OBJECTIVES: No cost-effectiveness evaluation of pit and fissure sealants has ever been carried out in Quebec. The objective of this study was to simulate a publicly funded program of pit and fissure administration, either in the public or private sectors, and compare these hypothetical situations with the current one, i.e., a publicly funded, school-based selective program. METHODS: A Markov model was developed using a virtual population of 8-year-old children that was monitored over a time span of 10 years. The incremental cost per child without decay was computed. RESULTS: The current situation and a publicly funded program in the public sector were more cost-effective than the other option: a universal, publicly funded, private practice. However, the most cost-effective option varied, depending on the incidence of decay and the proportion of children identified as being at high-risk for decay. CONCLUSION: By implementing a school-based program of universal pit and fissure sealant application, access to preventive dental care could be improved at an equivalent cost-effectiveness to the current one.
OBJECTIVES: No cost-effectiveness evaluation of pit and fissure sealants has ever been carried out in Quebec. The objective of this study was to simulate a publicly funded program of pit and fissure administration, either in the public or private sectors, and compare these hypothetical situations with the current one, i.e., a publicly funded, school-based selective program. METHODS: A Markov model was developed using a virtual population of 8-year-old children that was monitored over a time span of 10 years. The incremental cost per child without decay was computed. RESULTS: The current situation and a publicly funded program in the public sector were more cost-effective than the other option: a universal, publicly funded, private practice. However, the most cost-effective option varied, depending on the incidence of decay and the proportion of children identified as being at high-risk for decay. CONCLUSION: By implementing a school-based program of universal pit and fissure sealant application, access to preventive dental care could be improved at an equivalent cost-effectiveness to the current one.
Authors: Susan Griffin; Shillpa Naavaal; Christina Scherrer; Paul M Griffin; Kate Harris; Sajal Chattopadhyay Journal: Health Aff (Millwood) Date: 2016-12-01 Impact factor: 6.301
Authors: Andrea M de Silva; Shalika Hegde; Bridget Akudo Nwagbara; Hanny Calache; Mark G Gussy; Mona Nasser; Hannah R Morrice; Elisha Riggs; Pamela M Leong; Lisa K Meyenn; Reza Yousefi-Nooraie Journal: Cochrane Database Syst Rev Date: 2016-12-22
Authors: Susan O Griffin; Shillpa Naavaal; Christina Scherrer; Mona Patel; Sajal Chattopadhyay Journal: Am J Prev Med Date: 2016-11-16 Impact factor: 5.043
Authors: Andrea M de Silva; Shalika Hegde; Bridget Akudo Nwagbara; Hanny Calache; Mark G Gussy; Mona Nasser; Hannah R Morrice; Elisha Riggs; Pamela M Leong; Lisa K Meyenn; Reza Yousefi-Nooraie Journal: Cochrane Database Syst Rev Date: 2016-09-15
Authors: H J Rogers; H D Rodd; J H Vermaire; K Stevens; R Knapp; S El Yousfi; Z Marshman Journal: BMC Oral Health Date: 2019-07-01 Impact factor: 2.757
Authors: Eric Tchouaket; Astrid Brousselle; Alvine Fansi; Pierre Alexandre Dionne; Elise Bertrand; Christian Fortin Journal: Z Gesundh Wiss Date: 2013-06-26