Association between local spatial accessibility of dental care services and dental care quality

Abstract Background The aim of our study was to evaluate the allocation of dental resources and explore access to dental care in Taiwan. In addition, we tried to understand the spatiotemporal characteristics of dental care quality and analyze the relationship between dental care quality and areas wi...

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Autores principales:	Ping-Chen Chung, Ta-Chien Chan
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Accessibility Two-step floating catchment area (2SFCA) Dental care quality Dentistry RK1-715
Acceso en línea:	https://doaj.org/article/529f17ef7fbb427e9403016a3e905948
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spelling	oai:doaj.org-article:529f17ef7fbb427e9403016a3e9059482021-11-21T12:32:27ZAssociation between local spatial accessibility of dental care services and dental care quality10.1186/s12903-021-01943-z1472-6831https://doaj.org/article/529f17ef7fbb427e9403016a3e9059482021-11-01T00:00:00Zhttps://doi.org/10.1186/s12903-021-01943-zhttps://doaj.org/toc/1472-6831Abstract Background The aim of our study was to evaluate the allocation of dental resources and explore access to dental care in Taiwan. In addition, we tried to understand the spatiotemporal characteristics of dental care quality and analyze the relationship between dental care quality and areas with deficiencies in dental resources. Methods The study used a two-step floating catchment area to calculate the dental resources accessibility and explore the spatiotemporal distributions of dental care quality. The association between dental care quality and spatial accessibility was analyzed using a spatial error model. Results Most areas with deficient dental resources and lower dental care quality were remote townships, agricultural towns, or aging towns with spatial clustering. The quality of children's preventive dental care had increased over time. Most highly urbanized areas had higher dental care quality. The quality of some dental care types such as children's preventive care and full-mouth calculous removal was associated with higher accessibility. Conclusions Understanding the spatiotemporal distribution of both dental care accessibility and quality can assist in allocation of dental care resources. Adequate dental resources may elevate dental care quality. Suggestions include policies to balance dental resources and routinely monitor improvement in areas with deficient dental care.Ping-Chen ChungTa-Chien ChanBMCarticleAccessibilityTwo-step floating catchment area (2SFCA)Dental care qualityDentistryRK1-715ENBMC Oral Health, Vol 21, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Accessibility Two-step floating catchment area (2SFCA) Dental care quality Dentistry RK1-715
spellingShingle	Accessibility Two-step floating catchment area (2SFCA) Dental care quality Dentistry RK1-715 Ping-Chen Chung Ta-Chien Chan Association between local spatial accessibility of dental care services and dental care quality
description	Abstract Background The aim of our study was to evaluate the allocation of dental resources and explore access to dental care in Taiwan. In addition, we tried to understand the spatiotemporal characteristics of dental care quality and analyze the relationship between dental care quality and areas with deficiencies in dental resources. Methods The study used a two-step floating catchment area to calculate the dental resources accessibility and explore the spatiotemporal distributions of dental care quality. The association between dental care quality and spatial accessibility was analyzed using a spatial error model. Results Most areas with deficient dental resources and lower dental care quality were remote townships, agricultural towns, or aging towns with spatial clustering. The quality of children's preventive dental care had increased over time. Most highly urbanized areas had higher dental care quality. The quality of some dental care types such as children's preventive care and full-mouth calculous removal was associated with higher accessibility. Conclusions Understanding the spatiotemporal distribution of both dental care accessibility and quality can assist in allocation of dental care resources. Adequate dental resources may elevate dental care quality. Suggestions include policies to balance dental resources and routinely monitor improvement in areas with deficient dental care.
format	article
author	Ping-Chen Chung Ta-Chien Chan
author_facet	Ping-Chen Chung Ta-Chien Chan
author_sort	Ping-Chen Chung
title	Association between local spatial accessibility of dental care services and dental care quality
title_short	Association between local spatial accessibility of dental care services and dental care quality
title_full	Association between local spatial accessibility of dental care services and dental care quality
title_fullStr	Association between local spatial accessibility of dental care services and dental care quality
title_full_unstemmed	Association between local spatial accessibility of dental care services and dental care quality
title_sort	association between local spatial accessibility of dental care services and dental care quality
publisher	BMC
publishDate	2021
url	https://doaj.org/article/529f17ef7fbb427e9403016a3e905948
work_keys_str_mv	AT pingchenchung associationbetweenlocalspatialaccessibilityofdentalcareservicesanddentalcarequality AT tachienchan associationbetweenlocalspatialaccessibilityofdentalcareservicesanddentalcarequality
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Association between local spatial accessibility of dental care services and dental care quality

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