The utility of survey and administrative data to generate information for research and outcomes-based oral health services development

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dc.contributor.advisor Whelton, Helen en
dc.contributor.advisor Woods, Noel en Guiney, Helena 2014-09-29T14:01:46Z 2014-09-29T14:01:46Z 2013 2013
dc.identifier.citation Guiney, H. 2013. The utility of survey and administrative data to generate information for research and outcomes-based oral health services development. PhD Thesis, University College Cork. en
dc.description.abstract The aim of this research, which focused on the Irish adult population, was to generate information for policymakers by applying statistical analyses and current technologies to oral health administrative and survey databases. Objectives included identifying socio-demographic influences on oral health and utilisation of dental services, comparing epidemiologically-estimated dental treatment need with treatment provided, and investigating the potential of a dental administrative database to provide information on utilisation of services and the volume and types of treatment provided over time. Information was extracted from the claims databases for the Dental Treatment Benefit Scheme (DTBS) for employed adults and the Dental Treatment Services Scheme (DTSS) for less-well-off adults, the National Surveys of Adult Oral Health, and the 2007 Survey of Lifestyle Attitudes and Nutrition in Ireland. Factors associated with utilisation and retention of natural teeth were analysed using count data models and logistic regression. The chi-square test and the student’s t-test were used to compare epidemiologically-estimated need in a representative sample of adults with treatment provided. Differences were found in dental care utilisation and tooth retention by Socio-Economic Status. An analysis of the five-year utilisation behaviour of a 2003 cohort of DTBS dental attendees revealed that age and being female were positively associated with visiting annually and number of treatments. Number of adults using the DTBS increased, and mean number of treatments per patient decreased, between 1997 and 2008. As a percentage of overall treatments, restorations, dentures, and extractions decreased, while prophylaxis increased. Differences were found between epidemiologically-estimated treatment need and treatment provided for those using the DTBS and DTSS. This research confirms the utility of survey and administrative data to generate knowledge for policymakers. Public administrative databases have not been designed for research purposes, but they have the potential to provide a wealth of knowledge on treatments provided and utilisation patterns. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher University College Cork en
dc.rights © 2013, Helena Guiney en
dc.rights.uri en
dc.subject Administrative data en
dc.subject Survey data en
dc.subject Health services research en
dc.subject Data mining en
dc.subject Dental treatments en
dc.subject Utilisation of dental services en
dc.subject Dental health en
dc.subject Socioeconomic status en
dc.subject Treatment provided en
dc.subject Mean number of teeth en
dc.subject Tooth retention en
dc.subject Dental attendance en
dc.subject Sound untreated natural teeth en
dc.subject Brushing en
dc.subject Frequent snacking en
dc.subject Need for dental treatment en
dc.title The utility of survey and administrative data to generate information for research and outcomes-based oral health services development en
dc.type Doctoral thesis en
dc.type.qualificationlevel Doctoral en
dc.type.qualificationname PhD (Dentistry) en
dc.internal.availability Full text available en No embargo required en
dc.description.version Accepted Version
dc.description.status Not peer reviewed en Oral Health Services Research Centre en
dc.check.type No Embargo Required
dc.check.reason No embargo required en
dc.check.opt-out Not applicable en
dc.thesis.opt-out false
dc.check.embargoformat Not applicable en
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