Abstract

Hong Kong has a large and growing population of older adults but their oral health conditions and utilization of dental services are far from optimal. To reduce the financial barriers and to improve the accessibility of dental care services to the older adults, a number of programmes adopting an innovative shared funding, administration, and provision mode have recently been implemented. In this review, an online search on the Hong Kong government websites and the electronic medical literature databases was conducted using keywords such as “dental care,” “dental service,” and “Hong Kong.” Dental care services for older adults in Hong Kong were identified. These programmes include government-funded outreach dental care service provided by non-governmental organizations (NGOs), provision of dentures and related treatments by private and NGO dentists supported by the Community Care Fund, and government healthcare vouchers for private healthcare, including dental, services. This paper presents the details of the operation of these programmes and the initial findings. There is indirect evidence that these public-funded dental care service programmes have gained acceptance and support from the government, the service recipients, and the providers. The experience gained is of great value for the development of appropriate dental care services for the older adults in Hong Kong and worldwide.

Highlights

  • Located on the south coast of China, Hong Kong is one of the special administrative regions of the People’s Republic of China

  • This article aimed to describe the scope of service, administration, and financial arrangements of the dental care service programmes, especially those that use public funding, so as to provide an overview of the dental care service for older adults in

  • The Community Care Fund (CCF) Dental Assistance Programme in Hong Kong sets a fixed fee for each dental treatment item as a way of financial and administrative control which is similar to the practice of the National Health Service (NHS) in the UK

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Summary

Introduction

Located on the south coast of China, Hong Kong is one of the special administrative regions of the People’s Republic of China. It has a total population of 7.5 million and ranks fourth in the world in terms of population density (6782 residents per square kilometer) [1]. Hong Kong has the fourth highest human development index score and the life expectancy of Hong Kong people, 84.9 years, is the highest in the world [2]. With a low fertility rate of less than 2100 per 1000 women over the past decades [3], both the number and the proportion of older adults (people aged 60 or above) in Hong Kong have been increasing. There are approximately 1.9 million people aged 60 or above residing in Hong. According to the government projection, the proportion of older adults in the

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