Health inequalities in the geographic distribution of dental practitioners in Costa Rica: an ecological study

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dc.creatorBarboza Solís, Cristina
dc.creatorBarahona Cubillo, Juan
dc.creatorFantin, Romain Clement
dc.date.accessioned2024-08-14T16:39:08Z
dc.date.available2024-08-14T16:39:08Z
dc.date.issued2023
dc.description.abstractResults: Mean national LPA was 6.5 full-time equivalents per 10 000 inhabitants, 3.4% of the Costa Rican population had no access to dentist; 12.9% had very low accessibil- ity, 22.7% had low accessibility, 35.0% had good accessibility, 16.2% had high accessi- bility, and 9.8% had very high accessibility. Overall, 39% of the population has a rather low accessibility. LPA was higher in urban districts compared to rural districts and in wealthiest districts compared to most disadvantaged districts. Within districts, after adjustment for district's characteristics, LPA was higher in urban MGU compared to rural MGU and in wealthiest MGU compared to most disadvantaged MGU. Conclusions: This study found that despite having a high number of dentists, their numbers are small in many areas, increasing inequalities in access to health care. The dentist's free establishment, where they can decide to provide private services within a community, creates zones with very high densities, in particular in the wealthiest urban areas, and others with very low densities, in particular the poorest rural areas. The lack of territorial planning has been one of the reasons that has encouraged an imbalance in the availability of dental human resources. To achieve effective universalen_CR
dc.description.pages1-8
dc.description.urihttps://onlinelibrary.wiley.com/doi/10.1111/cdoe.12899
dc.identifier.issn1600-0528es_CR
dc.identifier.urihttps://repositorio.sibdi.ucr.ac.cr/handle/123456789/22495
dc.language.isoengen_CR
dc.publisherCommunity Dentistry and Oral Epidemiology, Early view
dc.subjectSALUDes_CR
dc.subjectSALUD PUBLICAes_CR
dc.subjectSERVICIOS DE SALUDes_CR
dc.subjectDESIGUALDADes_CR
dc.subjectHEALTH INEQUALITIESes_CR
dc.subjectHEALTH INEQUITIESes_CR
dc.subjectHEALTH SERVICES AVAILABILITYes_CR
dc.subjectHEALTH SERVICES GEOGRAPHICes_CR
dc.subjectACCESIBILITYes_CR
dc.subjectLMICses_CR
dc.titleHealth inequalities in the geographic distribution of dental practitioners in Costa Rica: an ecological studyen_CR
dc.typeArticle

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Romain Fantin Clement
Sistemas de Salud

SIBDI, UCR - San José, Costa Rica.

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