Dental decisionmaking and variation in dentist service rates

Practical Belief Scales Among Private General Dental Practitioners

“…9 Previous analysis of service rates and practice beliefs found PA associated with more crowns but less crown buildups and root canal therapy, while PI was associated with fewer extractions and IG with less bridge work. 8 In this study, beliefs of PO were associated with higher rates of restorative and total services per visit, PI with higher preventive rates and IG with lower extraction and prosthodontic rates but higher crown and bridge rates. Some differences between the studies may be related to definition and categorisation of services.…”

Practical Belief Scales Among Private General Dental Practitioners

“…9 Previous analysis of service rates and practice beliefs found PA associated with more crowns but less crown buildups and root canal therapy, while PI was associated with fewer extractions and IG with less bridge work. 8 In this study, beliefs of PO were associated with higher rates of restorative and total services per visit, PI with higher preventive rates and IG with lower extraction and prosthodontic rates but higher crown and bridge rates. Some differences between the studies may be related to definition and categorisation of services.…”

Practice Characteristics Associated with Patient‐Specific Receipt of Dental Diagnostic Radiographs

“…The fact that this was observed only for certain radiograph types is still consistent with the hypothesis because exposing an FMX would be a pre‐requisite for complex and/or comprehensive treatment that would be costly. In what to our knowledge is the only other dental study related to practice busyness, practice busyness was found to be related to volume of prosthetic crown and bridge services, but not to diagnostic services (Grembowski, Milgrom, and Fiset 1991). However, in that study diagnostic services were aggregated to include all types of diagnostic services (radiographs or otherwise), and consequently did not disaggregate services into specific radiographic service types.…”

The Use of Administrative Databases to Assess Oral Health Care

“…The examination of provider practices was the most common type of study. These fell into four categories: a) general descriptive (22,(29)(30)(31)(32)(33); b) comparing practices among types of providers (34)(35)(36); c) comparing service provision among those providing care under different forms of insurance (18,19,37); or d) as influenced by factors other than type of insurance (21,23,34,(38)(39)(40)(41). A second group of studies examined the consequences or longevity of dental care interventions (20,(42)(43)(44)(45)(46) and one study (47) was found that used linked administrative databases to report on the prevalence of dental conditions.…”

“…Grembowski et al (38) showed that variation in service rates was common among dentists and was influenced by practice size and urban location, patient exposure to fluoridated water and to non-price competitive factors. Linking the database findings to the dentists' self-reports on factors that were important in decision making, Grembowski et al (39) found that dentists' reports of patient factors explained less than 30% of the service v01. 65, No.…”

Practical Belief Scales Among Private General Dental Practitioners

“…9 Previous analysis of service rates and practice beliefs found PA associated with more crowns but less crown buildups and root canal therapy, while PI was associated with fewer extractions and IG with less bridge work. 8 In this study, beliefs of PO were associated with higher rates of restorative and total services per visit, PI with higher preventive rates and IG with lower extraction and prosthodontic rates but higher crown and bridge rates. Some differences between the studies may be related to definition and categorisation of services.…”

Practice Characteristics Associated with Patient‐Specific Receipt of Dental Diagnostic Radiographs

“…The fact that this was observed only for certain radiograph types is still consistent with the hypothesis because exposing an FMX would be a pre‐requisite for complex and/or comprehensive treatment that would be costly. In what to our knowledge is the only other dental study related to practice busyness, practice busyness was found to be related to volume of prosthetic crown and bridge services, but not to diagnostic services (Grembowski, Milgrom, and Fiset 1991). However, in that study diagnostic services were aggregated to include all types of diagnostic services (radiographs or otherwise), and consequently did not disaggregate services into specific radiographic service types.…”

The Use of Administrative Databases to Assess Oral Health Care

“…The examination of provider practices was the most common type of study. These fell into four categories: a) general descriptive (22,(29)(30)(31)(32)(33); b) comparing practices among types of providers (34)(35)(36); c) comparing service provision among those providing care under different forms of insurance (18,19,37); or d) as influenced by factors other than type of insurance (21,23,34,(38)(39)(40)(41). A second group of studies examined the consequences or longevity of dental care interventions (20,(42)(43)(44)(45)(46) and one study (47) was found that used linked administrative databases to report on the prevalence of dental conditions.…”

“…Grembowski et al (38) showed that variation in service rates was common among dentists and was influenced by practice size and urban location, patient exposure to fluoridated water and to non-price competitive factors. Linking the database findings to the dentists' self-reports on factors that were important in decision making, Grembowski et al (39) found that dentists' reports of patient factors explained less than 30% of the service v01. 65, No.…”

Practical Belief Scales Among Private General Dental Practitioners

“…9 Previous analysis of service rates and practice beliefs found PA associated with more crowns but less crown buildups and root canal therapy, while PI was associated with fewer extractions and IG with less bridge work. 8 In this study, beliefs of PO were associated with higher rates of restorative and total services per visit, PI with higher preventive rates and IG with lower extraction and prosthodontic rates but higher crown and bridge rates. Some differences between the studies may be related to definition and categorisation of services.…”

Practice Characteristics Associated with Patient‐Specific Receipt of Dental Diagnostic Radiographs

“…The fact that this was observed only for certain radiograph types is still consistent with the hypothesis because exposing an FMX would be a pre‐requisite for complex and/or comprehensive treatment that would be costly. In what to our knowledge is the only other dental study related to practice busyness, practice busyness was found to be related to volume of prosthetic crown and bridge services, but not to diagnostic services (Grembowski, Milgrom, and Fiset 1991). However, in that study diagnostic services were aggregated to include all types of diagnostic services (radiographs or otherwise), and consequently did not disaggregate services into specific radiographic service types.…”

The Use of Administrative Databases to Assess Oral Health Care

“…The examination of provider practices was the most common type of study. These fell into four categories: a) general descriptive (22,(29)(30)(31)(32)(33); b) comparing practices among types of providers (34)(35)(36); c) comparing service provision among those providing care under different forms of insurance (18,19,37); or d) as influenced by factors other than type of insurance (21,23,34,(38)(39)(40)(41). A second group of studies examined the consequences or longevity of dental care interventions (20,(42)(43)(44)(45)(46) and one study (47) was found that used linked administrative databases to report on the prevalence of dental conditions.…”

“…Grembowski et al (38) showed that variation in service rates was common among dentists and was influenced by practice size and urban location, patient exposure to fluoridated water and to non-price competitive factors. Linking the database findings to the dentists' self-reports on factors that were important in decision making, Grembowski et al (39) found that dentists' reports of patient factors explained less than 30% of the service v01. 65, No.…”