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Public Preferences in Resource Allocation for Insurance Coverage of Dental Implant Service in South Korea: Citizens’ Jury

The Korean government sought to include dental implant services for the elderly in the benefits package of the national health insurance. In 2014, the Citizens’ Jury was held to discuss the topic, during which thirty jurors, randomly selected from the 2665 applicants, participated in a day-long deli...

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Autores principales: Lee, Hwa-Young, Bae, Eun-Young, Lee, Kyungdo, Kang, Minah, Oh, Juhwan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8070823/
https://www.ncbi.nlm.nih.gov/pubmed/33919799
http://dx.doi.org/10.3390/ijerph18084135
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author Lee, Hwa-Young
Bae, Eun-Young
Lee, Kyungdo
Kang, Minah
Oh, Juhwan
author_facet Lee, Hwa-Young
Bae, Eun-Young
Lee, Kyungdo
Kang, Minah
Oh, Juhwan
author_sort Lee, Hwa-Young
collection PubMed
description The Korean government sought to include dental implant services for the elderly in the benefits package of the national health insurance. In 2014, the Citizens’ Jury was held to discuss the topic, during which thirty jurors, randomly selected from the 2665 applicants, participated in a day-long deliberation process after having an information session on the topic by a team of experts. There was a substantial shift in opinion during the deliberation session toward a more cost-conscious view. Most jurors supported limiting the coverage of dental implant to only one tooth per individual given the extent of the financial burden that will be imposed on the population. They opposed covering implant services for the front teeth, given that the implant of front teeth generally serves aesthetic purposes rather than restoring mastication function. The government’s final decision in 2014 was to offer coverage up to two teeth, regardless of tooth location. This scheme based on the jury’s recommendations in 2014 has been implemented without policy failure to date, which shows that the lay public can meaningfully contribute to a decision-making process regarding controversial agendas such as benefits packages for expensive health services.
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spelling pubmed-80708232021-04-26 Public Preferences in Resource Allocation for Insurance Coverage of Dental Implant Service in South Korea: Citizens’ Jury Lee, Hwa-Young Bae, Eun-Young Lee, Kyungdo Kang, Minah Oh, Juhwan Int J Environ Res Public Health Article The Korean government sought to include dental implant services for the elderly in the benefits package of the national health insurance. In 2014, the Citizens’ Jury was held to discuss the topic, during which thirty jurors, randomly selected from the 2665 applicants, participated in a day-long deliberation process after having an information session on the topic by a team of experts. There was a substantial shift in opinion during the deliberation session toward a more cost-conscious view. Most jurors supported limiting the coverage of dental implant to only one tooth per individual given the extent of the financial burden that will be imposed on the population. They opposed covering implant services for the front teeth, given that the implant of front teeth generally serves aesthetic purposes rather than restoring mastication function. The government’s final decision in 2014 was to offer coverage up to two teeth, regardless of tooth location. This scheme based on the jury’s recommendations in 2014 has been implemented without policy failure to date, which shows that the lay public can meaningfully contribute to a decision-making process regarding controversial agendas such as benefits packages for expensive health services. MDPI 2021-04-14 /pmc/articles/PMC8070823/ /pubmed/33919799 http://dx.doi.org/10.3390/ijerph18084135 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lee, Hwa-Young
Bae, Eun-Young
Lee, Kyungdo
Kang, Minah
Oh, Juhwan
Public Preferences in Resource Allocation for Insurance Coverage of Dental Implant Service in South Korea: Citizens’ Jury
title Public Preferences in Resource Allocation for Insurance Coverage of Dental Implant Service in South Korea: Citizens’ Jury
title_full Public Preferences in Resource Allocation for Insurance Coverage of Dental Implant Service in South Korea: Citizens’ Jury
title_fullStr Public Preferences in Resource Allocation for Insurance Coverage of Dental Implant Service in South Korea: Citizens’ Jury
title_full_unstemmed Public Preferences in Resource Allocation for Insurance Coverage of Dental Implant Service in South Korea: Citizens’ Jury
title_short Public Preferences in Resource Allocation for Insurance Coverage of Dental Implant Service in South Korea: Citizens’ Jury
title_sort public preferences in resource allocation for insurance coverage of dental implant service in south korea: citizens’ jury
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8070823/
https://www.ncbi.nlm.nih.gov/pubmed/33919799
http://dx.doi.org/10.3390/ijerph18084135
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