","score":0.9779999852180481},{"id":"https://openalex.org/keywords/private-health-insurance","display_name":"private health insurance","score":0.8080000281333923},{"id":"https://openalex.org/keywords/oral-health-perception","display_name":"oral health perception","score":0.9129999876022339},{"id":"https://openalex.org/keywords/self-rated-health","display_name":"self-rated health","score":0.8420000076293945},{"id":"https://openalex.org/keywords/preventive-dental-services","display_name":"preventive dental services","score":0.7360000014305115},{"id":"https://openalex.org/keywords/australian-adults","display_name":"Australian adults","score":0.6940000057220459},{"id":"https://openalex.org/keywords/working-age-adults","display_name":"working-age adults","score":0.8009999990463257},{"id":"https://openalex.org/keywords/customer-perspective","display_name":"customer perspective","score":0.4050000011920929},{"id":"https://openalex.org/keywords/household-expenditure","display_name":"household expenditure","score":0.4309999942779541},{"id":"https://openalex.org/keywords/health-policy-evaluation","display_name":"health policy evaluation","score":0.3190000057220459}],"concepts":[{"id":"https://openalex.org/C2777641907","wikidata":"https://www.wikidata.org/wiki/Q5259419","display_name":"Dental insurance","level":3,"score":0.7913613319396973},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7346944808959961},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.6223400831222534},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.4934369623661041},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.48632651567459106},{"id":"https://openalex.org/C2992672162","wikidata":"https://www.wikidata.org/wiki/Q12128","display_name":"Oral health","level":2,"score":0.4603651762008667},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.385202556848526},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:digital.library.adelaide.edu.au:2440/99888","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/2440/99888","pdf_url":"http://hdl.handle.net/2440/99888","source":{"id":"https://openalex.org/S4306401835","display_name":"Adelaide Research & Scholarship (AR&S) (University of Adelaide)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I5681781","host_organization_name":"The University of Adelaide","host_organization_lineage":["https://openalex.org/I5681781"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Theses"},{"id":"mag:2587779694","doi":null,"is_oa":false,"landing_page_url":"https://digital.library.adelaide.edu.au/dspace/bitstream/2440/99888/2/02whole.pdf","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"pmh:oai:digital.library.adelaide.edu.au:2440/99888","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/2440/99888","pdf_url":"http://hdl.handle.net/2440/99888","source":{"id":"https://openalex.org/S4306401835","display_name":"Adelaide Research & Scholarship (AR&S) (University of Adelaide)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I5681781","host_organization_name":"The University of Adelaide","host_organization_lineage":["https://openalex.org/I5681781"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Theses"},"sustainable_development_goals":[{"score":0.9763000011444092,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2587779694.pdf","grobid_xml":"https://content.openalex.org/works/W2587779694.grobid-xml"},"referenced_works_count":86,"referenced_works":["https://openalex.org/W39019145","https://openalex.org/W75623061","https://openalex.org/W80784765","https://openalex.org/W89715473","https://openalex.org/W110733814","https://openalex.org/W148924748","https://openalex.org/W1503447472","https://openalex.org/W1553594227","https://openalex.org/W1564782651","https://openalex.org/W1569940674","https://openalex.org/W1579714527","https://openalex.org/W1585229448","https://openalex.org/W1591331745","https://openalex.org/W1595046345","https://openalex.org/W1807778767","https://openalex.org/W1823294135","https://openalex.org/W1918881279","https://openalex.org/W1962964587","https://openalex.org/W1974225326","https://openalex.org/W1979605608","https://openalex.org/W1987402924","https://openalex.org/W1988173354","https://openalex.org/W1993339297","https://openalex.org/W1993655814","https://openalex.org/W1995247369","https://openalex.org/W1999986992","https://openalex.org/W2002754490","https://openalex.org/W2003829564","https://openalex.org/W2006145778","https://openalex.org/W2008880535","https://openalex.org/W2018678019","https://openalex.org/W2025876026","https://openalex.org/W2032875747","https://openalex.org/W2042312388","https://openalex.org/W2042982316","https://openalex.org/W2044693684","https://openalex.org/W2056539281","https://openalex.org/W2061034374","https://openalex.org/W2065202433","https://openalex.org/W2065569862","https://openalex.org/W2068349795","https://openalex.org/W2072702313","https://openalex.org/W2074387143","https://openalex.org/W2077849560","https://openalex.org/W2082202508","https://openalex.org/W2083113471","https://openalex.org/W2087368878","https://openalex.org/W2089540330","https://openalex.org/W2089697166","https://openalex.org/W2094143201","https://openalex.org/W2095616898","https://openalex.org/W2097950056","https://openalex.org/W2098923537","https://openalex.org/W2101347185","https://openalex.org/W2106920963","https://openalex.org/W2110228706","https://openalex.org/W2110552257","https://openalex.org/W2110874537","https://openalex.org/W2112669742","https://openalex.org/W2113326010","https://openalex.org/W2118223782","https://openalex.org/W2118314354","https://openalex.org/W2118789529","https://openalex.org/W2124550380","https://openalex.org/W2136734060","https://openalex.org/W2141824074","https://openalex.org/W2144393519","https://openalex.org/W2146079503","https://openalex.org/W2152537989","https://openalex.org/W2154551745","https://openalex.org/W2157764106","https://openalex.org/W2162163297","https://openalex.org/W2162612917","https://openalex.org/W2162643543","https://openalex.org/W2164226395","https://openalex.org/W2167846722","https://openalex.org/W2169079626","https://openalex.org/W2171215717","https://openalex.org/W2171251365","https://openalex.org/W2395695332","https://openalex.org/W2401538668","https://openalex.org/W2408085911","https://openalex.org/W2473786944","https://openalex.org/W2592974517","https://openalex.org/W2790610537","https://openalex.org/W2994543596"],"related_works":["https://openalex.org/W2617006556","https://openalex.org/W2534458719","https://openalex.org/W2018678019","https://openalex.org/W2736155083","https://openalex.org/W2008880535","https://openalex.org/W4412414456","https://openalex.org/W3012710649","https://openalex.org/W1916602321","https://openalex.org/W2118789529","https://openalex.org/W7166336685"],"abstract_inverted_index":{"Aim:":[0],"The":[1,44,136,175,360,395],"aim":[2],"of":[3,27,39,49,81,127,193,198,225,259,267,271,288,363,368,397,425,441,448],"this":[4],"research":[5],"thesis":[6,45],"is":[7,375,382,401,415],"to":[8,23,345,351,452],"examine":[9,36],"the":[10,25,37,54,88,160,191,194,199,231,237,243,268,282,324],"relationship":[11,55,142,168],"between":[12,56,143],"dental":[13,17,29,57,61,83,144,149,153,207,255,277,373,379,399],"insurance":[14,58,119,130,145,256,278,296,332,374],"status":[15,59,146,279],"and":[16,20,35,52,60,64,92,108,116,133,147,158,183,210,218,222,290,304,365,446,458],"service":[18,62,112],"use":[19,63,113],"health":[21,66,129,171,220,310,315,388,393,427],"outcomes,":[22],"ascertain":[24],"out":[26,224,396],"pocket":[28,82,226,398],"expenditure":[30,84,227,319,400,450],"from":[31,124],"a":[32,47,75,125,140,166,179,184,206],"consumer":[33,342],"perspective":[34],"cost\u2013effectiveness":[38],"being":[40],"dentally":[41,202,325,413],"insured.":[42],"Methods:":[43],"presents":[46],"summary":[48],"existing":[50],"literature":[51,137,364],"examined":[53,455],"oral":[65,170,217,309,357,387,426],"outcomes":[67,172,389,445],"in":[68,72,100,106,215,307,377,385,456],"working":[69],"age":[70],"adults":[71],"Australia":[73],"using":[74],"two-year":[76],"prospective":[77],"cohort":[78,91,176,369],"study.":[79],"Out":[80],"was":[85,94,98,173,228,239,297,320,333,343],"calculated":[86],"for":[87,156,257,434],"2":[89],"year":[90],"cost-effectiveness":[93],"examined.":[95],"Baseline":[96],"data":[97,370],"collected":[99],"2009-10":[101],"with":[102,169,254,276,300,313,336],"two":[103,195,349],"follow":[104],"ups":[105],"2010-11":[107],"2011-12,":[109],"through":[110],"questionnaires,":[111],"log":[114],"books":[115],"receipts.":[117],"Dental":[118,234,295,331],"premium":[120],"costs":[121],"were":[122,201,250,273],"imputed":[123],"database":[126],"private":[128],"funds,":[131],"plans":[132],"policies.":[134],"Results:":[135],"review":[138],"showed":[139],"positive":[141,167],"favourable":[148],"visiting":[150,155,159,235,438],"pattern":[151],"(regular":[152],"visiting,":[154,442],"check-up":[157],"same":[161],"dentist).":[162],"Mixed":[163],"evidence":[164],"on":[165,437],"reported.":[174],"study":[177,232],"had":[178],"37%":[180],"response":[181],"rate":[182,187],"40%":[185],"retention":[186],"(from":[188],"baseline)":[189],"by":[190],"end":[192],"years.":[196],"67%":[197],"participants":[200,327],"insured,":[203],"73%":[204],"visited":[205],"professional,":[208],"15%":[209],"23%":[211],"reported":[212],"negative":[213,305],"change":[214,303,306],"self-rated":[216,308],"general":[219,314,392],"respectively":[221],"mean":[223,433],"$788":[229],"during":[230],"period.":[233],"among":[236,323,428],"insured":[238,283,326,414],"significantly":[240,274,285],"higher":[241,286,322],"than":[242,407],"uninsured.":[244],"Among":[245],"those":[246],"who":[247],"visited,":[248],"there":[249],"no":[251],"significant":[252],"associations":[253],"number":[258],"visits,":[260],"services":[261,263,272,292],"or":[262,353,423],"per":[264,293],"visit.":[265,294],"None":[266],"main":[269],"areas":[270],"associated":[275,299],"either.":[280],"However,":[281],"received":[284],"rates":[287],"diagnostic":[289],"preventive":[291],"positively":[298],"OHIP":[301],"severity":[302],"but":[311,328,390,403,418],"not":[312,329,391,404],"outcomes.":[316,394],"Mean":[317],"net":[318],"marginally":[321],"significantly.":[330],"cost":[334],"effective":[335,376,384],"95%":[337],"certainty":[338],"if":[339],"an":[340],"individual":[341],"willing":[344],"pay":[346],"$4300":[347],"over":[348],"years":[350],"maintain":[352],"improve":[354],"their":[355],"self-reported":[356],"health.":[358],"Conclusion:":[359],"systematic":[361],"analysis":[362,367],"comprehensive":[366],"found":[371],"that":[372],"increasing":[378],"visiting.":[380],"It":[381],"also":[383,419],"improving":[386],"large":[402],"substantially":[405],"larger":[406,457],"other":[408],"common":[409],"household":[410],"expenditures.":[411],"Being":[412],"more":[416],"expensive":[417],"provides":[420],"better":[421],"maintenance":[422],"improvement":[424],"adults.":[429],"What":[430],"these":[431],"results":[432],"subgroups":[435],"based":[436],"frequency,":[439],"type":[440],"longer":[443,459],"term":[444],"reduction":[447],"future":[449],"needs":[451],"be":[453],"further":[454],"duration":[460],"studies.":[461]},"counts_by_year":[],"updated_date":"2026-10-03T13:16:28.481748","created_date":"2017-02-24T00:00:00"}
