The financial estimation of fluoride application coverage for children and adolescents

Ji-Eun Jeon; Se-Hwan Jung; Dong-Hun Han; Sae-Rom Lee; Jae-In Ryu

doi:10.11149/jkaoh.2020.44.1.20

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Jeon, Jung, Han, Lee, and Ryu: The financial estimation of fluoride application coverage for children and adolescents

Original Article

J Korean Acad Oral Health 2020;44(1):20-25.

Published online: 15 March 2020

DOI: https://doi.org/10.11149/jkaoh.2020.44.1.20

The financial estimation of fluoride application coverage for children and adolescents

Ji-Eun Jeon¹, Se-Hwan Jung², Dong-Hun Han³, Sae-Rom Lee⁴, Jae-In Ryu^4,

¹Department of Preventive and Social Dentistry, Graduate School, Kyung Hee University, Seoul, Korea

²Department of Preventive and Public Health Dentistry, College of Dentistry, Gangneung-Wonju National University, Gangneung, Korea

³Department of Preventive and Social Dentistry, School of Dentistry, Seoul National University, Seoul, Korea

⁴Department of Preventive and Social Dentistry, College of Dentistry, Kyung Hee University, Seoul, Korea

Corresponding Author: Jae-In Ryu Department of Preventive and Social Dentistry, College of Dentistry, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Korea Tel: +82-2-961-0579 Fax: +82-2-961-9594 E-mail: jaeinryu@khu.ac.kr https://orcid.org/0000-0002-1923-8030

Received 27 November 2019 Revised 17 December 2019 Accepted 24 December 2019

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives

This study aimed to estimate the financial budget of fluoride application in the National Health Insurance.

Methods

The amount of fluoride application was calculated by using the sealant rate (utilization rate 1), dental examination rate (utilization rate 2), and the average rate of these two (utilization rate 3) in children and adolescents. For the next five years, 100% of the existing fees were applied to estimate the financial budget.

Results

The total budget for children and adolescents was estimated to be 22.0 billion won minimum and 83.5 billion won maximum in the first year, and 104.8 billion won minimum and 398.5 billion won maximum up to the next five years. Moreover, in high risk groups, the total budget was estimated to be 4.2 billion won minimum and 16.1 billion won maximum in the first year, and 18.6 billion won minimum and 70.8 billion won maximum up to the next five years.

Conclusions

The financial budget of fluoride application coverage for children and adolescents was similar or lower than that of the current dental sealants. It needs to implement promptly with the reason of financial saving over the long-term point of view. Based on this evidence, it is affordable and necessary to begin to promote oral health for children and adolescents.

Keywords: Children and adolescent, Financial estimation, Fluoride application, Health insurance

References

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Table 1.

Estimation population with fluoride application(Unit: person)

Division	Estimated 5-19yrs population	Estimated populationcovered by NHI*	Estimated population once a year fluoride application			Estimated population additional once a year fluoride application
Division	Estimated 5-19yrs population	Estimated populationcovered by NHI*	Utilization rate 1^†	Utilization rate 2^‡	Utilization rate 3^§	Utilization rate 1^†	Utilization rate 2^‡	Utilization rate 3^§
2019	7,188,754	7,067,729	784,518	2,982,581	1,883,550	150,996	574,058	363,208
2020	7,006,468	6,888,511	764,625	2,906,952	1,835,788	141,379	537,493	340,073
2021	6,836,898	6,721,796	746,119	2,836,598	1,791,359	132,326	503,076	318,297
2022	6,704,212	6,591,344	731,639	2,781,547	1,756,593	124,218	472,254	298,796
2023	6,567,562	6,456,995	716,726	2,724,852	1,720,789	116,303	442,161	279,756

*Estimated population covered by NHI=Estimated 5-19 yrs population×98.0% (Percentage of people covered by NHI in 2018).

†Utilization rate 1: Sealants rate 11.1%.

^‡Utilization rate 2: Dental examination rate 42.2%.

^§Utilization rate 3: Average rate of 1 and 2 26.7%.

Table 2.

Financial estimates once a year over the next five years (2019-2023)

Division	Year	Amount of fluoride application (number)	Total budget 100% (million won)	Insurance benefit 90% (million won)	Out-of-pocket payment 10% (million won)
Utilization rate 1*	Total	3,743,628	104,822	94,339	10,482
	2019	784,518	21,967	19,770	2,197
	2020	764,625	21,409	19,269	2,141
	2021	746,119	20,891	18,802	2,089
	2022	731,639	20,486	18,437	2,049
	2023	716,726	20,068	18,062	2,007
Utilization rate 2^†	Total	14,232,530	398,511	358,660	39,851
	2019	2,982,581	83,512	75,161	8,351
	2020	2,906,952	81,395	73,255	8,139
	2021	2,836,598	79,425	71,482	7,942
	2022	2,781,547	77,883	70,095	7,788
	2023	2,724,852	76,296	68,666	7,630
Utilization rate 3^‡	Total	8,988,079	251,666	226,500	25,167
	2019	1,883,550	52,739	47,465	5,274
	2020	1,835,788	51,402	46,262	5,140
	2021	1,791,359	50,158	45,142	5,016
	2022	1,756,593	49,185	44,266	4,918
	2023	1,720,789	48,182	43,364	4,818

*Utilization rate 1: Sealants rate 11.1%.

^† Utilization rate 2: Dental examination rate 42.2%.

^‡ Utilization rate 3: Average rate of 1 and 2 26.7%.

Table 3.

Financial estimates additional once a year for high risk group over the next five years (2019-2023)

Division	Year	Amount of fluoride application (number)	Total budget 100% (million won)	Insurance benefit 90% (million won)	Out-of-pocket payment 10% (million won)
Utilization rate 1*	Total	665,222	18,626	16,764	1,863
	2019	150,996	4,228	3,805	423
	2020	141,379	3,959	3,563	396
	2021	132,326	3,705	3,335	371
	2022	124,218	3,478	3,130	348
	2023	116,303	3,256	2,931	326
Utilization rate 2^†	Total	2,529,043	70,813	63,732	7,081
	2019	574,058	16,074	14,466	1,607
	2020	537,493	15,050	13,545	1,505
	2021	503,076	14,086	12,678	1,409
	2022	472,254	13,223	11,901	1,322
	2023	442,161	12,381	11,142	1,238
Utilization rate 3^‡	Total	1,600,129	44,804	40,323	4,480
	2019	363,208	10,170	9,153	1,017
	2020	340,073	9,522	8,570	952
	2021	318,297	8,912	8,021	891
	2022	298,796	8,366	7,530	837
	2023	279,756	7,833	7,050	783

*Utilization rate 1: Sealants rate 11.1%.

^† Utilization rate 2: Dental examination rate 42.2%.

^‡ Utilization rate 3: Average rate of 1 and 2 26.7%.

Table 4.

Financial estimates once or twice a year over the next five years (2019-2023)

Division	Year	Once a year	Once more a year for high risk groups	Total budget 100% (million won)	Insurance benefit 90% (million won)	Out-of-pocket payment 10% (million won)
Utilization rate 1*	Total	104,822	18,626	123,448	111,103	12,345
	2019	21,967	4,228	26,195	23,576	2,620
	2020	21,409	3,959	25,368	22,831	2,537
	2021	20,891	3,705	24,596	22,136	2,460
	2022	20,486	3,478	23,964	21,568	2,396
	2023	20,068	3,256	23,324	20,992	2,332
Utilization rate 2^†	Total	398,511	70,813	469,324	422,392	46,932
	2019	83,512	16,074	99,586	89,627	9,959
	2020	81,395	15,050	96,445	86,801	9,645
	2021	79,425	14,086	93,511	84,160	9,351
	2022	77,883	13,223	91,106	81,995	9,111
	2023	76,296	12,381	88,677	79,809	8,868
Utilization rate 3^‡	Total	251,666	44,804	296,470	266,823	29,647
	2019	52,739	10,170	62,909	56,618	6,291
	2020	51,402	9,522	60,924	54,832	6,092
	2021	50,158	8,912	59,070	53,163	5,907
	2022	49,185	8,366	57,551	51,796	5,755
	2023	48,182	7,833	56,015	50,414	5,602

*Utilization rate 1: Sealants rate 11.1%.

^† Utilization rate 2: Dental examination rate 42.2%.

^‡ Utilization rate 3: Average rate of 1 and 2 26.7%.

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