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Asia-Pacific Journal of Public Health
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Estimating Unit Costs for Dental Service Delivery in Institutional and Community-Based Settings in Southern Thailand

Sukanya Tianviwat, DDS, MPHM

Prince of Songkla University, Faculty of Dentistry, Songkhla, Thailand, sukanya.ti{at}psu.ac.th

Virasakdi Chongsuvivatwong, MD, PhD

Prince of Songkla University, Epidemiology Unit, Faculty of Medicine, Songkhla, Thailand

Stephen Birch, MSc, PhD

Centre for Health Economics and Policy Analysis, McMaster University, Hamilton, Ontario, Canada, Health Economics Research at Manchester, University of Manchester, United Kingdom

In this cross-sectional study, the cost of different dental services was estimated and the unit costs of dental services for schoolchildren were compared between 2 settings: hospital-based and community-based mobile dental clinics. Heads of all departments in a selected community hospital were invited to attend 2 workshops to collect relevant data. Unit costs of different dental services varied from 41 to 2693 baht, with services falling into 4 unit cost groups: very high, high, moderate, and low. The very-high-unit-cost services included rehabilitative dental services. The high-unit-cost services covered removal of an impacted tooth, root canal treatment, and tooth-color fillings. The moderate-unit-cost group included a wide range of other dental services, with screening and oral hygiene instruction in community-based dental clinics falling into the low-unit-cost group. Generally, services provided in the community-based mobile clinic had lower unit costs than the same services provided in the hospital dental clinic.

Key Words: community-based dental clinic • dental services • hospital-based dental clinic • schoolchildren • unit cost

This version was published on January 1, 2009

Asia-Pacific Journal of Public Health, Vol. 21, No. 1, 84-93 (2009)
DOI: 10.1177/1010539508327246
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