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1.
  • Grönbeck-Linden, Ingela, 1955, et al. (författare)
  • Discontinued dental attendance among elderly people in Sweden
  • 2016
  • Ingår i: Journal of International Society of Preventive and Community Dentistry. - : Medknow. - 2231-0762. ; 6:3, s. 224-229
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim: Our objective was to study the loss of dental attendance and a possible age trend among patients aged >= 65 years in Sweden. Regular dental check-ups are considered to be an important factor in maintaining oral health. Approximately 80% of the adult population in Sweden are enrolled in a regular check-up system; however, dental practitioners often find that older patients attend fewer check-ups. Old people may naturally lose contact with dental services as they move to special housing or die. In this systematic study, these factors were investigated and used as exclusion criteria. Materials and Methods: Data were collected for all patients (n = 4759) aged 65 or older from the electronic journal system in 3 large public dental clinics in 3 communities. Their dental records for the years 2004u2009 were studied longitudinally by 1 person at each clinic; 1111 patients were excluded (patients died during study period, wanted emergency care only, obtained special dental care allowance, moved from the community or moved to special housing, or left the clinic for another caregiver). The statistical analyses were performed using the Statistical Package for the Social Sciences version 21 (IBM). Results: Of the 3648 patients (1690 men and 1958 women) included in the study, 13% lost contact with their dental service over the course of the study (10% of those were aged 65u79 and 21% >= 80). The decrease in regular dental contact had a statistically significant association with increasing age (P < 0.001). Conclusion: A considerable number of older people living independently or with moderate supportive care in their own homes lost contact with dental service despite enrolment in a recall system.
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  • Pälvärinne, Raimo, et al. (författare)
  • The Public Dental Service in Sweden : An Interview Study of Chief Dental Officers
  • 2018
  • Ingår i: Journal of International Society of Preventive and Community Dentistry. - : Medknow Publications. - 2231-0762. ; 8:3, s. 205-211
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective: The aim of this study was to investigate how the Public Dental Service (PDS) in Sweden has managed to maintain a market position at a time of change in political ideologies and increased competition from a growing private sector. Materials and Methods: All Chief Dental Officers (CDOs), who had held this leading position for at least 5 years (n = 22), were asked to participate in a semi-structured telephone interview. Sixteen of the 22 CDOs participated in this study. The questions were sent by mail in 2014 before the telephone interviews, which were audiotaped, transcribed and analyzed using a qualitative analytical approach. Since this was a quality study with just few participants, no statistical analysis was carried out. Results: All the CDOs answered that they had influenced outcomes through brand building and core value work, related to both patients and employees, and to a lesser extent through competitor analysis. Some CDOs had a slightly different approach to the way they described visions, strategies and short-term goals. They used more business-oriented concepts, such as customers, market shares, and profits. Most CDOs regarded their actions as important for the successful development of their organization. Conclusions: The PDS appears to have a stable, strong position in the Swedish dental care market, and a great deal of effort has been put into consolidating this position.
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