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Cost analysis of Periodontitis management in public sector specialist dental clinics

BACKGROUND: The objective of this paper is to quantify the cost of periodontitis management at public sector specialist periodontal clinic settings and analyse the distribution of cost components. METHODS: Five specialist periodontal clinics in the Ministry of Health represented the public sector in...

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Autores principales: Mohd-Dom, Tuti, Ayob, Rasidah, Mohd-Nur, Amrizal, Abdul-Manaf, Mohd R, Ishak, Noorlin, Abdul-Muttalib, Khairiyah, Aljunid, Syed M, Ahmad-Yaziz, Yuhaniz, Abdul-Aziz, Hanizah, Kasan, Noordin, Mohd-Asari, Ahmad S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4033493/
https://www.ncbi.nlm.nih.gov/pubmed/24884465
http://dx.doi.org/10.1186/1472-6831-14-56
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author Mohd-Dom, Tuti
Ayob, Rasidah
Mohd-Nur, Amrizal
Abdul-Manaf, Mohd R
Ishak, Noorlin
Abdul-Muttalib, Khairiyah
Aljunid, Syed M
Ahmad-Yaziz, Yuhaniz
Abdul-Aziz, Hanizah
Kasan, Noordin
Mohd-Asari, Ahmad S
author_facet Mohd-Dom, Tuti
Ayob, Rasidah
Mohd-Nur, Amrizal
Abdul-Manaf, Mohd R
Ishak, Noorlin
Abdul-Muttalib, Khairiyah
Aljunid, Syed M
Ahmad-Yaziz, Yuhaniz
Abdul-Aziz, Hanizah
Kasan, Noordin
Mohd-Asari, Ahmad S
author_sort Mohd-Dom, Tuti
collection PubMed
description BACKGROUND: The objective of this paper is to quantify the cost of periodontitis management at public sector specialist periodontal clinic settings and analyse the distribution of cost components. METHODS: Five specialist periodontal clinics in the Ministry of Health represented the public sector in providing clinical and cost data for this study. Newly-diagnosed periodontitis patients (N = 165) were recruited and followed up for one year of specialist periodontal care. Direct and indirect costs from the societal viewpoint were included in the cost analysis. They were measured in 2012 Ringgit Malaysia (MYR) and estimated from the societal perspective using activity-based and step-down costing methods, and substantiated by clinical pathways. Cost of dental equipment, consumables and labour (average treatment time) for each procedure was measured using activity-based costing method. Meanwhile, unit cost calculations for clinic administration, utilities and maintenance used step-down approach. Patient expenditures and absence from work were recorded via diary entries. The conversion from MYR to Euro was based on the 2012 rate (1€ = MYR4). RESULTS: A total of 2900 procedures were provided, with an average cost of MYR 2820 (€705) per patient for the study year, and MYR 376 (€94) per outpatient visit. Out of this, 90% was contributed by provider cost and 10% by patient cost; 94% for direct cost and 4% for lost productivity. Treatment of aggressive periodontitis was significantly higher than for chronic periodontitis (t-test, P = 0.003). Higher costs were expended as disease severity increased (ANOVA, P = 0.022) and for patients requiring surgeries (ANOVA, P < 0.001). Providers generally spent most on consumables while patients spent most on transportation. CONCLUSIONS: Cost of providing dental treatment for periodontitis patients at public sector specialist settings were substantial and comparable with some non-communicable diseases. These findings provide basis for identifying potential cost-reducing strategies, estimating economic burden of periodontitis management and performing economic evaluation of the specialist periodontal programme.
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spelling pubmed-40334932014-05-27 Cost analysis of Periodontitis management in public sector specialist dental clinics Mohd-Dom, Tuti Ayob, Rasidah Mohd-Nur, Amrizal Abdul-Manaf, Mohd R Ishak, Noorlin Abdul-Muttalib, Khairiyah Aljunid, Syed M Ahmad-Yaziz, Yuhaniz Abdul-Aziz, Hanizah Kasan, Noordin Mohd-Asari, Ahmad S BMC Oral Health Research Article BACKGROUND: The objective of this paper is to quantify the cost of periodontitis management at public sector specialist periodontal clinic settings and analyse the distribution of cost components. METHODS: Five specialist periodontal clinics in the Ministry of Health represented the public sector in providing clinical and cost data for this study. Newly-diagnosed periodontitis patients (N = 165) were recruited and followed up for one year of specialist periodontal care. Direct and indirect costs from the societal viewpoint were included in the cost analysis. They were measured in 2012 Ringgit Malaysia (MYR) and estimated from the societal perspective using activity-based and step-down costing methods, and substantiated by clinical pathways. Cost of dental equipment, consumables and labour (average treatment time) for each procedure was measured using activity-based costing method. Meanwhile, unit cost calculations for clinic administration, utilities and maintenance used step-down approach. Patient expenditures and absence from work were recorded via diary entries. The conversion from MYR to Euro was based on the 2012 rate (1€ = MYR4). RESULTS: A total of 2900 procedures were provided, with an average cost of MYR 2820 (€705) per patient for the study year, and MYR 376 (€94) per outpatient visit. Out of this, 90% was contributed by provider cost and 10% by patient cost; 94% for direct cost and 4% for lost productivity. Treatment of aggressive periodontitis was significantly higher than for chronic periodontitis (t-test, P = 0.003). Higher costs were expended as disease severity increased (ANOVA, P = 0.022) and for patients requiring surgeries (ANOVA, P < 0.001). Providers generally spent most on consumables while patients spent most on transportation. CONCLUSIONS: Cost of providing dental treatment for periodontitis patients at public sector specialist settings were substantial and comparable with some non-communicable diseases. These findings provide basis for identifying potential cost-reducing strategies, estimating economic burden of periodontitis management and performing economic evaluation of the specialist periodontal programme. BioMed Central 2014-05-20 /pmc/articles/PMC4033493/ /pubmed/24884465 http://dx.doi.org/10.1186/1472-6831-14-56 Text en Copyright © 2014 Mohd-Dom et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Mohd-Dom, Tuti
Ayob, Rasidah
Mohd-Nur, Amrizal
Abdul-Manaf, Mohd R
Ishak, Noorlin
Abdul-Muttalib, Khairiyah
Aljunid, Syed M
Ahmad-Yaziz, Yuhaniz
Abdul-Aziz, Hanizah
Kasan, Noordin
Mohd-Asari, Ahmad S
Cost analysis of Periodontitis management in public sector specialist dental clinics
title Cost analysis of Periodontitis management in public sector specialist dental clinics
title_full Cost analysis of Periodontitis management in public sector specialist dental clinics
title_fullStr Cost analysis of Periodontitis management in public sector specialist dental clinics
title_full_unstemmed Cost analysis of Periodontitis management in public sector specialist dental clinics
title_short Cost analysis of Periodontitis management in public sector specialist dental clinics
title_sort cost analysis of periodontitis management in public sector specialist dental clinics
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4033493/
https://www.ncbi.nlm.nih.gov/pubmed/24884465
http://dx.doi.org/10.1186/1472-6831-14-56
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