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Health Serv Res. 1987 February; 21(6): 755–775.
PMCID: PMC1068988

Dental care demand among children with dental insurance.


As the number of families with dental insurance and expenditures for dental care has increased over the past two decades, so has interest in determining cost-sharing effects on dental demand among insureds. Using a representative sample of Pennsylvania Blue Shield children insureds during 1980, we estimate cost-sharing effects on dental demand for basic (diagnostic, preventive, restorative, endodontic, and extraction services) and orthodontic care. Results indicate that cost-sharing has little influence on the probability of using any dental services and basic expenditures. However, the probability of using orthodontic services decreases 2.1 percent when the proportion of orthodontic expenditures paid by the parent increases 10 percent. By reducing the cost of care, cost-sharing reduces social class differences in dental demand common in unisured populations, likely producing public oral health benefits.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Grembowski D, Conrad D, Milgrom P. Utilization of dental services in the United States and an insured population. Am J Public Health. 1985 Jan;75(1):87–89. [PubMed]
  • Conrad DA, Grembowski D, Milgrom P. Adverse selection within dental insurance markets. Adv Health Econ Health Serv Res. 1985;6:171–193. [PubMed]
  • Grembowski D, Conrad D. Insurance effects on employer group dental expenditures. Med Care. 1984 Jun;22(6):501–510. [PubMed]
  • Manning WG, Bailit HL, Benjamin B, Newhouse JP. The demand for dental care: evidence from a randomized trial in health insurance. J Am Dent Assoc. 1985 Jun;110(6):895–902. [PubMed]
  • Bailit HL, Brook RH, Kamberg CJ, Goldberg GA, Spolsky V, Camp P, Cantrell C, Hanley J, Black A, Newhouse JP. The effect of cost sharing on the quality of dental care. J Dent Educ. 1984 Nov;48(11):597–605. [PubMed]
  • Bailit HL, Clive J. The development of dental practice profiles. Med Care. 1981 Jan;19(1):30–46. [PubMed]

Articles from Health Services Research are provided here courtesy of Health Research & Educational Trust