December 2013

Volume 30, Issue 4

Developing a policy guidance for financing dental care in Iran using the RAND Appropriateness Method

Authors: M.P. Jadidfard S. Yazdani M.H. Khoshnevisan
doi: 10.1922/CDH_3213Khoshnevisan07


Objective: This study aimed to provide recommendations on health care financing with special emphasis on dental care. Methods: The RAND Appropriateness Method was employed to obtain the collective opinion of a multidisciplinary panel of experts on a set of recommendation statements regarding Iranian dental care financing. An initial set of recommendations were identified from a literature review. Panel members, selected purposively and by peer nomination, each rated the appropriateness and necessity of the recommendations in a structured process of two rounds. Each recommendation was classified as inappropriate, uncertain, appropriate but not necessary, or appropriate and necessary according to the median rating score and the level of disagreement among the panellists. Results: Of 28 initial recommendations, 25 were agreed on as appropriate, of which 22 were considered as necessary. Altogether, these recommendations provide a holistic picture of an oral health system’s financing in three domains: revenue collection, pooling of revenues and purchasing of dental services. Conclusion: The policy guidance recommendations are intended to provide the Iranian oral health authorities with an evidence-base for financing dental care. The recommendations may be transferrable, at least in part, particularly to developing countries with similar hybrid health system structures. Finally, the method used to develop the recommendations can serve as a model for use elsewhere. Key words: dental care; health policy, health care financing administration, dental insurance, health planning


Other articles in this issue

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Editorial - Need to put children’s oral health first in Israeli debate on water fluoridation 198-199 Download
Dental Public Health in Action - Stakeholder involvement in designing an oral care training package for care home staff 200-203 Download
Promoting oral health of children through schools – Results from a WHO global survey 2012 204-218 Download
A five-year evaluation of an NHS dental practice-based specialist minor oral surgery service 219-226 Download
Developing a policy guidance for financing dental care in Iran using the RAND Appropriateness Method 227-223 Download
Professional knowledge of accident and emergency doctors on the management of dental injuries 234-240 Download
A qualitative evaluation of a Local Professional Network programme “Baby Teeth DO Matter” 241-248 Download
Aesthetic perceptions regarding fluorosis by children from an area of endemic fluorosis in India 249-253 Download
Relationship between chewing ability and depressive symptoms 254-256 Download
Caries experience and related factors in 4-6 year-olds attending dental clinics in Kinshasa, DR of Congo 257-262 Download
Dentists’ training and willingness to treat adolescents with learning disabilities: the mediating role of social and clinical factors 263-268 Download


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