Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2026
[Who benefits from dental health care research in Germany? - A scoping review of routine and secondary data analysis of dental billing data in Germany].
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Fornefeld Dustin, Fricke Oliver, Schulte Andreas G, Swart Enno, Brzoska Patrick, Schmidt Peter
Аннотация
BACKGROUND: Oral diseases are among the most common health problems worldwide, and they are heavily influenced by social inequalities. Routine and secondary dental data can provide valuable insights into care provision and help identify gaps in care and risk factors. This work aims to analyze the current state of routine and secondary data use in the field, highlight research gaps, and develop implications.
METHOD: This scoping review was conducted according to the method developed by Arksey and O'Malley, which was partially refined by Levac, Colquhoun, and O'Brien. Several databases were searched, including PubMed/MEDLINE, SCOPUS, and PubPsych. A total of 5,823 articles were identified, and 38 publications met the inclusion criteria. Three experienced reviewers evaluated the studies using criterion-guided codebooks.
RESULTS: Most publications (n=29; 76.3%) are international and were published within the last ten years (n=33; 86.8%). Most publications (n=34; 89.5%) focused on a single data source. Only four publications linked different data sets (data linkage). Most publications (n=15; 39.5%) dealt with cost-benefit analyses and economic aspects. Thirteen publications used routine and secondary data to describe utilization behavior and specific risk factors of vulnerable groups, with four focusing on children and adolescents.
DISCUSSION: Routine and secondary data analyses in dentistry offer great potential for identifying gaps in care, pinpointing specific needs, and determining risk factors. There appears to be a three-way division in the content-related objectives of routine and secondary data analysis in dentistry: 1) clinical questions, 2) economic efficiency, and 3) description or identification of vulnerable groups. The latter focuses on people with comorbid somatic diseases, older adults, people with disabilities, and children and adolescents in international discourse. To improve dental care, routine and secondary dental data in Germany must be made more accessible and usable.
METHOD: This scoping review was conducted according to the method developed by Arksey and O'Malley, which was partially refined by Levac, Colquhoun, and O'Brien. Several databases were searched, including PubMed/MEDLINE, SCOPUS, and PubPsych. A total of 5,823 articles were identified, and 38 publications met the inclusion criteria. Three experienced reviewers evaluated the studies using criterion-guided codebooks.
RESULTS: Most publications (n=29; 76.3%) are international and were published within the last ten years (n=33; 86.8%). Most publications (n=34; 89.5%) focused on a single data source. Only four publications linked different data sets (data linkage). Most publications (n=15; 39.5%) dealt with cost-benefit analyses and economic aspects. Thirteen publications used routine and secondary data to describe utilization behavior and specific risk factors of vulnerable groups, with four focusing on children and adolescents.
DISCUSSION: Routine and secondary data analyses in dentistry offer great potential for identifying gaps in care, pinpointing specific needs, and determining risk factors. There appears to be a three-way division in the content-related objectives of routine and secondary data analysis in dentistry: 1) clinical questions, 2) economic efficiency, and 3) description or identification of vulnerable groups. The latter focuses on people with comorbid somatic diseases, older adults, people with disabilities, and children and adolescents in international discourse. To improve dental care, routine and secondary dental data in Germany must be made more accessible and usable.