The role of payments systems in influencing oral health care provision

Woods, Noel

doi:10.13172/2054-2526-1-1-613

Cited by 6 publications

(8 citation statements)

References 13 publications

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“…Our results are in accordance with earlier studies [14,17,18]. For example, Tickle et al [14], found that changes in incentive structures had a substantial impact on dentists' behavior in England and Wales.…”

Section: Discussionsupporting

confidence: 93%

Reimbursement systems influence prosthodontic treatment of adult patients

Davidson

Rohlin

Hultin

et al. 2015

Acta Odontologica Scandinavica

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Section: Discussionsupporting

confidence: 93%

Reimbursement systems influence prosthodontic treatment of adult patients

Davidson

Rohlin

Hultin

et al. 2015

Acta Odontologica Scandinavica

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“…The risk of overtreatment due to supplier-induced demand may be further amplified by the presence of a third party financier by reducing the patients’ costs for dental care procedures through a high-cost protection scheme. Thus, fee-for-service payment holds no incentive to constrain the amount of treatment [ 23 , 24 ]. When, on the other hand, caregivers receive a fixed amount for each patient, regardless of the patient’s individual care need, as in the capitation scheme, they may feel motivated to minimize the time spent on each patient.…”

Section: Discussionmentioning

confidence: 99%

Who chooses prepaid dental care? A baseline report of a prospective observational study

Andås

Hakeberg

2014

BMC Oral Health

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BackgroundAn optional capitation prepayment system has been implemented in Swedish dental care, supplementary to the traditional fee-for-service scheme within the Public Dental Service. The implementation of a new system may have a variety of preferred and adverse effects, arguably dependent on the individual patient’s attitudes, health beliefs and course of action.The aim of this study was to describe potential differences regarding socioeconomic and lifestyle factors, perceived oral health and attitudes towards oral health between patients in the two payment systems.MethodsQuestionnaire data were consecutively collected from 13,719 patients, who regularly attended 20 strategically selected clinics within the PDS in Region Västra Götaland, before they were offered the choice between the traditional and the new payment system.ResultsCapitation patients were more often female and well educated. They had healthier habits, were more motivated to follow self-care advice, more often judged their oral health to be very good and considered oral health to be very significant for their wellbeing. The results were statistically significant and described a gradient.ConclusionsThe more explicitly affirmative the answer, the more likely the patient was to choose the prepayment scheme. There appears to be a pattern of differences with respect to important individual views on oral health between patients choosing a capitation system or a fee-for-service system. These differences may be important when assessing outcomes in the new payment system and in public dental care.

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“…Reference designs included a quasi-experimental study [ 12 ], a longitudinal study [ 13 ], four systematic reviews [ 14 , 15 , 16 , 17 ], two qualitative research studies [ 18 , 19 ], a narrative literature review [ 20 ], and a cross-sectional study [ 21 ].…”

Section: Resultsmentioning

confidence: 99%

“…There were variances within the study designs. The systematic review by Brocklehurst et al [ 14 ] contained three streams of methodology: (i) quantitative, (ii) qualitative, and (iii) questionnaire, while the Woods review [ 15 ] contained randomized controlled trials. The narrative literature review of Voinea-Griffith et al [ 19 ] included analyses of dental care, evidence-based dentistry, outcome indicators, and diagnostic codes, while the cross-sectional study of Whittaker and Birch [ 21 ] used longitudinal data from the 1991–2008 waves of the British Household Panel Survey.…”

Section: Resultsmentioning

confidence: 99%

Systematic Literature Review of Capitation and Fee-for-Service Payment Models for Oral Health Services: An Australian Perspective

et al. 2021

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The aim of this review was to assess relevant global literature on capped-fee (CF) and fee-for-service (FFS) payment models as used by public dental services. Research data were assessed through the PRISMA check list and sourced from MEDLINE, PubMed, ProQuest, Cochrane Library, and other methods. The inclusion criteria were peer reviewed articles published between 2004 and 2020 and (i) other countries’ health systems that were evaluated in contrast to Australia; (ii) care provided to individuals; (iii) payment models for private services that were the same as Australian government policy (CF and FFS); and (iv) care provided by dentists. We used a mixed methodology for data collection. A total of 262 references were reviewed with 10 references meeting the inclusion criteria with the quality rating being: three—strong, six—moderate, and one—weak. The literature included studies from Sweden (three references), Ireland (three references), United Kingdom (six references), United States of America (two references), and Norway (one reference). Four references included studies within multiple countries. The sample size varied between 20 and 106,874 participants. The two payment systems can impact on individual outcomes, such as by overtreatment in an FFS system and undertreatment in a CF system.

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The role of payments systems in influencing oral health care provision

Abstract: Original citationWoods N. Access to the full text of the published version may require a subscription. Rights

Cited by 6 publications

References 13 publications

Reimbursement systems influence prosthodontic treatment of adult patients

Reimbursement systems influence prosthodontic treatment of adult patients

Who chooses prepaid dental care? A baseline report of a prospective observational study

Systematic Literature Review of Capitation and Fee-for-Service Payment Models for Oral Health Services: An Australian Perspective

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