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Quo Vadis?

W C Guralnick1

  • 1Harvard School of Dental Medicine, Massachusetts General Hospital, Boston, MA 02114, USA.

The Journal of the American College of Dentists
|January 8, 1998
PubMed
Summary
This summary is machine-generated.

Dental managed care payment systems aim for cost-effectiveness, yet many still lack access to oral healthcare. Rising costs and dental education expenses pressure the profession, with an uncertain future influence from organized dentistry or market forces.

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Area of Science:

  • Health Services Research
  • Dental Economics
  • Public Health Policy

Background:

  • Third-party dental care payments are shifting towards managed care models, driven by perceived cost-effectiveness.
  • Despite this shift, significant population segments remain without access to essential oral health care services.
  • Rising healthcare costs and escalating dental education expenses create financial pressures on consumers and practitioners.

Purpose of the Study:

  • To analyze the impact of managed care on dental care access and costs.
  • To examine the financial pressures on the dental profession due to rising costs.
  • To explore the potential influence of organized dentistry versus market forces in addressing these challenges.

Main Methods:

  • Review of current dental payment systems and their economic implications.

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  • Analysis of consumer cost trends in dental care.
  • Assessment of factors affecting dental education costs and practitioner viability.

    • Main Results:

    • Managed care adoption has not universally improved dental care access.
    • Consumer costs for dental services are increasing disproportionately to general economic growth.
    • The escalating cost of dental education is a significant burden for new dental practitioners.

    Conclusions:

    • Current dental managed care systems may not be fully addressing access and cost issues.
    • The dental profession faces considerable financial strain from multiple sources.
    • The future resolution of these access and cost challenges remains contingent on the interplay between organized dentistry and market dynamics.