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Inequalities in utilization and provision of dental services: a scoping review

BACKGROUND: There are many determinants that can affect inequality in oral and dental health. This study is aimed to explore the main determinants of inequality in both utilization and provision of dental services in Organization for Economic Co-operation and Development (OECD) countries. METHODS: F...

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Autores principales: Ghanbarzadegan, Arash, Bastani, Peivand, Luzzi, Liana, Brennan, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8356458/
https://www.ncbi.nlm.nih.gov/pubmed/34376247
http://dx.doi.org/10.1186/s13643-021-01779-2
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author Ghanbarzadegan, Arash
Bastani, Peivand
Luzzi, Liana
Brennan, David
author_facet Ghanbarzadegan, Arash
Bastani, Peivand
Luzzi, Liana
Brennan, David
author_sort Ghanbarzadegan, Arash
collection PubMed
description BACKGROUND: There are many determinants that can affect inequality in oral and dental health. This study is aimed to explore the main determinants of inequality in both utilization and provision of dental services in Organization for Economic Co-operation and Development (OECD) countries. METHODS: Four databases including PubMed, ISI WOS, Scopus, and ProQuest were searched up to 8 Aug 2020, applying the relevant keywords. Thematic analysis was used for synthesizing and extracting data. Trend analysis was applied to determine the trends of the inequality determinants. RESULTS: Thematic analysis led to 6 main themes, 13 sub-themes, and 53 sub-sub-themes. The main themes represent the main inequality determinants for both utilization and provision of dental services. The streamgraph illustrated that fewer studies have been conducted on social and cultural determinants, and for almost all determinants the trend of published articles has been increasing since 2007, with the exception of health policies. CONCLUSIONS: Inequality in the utilization and provision of dental services is addressed by various factors including individual, social, cultural and economic determinants, health policies, and availability of services. The first four determinants are related to utilization and the last two are related to the provision of services. All these aspects must be considered to reduce inequality in dental services. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13643-021-01779-2.
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spelling pubmed-83564582021-08-16 Inequalities in utilization and provision of dental services: a scoping review Ghanbarzadegan, Arash Bastani, Peivand Luzzi, Liana Brennan, David Syst Rev Research BACKGROUND: There are many determinants that can affect inequality in oral and dental health. This study is aimed to explore the main determinants of inequality in both utilization and provision of dental services in Organization for Economic Co-operation and Development (OECD) countries. METHODS: Four databases including PubMed, ISI WOS, Scopus, and ProQuest were searched up to 8 Aug 2020, applying the relevant keywords. Thematic analysis was used for synthesizing and extracting data. Trend analysis was applied to determine the trends of the inequality determinants. RESULTS: Thematic analysis led to 6 main themes, 13 sub-themes, and 53 sub-sub-themes. The main themes represent the main inequality determinants for both utilization and provision of dental services. The streamgraph illustrated that fewer studies have been conducted on social and cultural determinants, and for almost all determinants the trend of published articles has been increasing since 2007, with the exception of health policies. CONCLUSIONS: Inequality in the utilization and provision of dental services is addressed by various factors including individual, social, cultural and economic determinants, health policies, and availability of services. The first four determinants are related to utilization and the last two are related to the provision of services. All these aspects must be considered to reduce inequality in dental services. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13643-021-01779-2. BioMed Central 2021-08-10 /pmc/articles/PMC8356458/ /pubmed/34376247 http://dx.doi.org/10.1186/s13643-021-01779-2 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Ghanbarzadegan, Arash
Bastani, Peivand
Luzzi, Liana
Brennan, David
Inequalities in utilization and provision of dental services: a scoping review
title Inequalities in utilization and provision of dental services: a scoping review
title_full Inequalities in utilization and provision of dental services: a scoping review
title_fullStr Inequalities in utilization and provision of dental services: a scoping review
title_full_unstemmed Inequalities in utilization and provision of dental services: a scoping review
title_short Inequalities in utilization and provision of dental services: a scoping review
title_sort inequalities in utilization and provision of dental services: a scoping review
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8356458/
https://www.ncbi.nlm.nih.gov/pubmed/34376247
http://dx.doi.org/10.1186/s13643-021-01779-2
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