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Managed care and dentistry: promises and problems

M Marcus1, I D Coulter, J R Freed

  • 1University of California, Los Angeles, School of Dentistry 90095-1668, USA.

Journal of the American Dental Association (1939)
|April 1, 1995
PubMed
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Managed care in dentistry initially promised benefits but often overlooks provider equity. Current data reveals a gap between these early promises and the reality for dental professionals.

Area of Science:

  • Dental Care
  • Health Services Research
  • Managed Care

Background:

  • Managed care in dentistry emerged in the mid-1950s with significant promises for providers and patients.
  • The evolution of managed care programs has seen a deviation from core principles, particularly concerning provider equity.
  • This shift impacts the delivery and accessibility of dental services.

Purpose of the Study:

  • To contrast the initial objectives of dental managed care with its current state.
  • To analyze the extent to which provider equity has been maintained or lost in contemporary managed care programs.
  • To highlight discrepancies between the promises and the realities of managed care in dentistry.

Main Methods:

  • Analysis of data from existing managed care programs in dentistry.

Related Experiment Videos

  • Comparative assessment of historical promises against current program structures and outcomes.
  • Qualitative and quantitative evaluation of provider experiences and program performance.

    • Main Results:

    • Significant divergence noted between the foundational promises of managed care and its present-day implementation.
    • Evidence suggests a widespread neglect of provider equity in many current dental managed care models.
    • Disparities identified in how managed care affects different provider groups.

    Conclusions:

    • The current landscape of dental managed care often fails to uphold its original commitments, especially regarding provider equity.
    • Re-evaluation of managed care principles is necessary to ensure fairness for dental providers.
    • Further research is needed to develop equitable managed care models in dentistry.