Cost-effectiveness simulation of a universal publicly funded sealants application program
Article first published online: 28 SEP 2010
© 2010 American Association of Public Health Dentistry
Journal of Public Health Dentistry
Volume 71, Issue 1, pages 38–45, Winter 2011
How to Cite
Bertrand, É., Mallis, M., Bui, N. M. and Reinharz, D. (2011), Cost-effectiveness simulation of a universal publicly funded sealants application program. Journal of Public Health Dentistry, 71: 38–45. doi: 10.1111/j.1752-7325.2010.00200.x
- Issue published online: 18 MAR 2011
- Article first published online: 28 SEP 2010
- Received: 7/30/2009; accepted 8/9/2010.
- pit and fissure sealants;
- decision support techniques;
- Markov chains;
- public health practice;
- private practice
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.