The Effect of Payment Methods on Dental Service Mix: An Economic Retrospective Cohort Study

IF 0.6 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Dental Hypotheses Pub Date : 2021-10-01 DOI:10.4103/denthyp.denthyp_101_21

Reza Emrani, K. Sargeran, H. Hessari

{"title":"The Effect of Payment Methods on Dental Service Mix: An Economic Retrospective Cohort Study","authors":"Reza Emrani, K. Sargeran, H. Hessari","doi":"10.4103/denthyp.denthyp_101_21","DOIUrl":null,"url":null,"abstract":"Introduction: The number of dental services provided is related to the type of services needed by a population and treatment decision making by dentists. This descriptive study aimed to compare the dental service mix in two different payment systems. Methods: The dental records of a long-established dental clinic were reviewed. Treatment performed, during October 2018 and October 2019, by 36 dentists, 12 dentists worked in both payment method periods, 12 of them worked only in salary, and 12 of them worked in fee for service (FFS) period. Results: Preventive dental services and practices without treatment (visits, diagnostic radiography, and referrals) decreased, and practices included aggressive treatments (randomized controlled trial, extraction, and crown) and highly aggressive procedure (surgery) increased from salary to FFS period. The total activities of dentists were higher in FFS. Conclusion: According to our results, in a salary system, the dentist was more likely to refer and perform preventive treatments, whereas in the FFS payment system, the dentists choose more aggressive treatments. Payment method may change dental service mix.","PeriodicalId":43354,"journal":{"name":"Dental Hypotheses","volume":"12 1","pages":"185 - 188"},"PeriodicalIF":0.6000,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Dental Hypotheses","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/denthyp.denthyp_101_21","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction: The number of dental services provided is related to the type of services needed by a population and treatment decision making by dentists. This descriptive study aimed to compare the dental service mix in two different payment systems. Methods: The dental records of a long-established dental clinic were reviewed. Treatment performed, during October 2018 and October 2019, by 36 dentists, 12 dentists worked in both payment method periods, 12 of them worked only in salary, and 12 of them worked in fee for service (FFS) period. Results: Preventive dental services and practices without treatment (visits, diagnostic radiography, and referrals) decreased, and practices included aggressive treatments (randomized controlled trial, extraction, and crown) and highly aggressive procedure (surgery) increased from salary to FFS period. The total activities of dentists were higher in FFS. Conclusion: According to our results, in a salary system, the dentist was more likely to refer and perform preventive treatments, whereas in the FFS payment system, the dentists choose more aggressive treatments. Payment method may change dental service mix.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

支付方式对牙科服务组合的影响：一项经济回顾性队列研究

引言：提供的牙科服务数量与人口所需的服务类型和牙医的治疗决策有关。这项描述性研究旨在比较两种不同支付系统中的牙科服务组合。方法：回顾一家历史悠久的牙科诊所的牙科记录。在2018年10月和2019年10月期间，36名牙医进行了治疗，其中12名牙医在两个付款方式期间工作，其中12人只带薪工作，12人在服务费（FFS）期间工作。结果：预防性牙科服务和未经治疗的实践（就诊、放射诊断和转诊）减少，包括积极治疗（随机对照试验、拔牙和牙冠）和高度积极手术（手术）的实践从工资期增加到FFS期。FFS中牙医的总活动量较高。结论：根据我们的研究结果，在工资制度中，牙医更有可能转诊和进行预防性治疗，而在FFS支付制度中，牙科医生选择更积极的治疗。付款方式可能会改变牙科服务组合。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊