| Cost-effectiveness simulation of a universal publicly funded sealants application program. | |
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MedLine Citation:
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PMID: 20880047 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVES: No cost-effectiveness evaluation of pit and fissure sealants has ever been carried out in Quebec. The objective of this study was to simulate a publicly funded program of pit and fissure administration, either in the public or private sectors, and compare these hypothetical situations with the current one, i.e., a publicly funded, school-based selective program. METHODS: A Markov model was developed using a virtual population of 8-year-old children that was monitored over a time span of 10 years. The incremental cost per child without decay was computed. RESULTS: The current situation and a publicly funded program in the public sector were more cost-effective than the other option: a universal, publicly funded, private practice. However, the most cost-effective option varied, depending on the incidence of decay and the proportion of children identified as being at high-risk for decay. CONCLUSION: By implementing a school-based program of universal pit and fissure sealant application, access to preventive dental care could be improved at an equivalent cost-effectiveness to the current one. |
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Authors:
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Elise Bertrand; Majid Mallis; Nguyen Minh Bui; Daniel Reinharz |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of public health dentistry Volume: 71 ISSN: 0022-4006 ISO Abbreviation: J Public Health Dent Publication Date: 2011 |
Date Detail:
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Created Date: 2011-06-13 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0014207 Medline TA: J Public Health Dent Country: United States |
Other Details:
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Languages: eng Pagination: 38-45 Citation Subset: D; IM |
Affiliation:
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Preventive and Social Medicine Department, Laval University, Quebec, Canada. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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