June 2015

Volume 32, Issue 2

A new capitation payment system in dentistry: the patients’ perspective

Authors: I. Tidefors M. Hakeberg U. Wide Boman C. Andrén Andås J. Strand
doi: 10.1922/CDH_3529Strand06


A new capitation payment system in dentistry: the patients’ perspective J. Strand, C. Andrén Andås, U. Wide Boman, M. Hakeberg and I. Tidefors Objective: To investigate patients’ experiences of a new payment system for dental care in Sweden. Methods: Twenty interviews, with 12 women and 8 men, were analysed by thematic content analysis. The interviewees were all regularly attending patients, strategically selected from five general Public Dental Service clinics in urban Gothenburg, Sweden, who had chosen a new payment system based on capitation rather than the traditional fee-for-service system. Conducted by two clinical psychologists/researchers independent of dental profession, the interviews were guided by a semi-structured schedule, which included questions about the new payment system and about dental care and oral health. All interviews were audio-recorded and transcribed verbatim. Results: Two themes emerged from the analysis: “Choice” and “Commitment”. The sub-themes defined patients as having chosen the new capitation scheme on their own initiative or after being influenced by relatives or by their dentist, and that the change of payment system was occasioned by previous bad (dental) experiences or in the hope of future (dental health) gain. The commitment was perceived as affording economic security and, through the contractual relationship with the provider, regular calls to attend the clinic. Conclusions: Patients were generally in favour of the new payment system for dentistry in Sweden; however, important arguments were raised to improve the system, such as better communication concerning the contract and risk assessment. Key words: qualitative research, dental insurance, patient preferences, patient satisfaction, Sweden


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Editorial 66-67 Download
Improving access to dental care for vulnerable children; further development of the Back2School programme in 2013 68-71 Download
Identifying dentists’ attitudes towards prevention guidance using Q-sort methodology 72-76 Download
Dentists’ knowledge of oral health during pregnancy: a review of the last 10 years’ publications 77-82 Download
A new capitation payment system in dentistry: the patients’ perspective 83-88 Download
A pilot project to improve the oral health of orphans and of the elderly in residential care in Constanta, Romania 89-92 Download
Caries experience among Romanian schoolchildren: prevalence and trends 1992-2011 93-97 Download
The association between parents’ perceived social norms for toothbrushing and the frequency with which they report brushing their child’s teeth 98-103 Download
Association between dental status and food diversity among older Japanese 104-110 Download
Are Stage of Change constructs relevant for subjective oral health in a vulnerable population? 111-116 Download
Human papillomavirus and oral cancer: a primer for dental public health professionals 117-128 Download


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