A framework for costing diagnostic methods in oral health care : an application comparing a new imaging technology with the conventional approach for maxillary canines with eruption disturbances

DSpace Repository

A framework for costing diagnostic methods in oral health care : an application comparing a new imaging technology with the conventional approach for maxillary canines with eruption disturbances

Show simple item record

Full item record

dc.contributor.author Christell, Helena
dc.contributor.author Birch, Stephen
dc.contributor.author Horner, Keith
dc.contributor.author Rohlin, Madeleine
dc.contributor.author Lindh, Christina
dc.contributor.author SEDENTEXCT consortium
dc.date.accessioned 2012-11-26T11:41:02Z
dc.date.available 2012-11-26T11:41:02Z
dc.date.issued 2012 en_US
dc.identifier.citation 351-361 en_US
dc.identifier.issn 0301-5661 en_US
dc.identifier.uri http://hdl.handle.net/2043/14399
dc.description.abstract Objectives: The aims were (i) to propose a framework for costing diagnostic methods in oral health care and (ii) to illustrate the application of the framework to the radiographic examination of maxillary canines with eruption disturbances. Methods: The framework for costing, following Drummond et al.(2005), includes three elements: (i) identification of different resources used in producing and delivering the service, (ii) measurement of the amount of each resource required and (iii) valuation of the resources in monetary terms. Four data collection instruments were designed – a protocol for apportioning the cost of capital equipment to each diagnostic procedure, separate forms for recording consumable items, for the time of different health care providers used for a diagnostic examination and a patient survey for calculation of the total cost to the patient associated with the examination. The framework was applied to the radiographic examination of maxillary canines with eruption disturbances comparing two imaging methods: (i) a new method with cone beam computed tomography and panoramic radiography and (ii) a conventional method using intraoral and panoramic radiography. The primary analysis was performed from the perspective of the health care system. A separate analysis included patient costs with health care system costs to provide a societal perspective. Comparison of the two perspectives allows consideration of whether any costs savings to the health care system are generated at the expense of greater costs for patients and their families. Data for the cost-analysis were retrieved from 47 patients (mean age 14 years) referred to a department of radiology for examination of maxillary canines. Results:Application of the framework for costing allowed us to compare the resources used to perform examinations of the two methods. The mean total cost per examination for the new method was 128.38€ and 81.80€ for the conventional method, resulting in an incremental cost per examination of the new method of 46.58€. Conclusions: The application of the framework demonstrates the feasibility of measuring and comparing the total costs as well as the distribution of total costs between providers and patients for different approaches to this common examination. en_US
dc.language.iso eng en_US
dc.publisher John Wiley and Sons en_US
dc.subject clinical research en_US
dc.subject diagnostic research en_US
dc.subject economics en_US
dc.subject oral health en_US
dc.subject.classification Medicine en_US
dc.title A framework for costing diagnostic methods in oral health care : an application comparing a new imaging technology with the conventional approach for maxillary canines with eruption disturbances en_US
dc.type Article, peer reviewed scientific en_US
dc.contributor.department Malmö University. Faculty of Odontology
dc.identifier.doi http://dx.doi.org/10.1111/j.1600-0528.2012.00674.x en_US
dc.subject.srsc Research Subject Categories::ODONTOLOGY en_US
dc.relation.ispartofpublication Community Dentistry and Oral Epidemiology;4
dc.relation.ispartofpublicationvolume 40 en_US
 Find Full text

Files for download

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record

Search


Browse

My Account

Statistics