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Related Experiment Videos

Models for financing dental services. A review.

Jostein Grytten1

  • 1Dental Faculty, University of Oslo, Norway. josteing@odont.uio.no

Community Dental Health
|June 30, 2005
PubMed
Summary

Dental financing models significantly impact patient and dentist behavior. Public and private insurance schemes have drawbacks, while remuneration models like per capita and fee-for-item offer trade-offs between effectiveness and quality.

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Area of Science:

  • Health Economics
  • Dental Public Health
  • Healthcare Financing

Background:

  • Dental services require specific financing models due to unique market characteristics.
  • Both public and private insurance schemes present challenges in dental care provision.
  • Dentist remuneration structures influence treatment decisions and patient outcomes.

Purpose of the Study:

  • To review key dental service financing models.
  • To analyze the behavioral impacts of these models on patients and dentists.
  • To discuss the advantages and disadvantages of various insurance and remuneration schemes.

Main Methods:

  • Literature review of dental financing models.
  • Analysis of insurance provider-patient relationships.
  • Examination of dentist remuneration systems (fixed salary, per capita, fee-for-item).

Main Results:

  • Purely private dental insurance markets are likely to fail due to adverse selection and low benefit-cost ratios.
  • Public dental insurance faces issues with high transaction costs and moral hazard, impacting cost containment.
  • Per capita payments prioritize effectiveness but risk undertreatment, while fee-for-item prioritizes quality but struggles with cost control.

Conclusions:

  • No single dental financing model is perfect; each has inherent advantages and disadvantages.
  • Balancing effectiveness and quality requires careful consideration of remuneration structures.
  • Ethical considerations, professional norms, and quality control are crucial for mitigating adverse effects of dental financing systems.

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