A study on moral hazard in dentistry: costs of care in the private and the public sector

Tuominen, Risto; Eriksson, Anna‐Leena

doi:10.1111/j.1600-0528.2011.00609.x

Cited by 5 publications

(8 citation statements)

References 19 publications

(18 reference statements)

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“…Arinen et al in a study in Finland found that dental expenditures were higher after a subsidization reform( 28 ). Similar results were also found by Eriksson in Turku, Finland ( 29 ). We did not find any significant differences between the 2 groups in laboratory tests.…”

Section: Discussionsupporting

confidence: 90%

Complementary health insurance, out- of- pocket expenditures, and health services utilization: A population- based survey

Rad

Kavosi

Moghadamnia

et al. 2017

Med. J. Islam. Republic Iran

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Background: Studies have shown that people using complementary health insurances have more access to health services than others. In the present study, we aimed at finding the differences between out- of- pocket payments and health service utilizations in complementary health insurances (CHIs) users and nonusers. Methods: Propensity score matching was used to compare the 2 groups. First, confounder variables were identified, and then propensity score matching was used to compare out- of- pocket expenditures with dental, general physician, hospital inpatient, emergency services, nursing, midwifery, laboratory services, specialists and rehabilitation services utilization. Results: Our results revealed no significant differences between the 2 groups in out- of- pocket health expenditures. Also, the specialist visits, inpatient services at the hospital, and dental services were higher in people who used CHIs compared to nonusers. Conclusion: People did not change their budget share for health care services after using CHIs. The payments were equal for people who were not CHIs users due to the increase in the quantity of the services.

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Section: Discussionsupporting

confidence: 90%

Complementary health insurance, out- of- pocket expenditures, and health services utilization: A population- based survey

Rad

Kavosi

Moghadamnia

et al. 2017

Med. J. Islam. Republic Iran

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“…Concern with service costs and payment methods has been emphasized 19 , 24 . However, none of these studies analyzed time series of the service cost, which prevented us from characterizing the factors that influence cost.…”

Section: Discussionmentioning

confidence: 99%

Investments and costs of oral health care for Family Health Care

2016

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OBJECTIVE To estimate the investments to implement and operational costs of a type I Oral Health Care Team in the Family Health Care Strategy.METHODS This is an economic assessment study, for analyzing the investments and operational costs of an oral health care team in the city of Salvador, BA, Northeastern Brazil. The amount worth of investments for its implementation was obtained by summing up the investments in civil projects and shared facilities, in equipments, furniture, and instruments. Regarding the operational costs, the 2009-2012 time series was analyzed and the month of December 2012 was adopted for assessing the monetary values in effect. The costs were classified as direct variable costs (consumables) and direct fixed costs (salaries, maintenance, equipment depreciation, instruments, furniture, and facilities), besides the indirect fixed costs (cleaning, security, energy, and water). The Ministry of Health’s share in funding was also calculated, and the factors that influence cost behavior were described.RESULTS The investment to implement a type I Oral Health Care Team was R$29,864.00 (US$15,236.76). The operational costs of a type I Oral Health Care Team were around R$95,434.00 (US$48,690.82) a year. The Ministry of Health’s financial incentives for investments accounted for 41.8% of the implementation investments, whereas the municipality contributed with a 59.2% share of the total. Regarding operational costs, the Ministry of Health contributed with 33.1% of the total, whereas the municipality, with 66.9%. Concerning the operational costs, the element of heaviest weight was salaries, which accounted for 84.7%.CONCLUSIONS Problems with the regularity in the supply of inputs and maintenance of equipment greatly influence the composition of costs, besides reducing the supply of services to the target population, which results in the service probably being inefficient. States are suggested to partake in funding, especially to cover the team’s operational cost.

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“…The dentists working only in PDS prescribed shorter sick leave for the hypothetical patients than others. Dentists working in the public sector may consider their role as gatekeepers of societal resources more than their colleagues working in the private sector .…”

Section: Discussionmentioning

confidence: 99%

“…Although sick leave for dental complaints tends to be short in duration, the prevalence of dental disease in the population is high, which might lead to significant productivity losses on a societal level (10). The findings of previous studies indicate that the treatment practices of dentists can have a significant effect on the overall costs to society (11)(12)(13)(14). However, there do not appear to be studies on the sick leave prescribed by dentists.…”

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confidence: 99%