a58f1a4a2bac5f8eabf8474c855aa159 300255.pdf f3bd21529f7c27ad51ff278bffa0fe63150ea7f4 300255.pdf 13a7e307365caf56977a574dee8ea58edf8e2f93d75d5c7052c1f29376249045 300255.pdf Title: Changes in Socioeconomic Inequalities in the Use of Dental Care Following Major Healthcare Reform in Chile, 2004–2009 Subject: The study examines changes in the distribution and socioeconomic inequalities of dental care utilization among adults after the major healthcare reform in Chile, 2004–2009. We evaluated the proportion of people who visited the dentist at least once in the previous two years, and the mean number of visits. These outcome variables were stratified by sex, age (20–39, 40–59, 60–63; ≥64 years), educational level (primary, secondary, higher), type of health insurance (public, private, uninsured), and socioeconomic status (quintiles of an asset-index). We also used the concentration index (CIndex) to assess the extent of socioeconomic inequalities in the use of dental care, stratified by age and sex as a proxy for dental care needs. The use of dental care significantly increased between 2004 and 2009, especially in those with public health insurance, with lower educational level and lower socioeconomic status. The CIndex for the total population significantly decreased both for the proportion who used dental care, and also the mean number of visits. Findings suggest that the use of dental care increased and socioeconomic-related inequalities in the utilization of dental care declined after a Major Health Reform, which included universal coverage for some dental cares in Chile. However, efforts to ameliorate these inequalities require an approach that moves beyond a sole focus on rectifying health coverage. Keywords: utilization; access; oral health care; insurance; health guarantee; social inequalities; Chile Author: Marco Cornejo-Ovalle, Guillermo Paraje, Felipe Vásquez-Lavín, Glòria Pérez, Laia Palència, Carme Borrell Creator: PScript5.dll Version 5.2.2 Producer: Acrobat Distiller 9.0.0 (Windows) CreationDate: Wed Mar 4 07:16:05 2015 CET ModDate: Wed Mar 4 07:17:05 2015 CET Custom Metadata: no Metadata Stream: yes Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 14 Encrypted: no Page size: 595.22 x 842 pts (A4) Page rot: 0 File size: 710726 bytes Optimized: no PDF version: 1.4 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- DPMOII+TimesNewRoman,Italic TrueType WinAnsi yes yes no 62 0 DPMOKI+TimesNewRoman CID TrueType Identity-H yes yes yes 74 0 DPMOKJ+TimesNewRoman TrueType WinAnsi yes yes no 63 0 DPMOKL+TimesNewRoman,Bold TrueType WinAnsi yes yes no 64 0 DPMONM+TimesNewRoman,BoldItalic TrueType WinAnsi yes yes no 65 0 DPMOKK+TimesNewRoman,Bold CID TrueType Identity-H yes yes yes 45 0 DPNGBO+Arial TrueType WinAnsi yes yes no 46 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2024-09-10 03:02:13 CEST RepresentationInformation: 300255.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2024-09-09 20:22:51 CEST Size: 710726 Format: PDF Version: 1.4 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 88 FreeObjects: 2 IncrementalUpdates: 2 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Info: Title: Changes in Socioeconomic Inequalities in the Use of Dental Care Following Major Healthcare Reform in Chile, 2004 2009 Author: Marco Cornejo-Ovalle, Guillermo Paraje, Felipe Vásquez-Lavín, Glòria Pérez, Laia Palència, Carme Borrell Subject: The study examines changes in the distribution and socioeconomic inequalities of dental care utilization among adults after the major healthcare reform in Chile, 2004–2009. 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Keywords: utilization; access; oral health care; insurance; health guarantee; social inequalities; Chile Creator: PScript5.dll Version 5.2.2 Producer: Acrobat Distiller 9.0.0 (Windows) CreationDate: Wed Mar 04 07:16:05 CET 2015 ModDate: Wed Mar 04 07:17:05 CET 2015 ID: 0xc5cee14bd81119a852137d003b319a6e, 0x6738ecae61de244fa247b2bdc67c3bb2 Filters: FilterPipeline: FlateDecode Fonts: Type0: Font: BaseFont: DPMOKI+TimesNewRoman Encoding: Identity-H ToUnicode: true Font: BaseFont: DPMOKK+TimesNewRoman,Bold Encoding: Identity-H ToUnicode: true TrueType: Font: BaseFont: DPMOKL+TimesNewRoman,Bold FontSubset: true FirstChar: 32 LastChar: 242 FontDescriptor: FontName: DPMOKL+TimesNewRoman,Bold Flags: Serif, Nonsymbolic FontBBox: -558, -307, 2000, 1026 FontFile2: true Encoding: WinAnsiEncoding Font: BaseFont: DPMONM+TimesNewRoman,BoldItalic FontSubset: true FirstChar: 32 LastChar: 110 FontDescriptor: FontName: DPMONM+TimesNewRoman,BoldItalic Flags: Serif, Nonsymbolic, Italic FontBBox: -547, -307, 1401, 1032 FontFile2: true Encoding: WinAnsiEncoding Font: BaseFont: DPMOII+TimesNewRoman,Italic FontSubset: true FirstChar: 32 LastChar: 250 FontDescriptor: FontName: DPMOII+TimesNewRoman,Italic Flags: Serif, Nonsymbolic, Italic FontBBox: -498, -307, 1333, 1023 FontFile2: true Encoding: WinAnsiEncoding Font: BaseFont: DPNGBO+Arial FontSubset: true FirstChar: 32 LastChar: 32 FontDescriptor: FontName: DPNGBO+Arial Flags: Nonsymbolic FontBBox: -665, -325, 2000, 1006 FontFile2: true Encoding: WinAnsiEncoding Font: BaseFont: DPMOKJ+TimesNewRoman FontSubset: true FirstChar: 32 LastChar: 243 FontDescriptor: FontName: DPMOKJ+TimesNewRoman Flags: Serif, Nonsymbolic FontBBox: -568, -307, 2000, 1007 FontFile2: true Encoding: WinAnsiEncoding CIDFontType2: Font: BaseFont: DPMOKI+TimesNewRoman CIDSystemInfo: Registry: Adobe Registry: Identity Supplement: 0 FontDescriptor: FontName: DPMOKI+TimesNewRoman Flags: Serif, Symbolic FontBBox: -568, -307, 2000, 1007 FontFile2: true Font: BaseFont: DPMOKK+TimesNewRoman,Bold CIDSystemInfo: Registry: Adobe Registry: Identity Supplement: 0 FontDescriptor: FontName: DPMOKK+TimesNewRoman,Bold Flags: Serif, Symbolic FontBBox: -558, -307, 2000, 1026 FontFile2: true XMP: 1 B application/pdf Changes in Socioeconomic Inequalities in the Use of Dental Care Following Major Healthcare Reform in Chile, 2004–2009 Marco Cornejo-Ovalle, Guillermo Paraje, Felipe Vásquez-Lavín, Glòria Pérez, Laia Palència, Carme Borrell The study examines changes in the distribution and socioeconomic inequalities of dental care utilization among adults after the major healthcare reform in Chile, 2004–2009. We evaluated the proportion of people who visited the dentist at least once in the previous two years, and the mean number of visits. These outcome variables were stratified by sex, age (20–39, 40–59, 60–63; ≥64 years), educational level (primary, secondary, higher), type of health insurance (public, private, uninsured), and socioeconomic status (quintiles of an asset-index). We also used the concentration index (CIndex) to assess the extent of socioeconomic inequalities in the use of dental care, stratified by age and sex as a proxy for dental care needs. The use of dental care significantly increased between 2004 and 2009, especially in those with public health insurance, with lower educational level and lower socioeconomic status. The CIndex for the total population significantly decreased both for the proportion who used dental care, and also the mean number of visits. Findings suggest that the use of dental care increased and socioeconomic-related inequalities in the utilization of dental care declined after a Major Health Reform, which included universal coverage for some dental cares in Chile. However, efforts to ameliorate these inequalities require an approach that moves beyond a sole focus on rectifying health coverage. utilization access oral health care insurance health guarantee social inequalities Chile 2015-03-04T14:16:05+08:00 PScript5.dll Version 5.2.2 2015-03-04T14:17:05+08:00 2015-03-04T14:17:05+08:00 Acrobat Distiller 9.0.0 (Windows) utilization; access; oral health care; insurance; health guarantee; social inequalities; Chile uuid:e75c1a43-0a5a-41f9-a052-242bbab6c783 uuid:97bdc749-a198-4031-bc3c-abc23afef4c0 Pages: Page: Label: 1 Page: Label: 2 Page: Label: 3 Page: Label: 4 Page: Label: 5 Page: Label: 6 Rotate: 90 Page: Label: 7 Rotate: 90 Page: Label: 8 Rotate: 90 Page: Label: 9 Rotate: 90 Page: Label: 10 Page: Label: 11 Page: Label: 12 Page: Label: 13 Page: Label: 14 Checksum: 33e52489 Type: CRC32 Checksum: a58f1a4a2bac5f8eabf8474c855aa159 Type: MD5 Checksum: f3bd21529f7c27ad51ff278bffa0fe63150ea7f4 Type: SHA-1 Checksum: 13a7e307365caf56977a574dee8ea58edf8e2f93d75d5c7052c1f29376249045 Type: SHA-256