Richard J Manski1, John F Moeller2, Haiyan Chen2, Jody Schimmel Hyde3, John V Pepper4, Patricia A St Clair5. 1. Dental Public Health, University of Maryland School of Dentistry, Baltimore, MD, USA rmanski@umaryland.edu. 2. Dental Public Health, University of Maryland School of Dentistry, Baltimore, MD, USA. 3. Mathematica Policy Research, Inc., Washington, VA, USA. 4. Department of Economics, University of Virginia, Charlottesville, VA, USA. 5. RAND Corporation, Center for the Study of Aging, Santa Monica, CA, USA University of Southern California, Leonard D. Schaeffer Center for Health Policy & Economics, Los Angeles, CA, USA.
Abstract
OBJECTIVE: We analyze correlates of the direction and magnitude of changes in out-of-pocket (OOP) payments for dental care by older Americans over a recent 4-year period. METHODS: We analyzed data from the 2006 and 2008 waves of the Health and Retirement Study. We estimated multinomial logistic models of the direction and linear regression models of the amounts of OOP changes over survey periods. RESULTS: Financial-based factors were more strongly associated with the direction and magnitude of changing self-payments for dental care than were health factors. DISCUSSION: Findings suggested that dental coverage, income, and wealth and changes in these financial factors were more strongly correlated with the persistence of and changes in OOP payments for dental care over time than were health status and changes in health status. The sensitivity to dental coverage changes should be considered as insurance and retirement policy reforms are deliberated.
OBJECTIVE: We analyze correlates of the direction and magnitude of changes in out-of-pocket (OOP) payments for dental care by older Americans over a recent 4-year period. METHODS: We analyzed data from the 2006 and 2008 waves of the Health and Retirement Study. We estimated multinomial logistic models of the direction and linear regression models of the amounts of OOP changes over survey periods. RESULTS: Financial-based factors were more strongly associated with the direction and magnitude of changing self-payments for dental care than were health factors. DISCUSSION: Findings suggested that dental coverage, income, and wealth and changes in these financial factors were more strongly correlated with the persistence of and changes in OOP payments for dental care over time than were health status and changes in health status. The sensitivity to dental coverage changes should be considered as insurance and retirement policy reforms are deliberated.
Authors: Richard J Manski; John F Moeller; Haiyan Chen; Jody Schimmel; Patricia A St Clair; John V Pepper Journal: J Public Health Dent Date: 2012-09-21 Impact factor: 1.821
Authors: Richard J Manski; John F Moeller; Haiyan Chen; Patricia A St Clair; Jody Schimmel; John V Pepper Journal: J Public Health Dent Date: 2012-04-20 Impact factor: 1.821
Authors: Richard J Manski; John Moeller; Haiyan Chen; Patricia A St Clair; Jody Schimmel; Larry Magder; John V Pepper Journal: J Public Health Dent Date: 2010 Impact factor: 1.821
Authors: Richard J Manski; John Moeller; Jody Schimmel; Patricia A St Clair; Haiyan Chen; Larry Magder; John V Pepper Journal: J Public Health Dent Date: 2010 Impact factor: 1.821