Evidence map›Paper›PMID 42321751›Full record

ArticleBMC oral health2026

Prefecture-level factors associated with home-visit dental care utilization in Japan: focus on dentist workforce characteristics.

Emina Masuda, Kazuo Fujita, Akiyoshi Sekoguchi, Keisuke Nomura, Hideki Yamamoto, Hideto Takahashi

Abstract read
In one paragraph

Article in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Emina MasudaJapan Dental Association Research Institute, 4-1-20 Kudankita, Chiyoda-ku, Tokyo, 102-0073, Japan. masuda_emn@jda.or.jp.ORCID 0000-0003-1924-4091
Kazuo FujitaJapan Dental Association Research Institute, 4-1-20 Kudankita, Chiyoda-ku, Tokyo, 102-0073, Japan.
Akiyoshi SekoguchiJapan Dental Association, 4-1-20 Kudankita, Chiyoda-ku, Tokyo, 102-0073, Japan.
Keisuke NomuraJapan Dental Association, 4-1-20 Kudankita, Chiyoda-ku, Tokyo, 102-0073, Japan.
Hideki YamamotoJapan Dental Association, 4-1-20 Kudankita, Chiyoda-ku, Tokyo, 102-0073, Japan.
Hideto TakahashiJapan Dental Association Research Institute, 4-1-20 Kudankita, Chiyoda-ku, Tokyo, 102-0073, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPopulation aging has increased demand for home-visit dental care in Japan, yet regional disparities persist, as in other aging societies. This study aimed to identify factors associated with regional variation in the utilization of home-visit dental care. As part of an exploratory approach, we also examined home-visit medical care data to consider possible contrasts with dental service provision.

methodsThis ecological cross-sectional study followed the STROBE guidelines and used prefecture-level aggregated data. We calculated the standardized claim ratio (SCR) for home-visit dental services using the 9th edition of the National Database of Health Insurance Claims and Specific Health Checkups of Japan (NDB) Open Data (April 2022 to March 2023). Spearman's correlation coefficient was computed to examine associations between SCR and relevant variables, including average age of dentists, number of dental clinics, and number of dentists in medical facilities. Then, multiple regression analyses were conducted using the SCR of the home-visit dental services, adjusting for the average age of dentists, the number of dental clinics, and the regional aging rate.

resultsPrefectural SCRs for home-visit dental services varied widely (range 24.68-168.79, median 70.52). SCR was negatively correlated with the average age of dentists (R = - 0.65, p < 0.001). In addition, it was positively correlated with the number of dentists working in medical facilities per 100,000 population (R = 0.60, p < 0.001) and number of dental clinics per 100,000 population (R = 0.71, p < 0.001). Multiple regression analysis showed that the average age of dentists had a negative relationship with SCR; the standardized regression coefficient (β) was - 0.30 (p = 0.017), whereas the number of dental clinics had a positive relationship (β = 0.47, p < 0.001).

conclusionRegional variation in home-visit dental care utilization was associated with structural characteristics of the dental workforce. However, these findings should be interpreted as ecological associations influenced by both supply- and demand-side factors, rather than as indicators of individual provider behavior or capacity. The results suggest that workforce structure, including age composition and service infrastructure, may be related to regional disparities in home-visit dental care. Further studies incorporating individual-level and socioeconomic data are needed to clarify underlying mechanisms.

Indexed as

Dental CareDentistsHouse CallsCross-Sectional StudiesHumansJapanWorkforceAgingDental careDentistsHealthcare disparitiesHome care services

Identifiers

PMID42321751
PMCPMC13528153

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.