{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T18:38:18Z","timestamp":1787164698173,"version":"build-2736575974"},"reference-count":33,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,6,13]],"date-time":"2023-06-13T00:00:00Z","timestamp":1686614400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Gerodontology"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To pilot an exploration of older adults' future preferences using discrete choice experiments to understand who should provide dental examinations and treatment, where these services should be provided, and participants' willingness to pay and willingness to travel.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The proportion of older adults in the general population is increasing and is recognised as a pressing public health challenge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Older people aged 65\u2009years and over were recruited into this study from the UK, Switzerland and Greece. Drawing on earlier stakeholder engagement, a set of choice experiments are developed to explore the future preferences of older people for dental examinations and dental treatment, as they anticipated losing their independence. These were presented to the participants using a range of platforms, because of the COVID pandemic. Data were analysed in STATA using a random\u2010effects logit model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Two hundred and forty\u2010six participants (median age 70\u2009years) completed the pilot study. There was a strong preference across all countries for a dentist to undertake a dental examination (Greece: \u03b2\u2009=\u20090.944, Switzerland: \u03b2\u2009=\u20090.260, UK \u03b2\u2009=\u20090.791), rather than a medical doctor (Greece: \u03b2\u2009=\u2009\u22120.556, Switzerland: \u03b2\u2009=\u2009\u22120.4690, UK: \u03b2\u2009=\u2009\u22120.468). Participants in Switzerland and the UK preferred these examinations to be undertaken in a dental practice (Switzerland: \u03b2\u2009=\u20090.220, UK: \u03b2\u2009=\u20090.580) while participants in Greece preferred the dental examination to be undertaken in their homes (\u03b2\u2009=\u20091.172). Greek participants preferred dental treatment to be undertaken by a specialist (\u03b2\u2009=\u20090.365) in their home (\u03b2\u2009=\u20090.862), while participants from the UK and Switzerland preferred to avoid any dental treatment at home (Switzerland: \u03b2\u2009=\u2009\u22120.387; UK: \u03b2\u2009=\u2009\u22120.444). Willingness to pay analyses highlighted that participants in Switzerland and the UK were willing to pay more to ensure the continuity of future service provision at a family dental practice (Switzerland: \u03b2\u2009=\u20090.454, UK: \u03b2\u2009=\u20090.695).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Discrete choice experiments are valuable for exploring older people's preferences for dental service provision in different countries. Future larger studies should be conducted to further explore the potential of this approach, given the pressing need to design services that are fit for purpose for older people. Continuity of dental service provision is considered as important by most older people, as they anticipate losing their dependence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ger.12696","type":"journal-article","created":{"date-parts":[[2023,6,13]],"date-time":"2023-06-13T04:31:03Z","timestamp":1686630663000},"page":"220-230","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Exploring preferences of older adults for dental services: A pilot multi\u2010national discrete choice experiment"],"prefix":"10.1111","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4094-6955","authenticated-orcid":false,"given":"Najla","family":"Chebib","sequence":"first","affiliation":[{"name":"Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine University of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Holmes","sequence":"additional","affiliation":[{"name":"Centre for Health Economics and Medicines Evaluation (CHEME), School of Health Sciences Bangor University  Bangor UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3343-787X","authenticated-orcid":false,"given":"Sabrina","family":"Maniewicz","sequence":"additional","affiliation":[{"name":"Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine University of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samir","family":"Abou\u2010Ayash","sequence":"additional","affiliation":[{"name":"Division of Gerodontology, School of Dental Medicine University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3365-576X","authenticated-orcid":false,"given":"Murali","family":"Srinivasan","sequence":"additional","affiliation":[{"name":"Clinic of General\u2010 Special care\u2010 and Geriatric Dentistry, Center of Dental Medicine University of Z\u00fcrich  Z\u00fcrich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8478-1673","authenticated-orcid":false,"given":"Gerald","family":"McKenna","sequence":"additional","affiliation":[{"name":"Health Services Research Group, Centre for Public Health Queens University Belfast  Belfast UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0610-6984","authenticated-orcid":false,"given":"Anastasia","family":"Kossioni","sequence":"additional","affiliation":[{"name":"Division of Gerodontology, Department of Prosthodontics Dental School of the National and Kapodistrian University of Athens  Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Schimmel","sequence":"additional","affiliation":[{"name":"Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine University of Geneva  Geneva Switzerland"},{"name":"Centre for Health Economics and Medicines Evaluation (CHEME), School of Health Sciences Bangor University  Bangor UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3981-0134","authenticated-orcid":false,"given":"Frauke","family":"M\u00fcller","sequence":"additional","affiliation":[{"name":"Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine University of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Brocklehurst","sequence":"additional","affiliation":[{"name":"Public Health Wales  Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,13]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"World Health Organisation.Ageing and health. 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