Financial systems' impact on dental care : a review of fee-for-service and capitation systems

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Financial systems' impact on dental care : a review of fee-for-service and capitation systems

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dc.contributor.author Johansson, Veronica
dc.contributor.author Axtelius, Björn
dc.contributor.author Söderfeldt, Björn
dc.contributor.author Sampogna, Francesca
dc.contributor.author Lannerud, Monica
dc.contributor.author Sondell, Katarina
dc.date.accessioned 2008-01-10T13:21:42Z
dc.date.available 2008-01-10T13:21:42Z
dc.date.issued 2007
dc.identifier.citation 12-20 en
dc.identifier.issn 0265-539X
dc.identifier.uri http://hdl.handle.net/2043/5169
dc.description.abstract Objective This review covers the impact of financial systems on dental care. Background Remuneration in fee-for-service (FFS) is done per service provided and in capitation (CAP) per patient enrolled. It may be expected that dentists’ incentive in CAP is to keep the number of services provided at a minimum, while in FFS it is to keep the number of services at a maximum. This should lead to a different impact on care, with the dentists in CAP focusing more on prevention and dentists in FFS more on restorative treatment. Six questions were put: Does CAP increase or decrease caries incidence? Does CAP increase or decrease restorative treatments? Does CAP increase preventive care? Does CAP increase or decrease productivity? Does CAP increase or decrease the dentist’s satisfaction with his/her work? Does CAP increase or decrease the patients’ satisfaction with the oral care provided? Methods Literature was obtained through searches in databases. A format was developed to define the literature of interest. Results CAP decreases restorative treatment and there is a tendency of decreased caries incidence. “Supervised neglect” cannot be established. CAP increases preventive care. A conclusion regarding productivity was not possible. The results on dentist’s satisfaction with work were inconclusive, as were the results regarding patient satisfaction. Conclusions CAP has a different impact on provided care than FFS. More research is needed in this area and focus on efficiency is of importance. This review was funded by the Swedish Research Council. en
dc.language.iso eng en
dc.subject.classification Medicine en
dc.title Financial systems' impact on dental care : a review of fee-for-service and capitation systems en
dc.type Article, peer reviewed scientific en
dc.contributor.department Malmö University. Faculty of Odontology en
dc.subject.srsc Research Subject Categories::ODONTOLOGY en
dc.relation.ispartofpublication Community Dental Health;1 en
dc.relation.ispartofpublicationvolume 24 en
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