Home 2016 - Volume 16 (3) A DETAILED FRAMEWORK OF METHODS USED TO CALCULATE COSTS OF PERIODONTAL TREATMENT IN MALAYSIAN PUBLIC DENTAL CLINICS
A DETAILED FRAMEWORK OF METHODS USED TO CALCULATE COSTS OF PERIODONTAL TREATMENT IN MALAYSIAN PUBLIC DENTAL CLINICS PDF Print E-mail
Monday, 12 December 2016 12:33

Tuti Ningseh Mohd-Dom1, Shahida Mohd-Said2, Mohd Rizal Abdul-Manaf3, Khairiyah Abdul-Muttalib4,5 and Syed Mohamed Aljunid6,7

1Department of Dental Public Health, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Malaysia;

2Department of Periodontology, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Malaysia;

3Department of Community Health, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, 56000 Kuala Lumpur, Malaysia.

4Oral Health Division, Ministry of Health Malaysia, 62584 Putra Jaya, Malaysia;

5Faculty of Dentistry, SEGi University, No 9 Jalan Teknologi, Taman Sains Selangor, Kota Damansara, PJU5, 47810 Petaling Jaya, Selangor, Malaysia;

6International Training Centre for Casemix and Clinical Coding, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, 56000 Kuala Lumpur, Malaysia;

7Department of Health Policy and Management, Faculty of Public Health, Kuwait University, P.O. Box 24923, 13110, Safat, Kuwait.

ABSTRACT

To address research gaps arising from scarcity of documented costing methods in dentistry, this paper provides detailed framework of combined methods used to estimate costs of periodontal procedures. Five specialist periodontal clinics in the Ministry of Health, Malaysia provided clinical and cost data for this study. An expert panel group identified thirty clinical procedures and classified them as diagnostics, non-surgical periodontal treatment and periodontal surgeries. We acquired cost data, administrative and financial records for year 2012 from these clinics, national annual reports, as well as observation of 60 patients undergoing various periodontal treatments to ascertain personnel, time, equipment and materials consumed.  We combined two costing methods in this study: the step-down and activity-based costing (ABC) methods, which were substantiated by a clinical pathway. We measured costs using 2012 Malaysian Ringgit (MYR) values. A total examination package cost MYR121, but separate diagnostics procedures such as full-mouth periodontal assessment, electric pulp test, intraoral/ panoramic radiographs averaged MYR75. Full-mouth supragingival scaling cost MYR215 and full-mouth subgingival debridement MYR638, higher if with systemic/local delivery antibiotics. Cost of regenerative surgeries (MYR1899) was two-fold the resective surgeries (MYR904).  Providers spent about 41% on consumables and the rest on dental equipment (25%), salary (24%) and administration (9%). This study shares the detailed methodology for dental costing which is important as basis for undertaking cost of illness study and estimating economic burden of any oral disease. Cost of periodontal procedures varies according to type of procedure, equipment and consumables used as well as time taken to perform the procedures.

 

Keywords: cost estimation, dental economics, periodontal treatment, periodontics

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Last Updated on Monday, 12 December 2016 12:35
 

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ISSN No : 1675-0306
e-ISSN No : 2590-3829

"This is an Open Access Journal"

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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