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Systematic Reviews
Published in: Systematic Reviews 1/2021

Open Access 01-12-2021 | Research

Inequalities in utilization and provision of dental services: a scoping review

Authors: Arash Ghanbarzadegan, Peivand Bastani, Liana Luzzi, David Brennan

Published in: Systematic Reviews | Issue 1/2021

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Abstract

Background

There are many determinants that can affect inequality in oral and dental health. This study is aimed to explore the main determinants of inequality in both utilization and provision of dental services in Organization for Economic Co-operation and Development (OECD) countries.

Methods

Four databases including PubMed, ISI WOS, Scopus, and ProQuest were searched up to 8 Aug 2020, applying the relevant keywords. Thematic analysis was used for synthesizing and extracting data. Trend analysis was applied to determine the trends of the inequality determinants.

Results

Thematic analysis led to 6 main themes, 13 sub-themes, and 53 sub-sub-themes. The main themes represent the main inequality determinants for both utilization and provision of dental services. The streamgraph illustrated that fewer studies have been conducted on social and cultural determinants, and for almost all determinants the trend of published articles has been increasing since 2007, with the exception of health policies.

Conclusions

Inequality in the utilization and provision of dental services is addressed by various factors including individual, social, cultural and economic determinants, health policies, and availability of services. The first four determinants are related to utilization and the last two are related to the provision of services. All these aspects must be considered to reduce inequality in dental services.
Appendix
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Metadata
Title
Inequalities in utilization and provision of dental services: a scoping review
Authors
Arash Ghanbarzadegan
Peivand Bastani
Liana Luzzi
David Brennan
Publication date
01-12-2021
Publisher
BioMed Central
Published in
Systematic Reviews / Issue 1/2021
Electronic ISSN: 2046-4053
DOI
https://doi.org/10.1186/s13643-021-01779-2

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