December 2012

Volume 29, Issue 4

Industry structures in private dental markets in Finland

Authors: E. Widström H. Mikkola
doi: 10.1922/CDH_ 2795-Widström06


Objective: To use industrial organisation and organisational ecology research methods to survey industry structures and performance in the markets for private dental services and the effect of competition. Design: Data on practice characteristics, performance, and perceived competition were collected from full-time private dentists (n=1,121) using a questionnaire. The response rate was 59.6%. Cluster analysis was used to identify practice type based on service differentiation and process integration variables formulated from the questionnaire. Results: Four strategic groups were identified in the Finnish markets: Solo practices formed one distinct group and group practices were classified into three clusters Integrated practices, Small practices, and Loosely integrated practices. Statistically significant differences were found in performance and perceived competitiveness between the groups. Integrated practices with the highest level of process integration and service differentiation performed better than solo and small practices. Moreover, loosely integrated and small practices outperformed solo practises. Competitive intensity was highest among small practices which had a low level of service differentiation and was above average among solo practises. Conclusions: Private dental care providers that had differentiated their services from public services and that had a high number of integrated service production processes enjoyed higher performance and less competitive pressures than those who had not. Key words: dental health services, private sector, economic competition, group practice, private practice, industry structures


Other articles in this issue

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Editorial - Do we really need another system for recording caries? Thoughts on ICDAS 258-259 Download
Dental Public Health in Action - Maintaining a survey programme during structural change 260-262 Download
Dental health of Irish alcohol/drug abuse treatment centre residents 263-267 Download
Recent trends in incidence and mortality of oral and pharyngeal cancer in Schleswig-Holstein in Northern Germany 268-273 Download
A description of oral health in three French jails 274-278 Download
Dental erosion among 12 year-old Libyan schoolchildren 279-283 Download
Children’s views on the experience of a visual examination and intra-oral photographs to detect dental caries in epidemiological studies 284-288 Download
Child dental anxiety, parental rearing style and referral status of children 289-292 Download
Caries status in 16 year-olds with varying exposure to water fluoridation in Ireland 293-296 Download
Caries prevalence in 12-year-old Cypriot children 297-301 Download
Cost-effectiveness models for dental caries prevention programmes among Chilean schoolchildren 302-308 Download
Industry structures in private dental markets in Finland 309-314 Download
Letter from America: UK and US state-funded dental provision 315-320 Download


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