Οι επιπτώσεις της κρίσης στην οδοντιατρική φροντίδα...

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Οι επιπτώσεις της κρίσης στην οδοντιατρική φροντίδα στην Κύπρο.Η άποψη των οδοντιάτρων

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  • ORIGINAL PAPER 2015, 32(2):194-201ARCHIVES OF HELLENIC MEDICINE 2015, 32(2):194-201

    The effects of the economic crisis on dental care in Cyprus: The opinion of the dentists

    Abstract at the end of the article

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  • 201

    1. WORLD HEALTH ORGANIZATION. Health, health systems and eco-

    nomic crisis in Europe. Impact and policy implications. Euro-

    pean Observatory on Health Systems and Policies, WHO, 2013

    2. MUSGROVE P. The economic crisis and its impact on health and

    health care in Latin America and the Caribbean. Int J Health

    Serv 1987, 17:411441

    3. MUSGROVE P. Human development network. In: Health eco-

    nomics in development. The World Bank, Washington, DC, 2004

    4. WATERS H, SAADAH F, PRADHAN M. The impact of the 199798

    East Asian economic crisis on health and health care in Indo-

    nesia. Health Policy Plan 2003, 18:172181

    5. WALDMAN HB, CANNELLA D. Another view of dentistry during

    the recession. NYSDA News 2010, 23:12

    6. MANSKI RJ, MOELLER JF, CHEN H, SCHIMMEL J, ST CLAIR PA, PEP-

    PER JV. Dental usage under changing economic conditions. J

    Public Health Dent 2014, 74:112

    7. THEODOROU M, CHARALAMBOUS C, PETROU C, CYLUS J. Cyprus

    health system review. Health Syst Transit 2012, 14:1128

    8. CHARALAMBOUS C, THEODOROU M. Systems for the provision

    of oral health care in the black sea countries. Part 13: Cyprus.

    Oral Health Dent Manag 2013, 12:38

    9. PARKER MA. Dental care during a recession. N C Med J 2009,

    70:352353

    10. COOK JV, DICKINSON HO, ECCLES MP. Response rates in postal

    surveys of healthcare professionals between 1996 and 2005:

    An observational study. BMC Health Serv Res 2009, 9:160

    11. PALMER C. Reports measure post-recession dental economy.

    ADA News Jan 10, 2013

    12. KENTIKELENIS A, KRANIKOLOS M, PAPANICOLAS I, BASU S, McKEE

    M, STUCKLER D. Health effects of financial crisis: Omens of a

    Greek tragedy. Lancet 2011, 378:14571458

    13. . .

    , 2013

    14. McCLURE CB, SAEMUNDSSON SR. Effects of a national economic

    crisis on dental habits and checkup behaviors a prospective

    cohort study. Community Dent Oral Epidemiol 2014, 42:106112

    15. MANSKI RJ, MOELLER JF, ST CLAIR PA, SCHIMMEL J, CHEN H, PEPPER

    JV. The influence of change in dental care coverage on dental

    care utilization among retirees and near-retirees in the United

    States, 20042006. Am J Public Health 2011, 101:18821891

    16. GRIGNON M, HURLEY J, WANG L, ALLIN S. Inequity in a market-

    based health system: Evidence from Canadas dental sector.

    Health Policy 2010, 98:8190

    17. ZAVRAS D, TSIANTOU V, PAVI E, MYLONA K, KYRIOPOULOS J. Im-

    pact of economic crisis and other demographic and socio-

    economic factors on self-rated health in Greece. Eur J Public

    Health 2013, 23:206210

    18. EUROPEAN COMMISSION. Report: Oral health. Special Euroba-

    rometer 330/Wave 72.3 TNS Opinion & Social, Brussels, 2010

    19. CHEESEMAN V. The cost of delaying dental care: What dental

    professionals can do to help turn a bad trend around. Den-

    tistry IQ Network 2013

    20. PAVI E, KARAMPLI E, ZAVRAS D, DARDAVESIS T, KYRIOPOULOS J. So-

    cial determinants of dental health services utilisation of Greek

    adults. Community Dent Health 2010, 273:145150

    21. . -

    . : http://www.mof.gov.cy/mof/ird/ird.

    nsf/ dmlindex_gr/ dmlindex_gr?OpenDocument (-

    1.10.2014)

    Corresponding author:

    P. Galanis, 67 Mikras Asias street, GR-115 27 Athens, Greece

    e-mail: pegalan@nurs.uoa.gr

    ...................................................................................................................................................

    The response rate was 51%, as 153 questionnaires were completed, 129 of which were from the private and 24 from

    the public sector. RESULTS In the private sector, 61 of the dentists (47.7%) stated that in 2013 their daily number

    of patients was less than in previous years, and 52 (40.6%) that the figures remained stable. In contrast, 18 (75%) of

    the dentists in the public sector stated that the number of patients increased and 4 (16.7%) that it remained stable

    (p