J Korean Acad Oral Health.  2020 Mar;44(1):20-25. 10.11149/jkaoh.2020.44.1.20.

The financial estimation of fluoride application coverage for children and adolescents

• Jeon JE
• Jung SH
• Han DH
• Lee SR
• Ryu JI

• KMID: 2471980
• DOI: http://doi.org/10.11149/jkaoh.2020.44.1.20

Abstract

OBJECTIVES
This study aimed to estimate the financial budget of fluoride application in the National Health Insurance.
METHODS
The amount of fluoride application was calculated by using the sealant rate (utilization rate 1), dental examination rate (utilization rate 2), and the average rate of these two (utilization rate 3) in children and adolescents. For the next five years, 100% of the existing fees were applied to estimate the financial budget.
RESULTS
The total budget for children and adolescents was estimated to be 22.0 billion won minimum and 83.5 billion won maximum in the first year, and 104.8 billion won minimum and 398.5 billion won maximum up to the next five years. Moreover, in high risk groups, the total budget was estimated to be 4.2 billion won minimum and 16.1 billion won maximum in the first year, and 18.6 billion won minimum and 70.8 billion won maximum up to the next five years.
CONCLUSIONS
The financial budget of fluoride application coverage for children and adolescents was similar or lower than that of the current dental sealants. It needs to implement promptly with the reason of financial saving over the long-term point of view. Based on this evidence, it is affordable and necessary to begin to promote oral health for children and adolescents.

Keyword

Children and adolescent; Financial estimation; Fluoride application; Health insurance

MeSH Terms

Adolescent*
Budgets
Child*
Fees and Charges
Fluorides*
Humans
Insurance, Health
National Health Programs
Oral Health
Pit and Fissure Sealants
Fluorides
Pit and Fissure Sealants

Reference

References

1. Ko MJ, Kim YJ, Park JY, An JH, Kim JM, Baek YJ, et al. Priority setting of clinical preventive services for benefits extension. Seoul: National Evidence-based Healthcare Collaborating Agency;2014. p. 1–8.

2. Choi JS, Park DY, Jung SH. The relationship between pit and fissure sealant (PFS) experience and the socio-economic factors of adolescents before and after coverage by National Health Insurance (NHI). J Korean Acad Oral Health. 2017; 41:116–121.

3. Kim YT, Lee JB, Lee JH, Choi JG, Kim DW. Investigation and improvement plan before and after scaling insurance coverage. Gyeonggi: National Health Insurance Service Ilsan Hospital Institue of Health Insurance & Clinical Research;2015. p. 1–84.

4. Han JH. A Study on priority-setting in expanding the dental health insurance coverage [Doctoral dissertation]. Seoul: Hanyang Univer-sity;2007. [Korean].

5. Kwon HK, Choi YH, Choi CH. The baseline study for insurance coverage of preventive treatment item on Korea National Health Insurance. J Korean Acad Oral Health. 2002; 26:271–281.

6. Ma DS, Kim BI, Kim YN, Park DY, Park YD, Shin HS, et al. A study on the rational plan for selecting expansion priority of dental health insurance coverages. Gangneung: Gangneung University Research and University-Industry Cooperation;2006. p. 1–162.

7. Lynch RJ, Navada R, Walia R. Low-levels of fluoride in plaque and saliva and their effects on the demineralisation and remineralisation of enamel; role of fluoride toothpastes. Int Dent J. 2004; 54(Suppl 1):S304–309.

8. American Academy of Pediatric Dentistry. Guideline on fluoride therapy. IL: American Academy of Pediatric Dentistry;2018. p. 250–253.

9. Sousa FSO, Dos Santos APP, Nadanovsky P, Hujoel P, Cunha-Cruz J, Oliveira BH. Fluoride varnish and dental caries in preschoolers: a systematic review and meta-analysis. Caries Res. 2019; 53:502–513.

10. Bonetti D, Clarkson JE. Fluoride varnish for caries prevention: efficacy and implementation. Caries Res. 2016; 50(Suppl 1):45–49.

11. Hsu CL, Lin WS, Lin CH, Liu J. The effect of professional fluoride application program for preschool children in Taiwan: An analysis using the National Health Insurance Research Database (NHIRD). J Dent Sci. 2018; 13:248–255.

12. Healthcare Big data Hub. Medical statistics information, medical practice statistics [Internet]. [Cited 2019 Sep 3]. Available from:. http://opendata.hira.or.kr/op/opc/olapDiagBhvInfo.do.

13. National Health Insurance Service. 2017 National health screening statistical yearbook. Gangwon: National Health Insurance Ser-vice;2018. p. 559–661.

14. Health insurance review&assessment service, National health insurance service. 2018 National health insurance statistical yearbook. Gangwon: Health insurance review&assessment service, National health insurance service;2019. p. 1–936.

15. Weyant RJ, Tracy SL, Anselmo TT, Beltran-Aguilar ED, Donly KJ, Frese WA, et al. Topical fluoride for caries prevention: executive summary of the updated clinical recommendations and supporting systematic review. J Am Dent Assoc. 2013; 144:1279–1291.

16. Bratthall D. Introducing the Significant Caries Index together with a proposal for a new global oral health goal for 12-year-olds. Int Dent J. 2000; 50:378–384.

17. Gyeonggi public health policy institute. Analysis of adequacy of dental fee of registered dentists in Gyeonggi. Gyeonggi: Gyeonggi public health policy institute;2019. p. 1–153.

18. Park HJ. Impact of NHI dental care coverage expansion on dental service utilization: focusing on the insurance coverage of dental scaling.[Doctoral dissertation]. Seoul: Korea University;2016. [Korean].

19. Lee CS, Kwon HS, Chae JM. A financial projection of health insurance expenditures reflecting changes in demographic structure. J Korean Public Health Nursing. 2017; 31:5–18.

20. Lee HB, Lee SY. Forecasting of elderly medical expenditure and its implications for health insurance. Korean J Insur. 2019; 117:43–68.

21. Healthcare Big data Hub. Medical statistics information, medical practice statistics [Internet]. [Cited 2019 Oct 14]. Available from:. http://opendata.hira.or.kr/op/opc/olapDiagBhvInfo.do.

22. Lee YS, Jung SH, Lee KS. The research on an actuarial budget of insurance payment for some items of preventive dental service. J Korean Acad Oral Health. 2003; 27:539–551.

23. Ministry of Health and Welfare. News&Welfare, Press Release [Internet]. [Cited 2019 Sep 25]. Available from:. http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ=223789&SEARCHKEY=TITLE&SEARCHVALUE=%EC%B9%98%EC%95%84%ED%99%88%EB%A9%94%EC%9A%B0%EA%B8%B0.

24. Ministry of Health and Welfare. News&Welfare, Press Release [Internet]. [Cited 2019 Sep 26]. Available from:. http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ=277297&SEARCHKEY=TITLE&SEARCHVALUE=%EC%B9%98%EC%95%84%ED%99%88%EB%A9%94%EC%9A%B0%EA%B8%B0.

25. Kwon HJ. Treatment trend after applying dental sealants insurance coverage. Hira policy trend. 2014; 8:41–54.

26. Ministry of Health and Welfare. Major outcomes and future plans of the Moon Jae-in government plan for benefit expansion National Health Insurance. Sejong: Ministry of Health and Welfare;2019. p. 1–19.

27. Tsai WC, Kung PT, Weng RH, Su HP. The utilization of fluoride varnish and its determining factors among Taiwanese preschool children. J Chin Med Assoc. 2016; 79:456–463.

28. Chi LY, Lin PY, Wang J, Chu YR, Chang YM. Can government-supported preventive fluoride varnish application service reduce pulp-involved primary molars? J Public Health Dent. 2019; 79:238–245.

29. Lee YT, Park JA, Choi HJ, Park JS, Song TG. The development of payment system for protective inoculation prior to magnifying the guard station of necessary protective inoculation in Korea. Cheongju: Health Industry Development Institute;2008. p. 1–71.