December 2016

Volume 33, Issue 4

Patient characteristics in relation to dental care payment model: capitation vs fee for service

Authors: U. Wide Boman M. Hakeberg
doi: 10.1922/CDH_3914Hakeberg05


Objective: To analyse patient profiles in two payment models, the capitation (DCH) and the fee-for-service (FFS) systems, in relation to socioeconomic status, self-reported health and health behavior, as well as patient attitudes to and satisfaction with the DCH model in the Public Dental Service (PDS) in Sweden. Research design and participants: The present survey included a random national sample of the adult population in Sweden. A telemarketing company, TNS SIFO, was responsible for the sample selection and telephone interviews conducted in May 2013. The 3,500 adults (aged ≥19 years) included in the sample gave a participation rate of 49.7%. Results: Individuals choosing DCH were younger. FFS patients rated their health as less good, were less physically active, were more often smokers and had a lower household income. The DCH patients were more satisfied with their payment model than the FFS patients (98% vs 85%). A multivariate analysis showed that three of the variables significantly contributed to the model predicting DCH patients: age, with an odds ratio of 0.95, household income (OR=1.85) and importance of oral health for well-being (OR=2.05). Conclusions: There was a pattern of dimensions indicating the choice of payment model among adult patients in the Swedish Public Dental Service. The patients in DCH had higher socioeconomic position, were younger, rated their oral health as better and were more satisfied with the payment model (DCH) than the patients in the FFS system. Key words: capitation, socio-economic status, health behavior, epidemiology, Sweden


Other articles in this issue

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Abstracts from the 21st Congress of the European Association of Dental Public Health, 29th September - 1st October, 2016, Budapest, Hungary 0-0 Download
Valedictory Editorial: The past six years 1-1 Download
An intervention study to assess the effectiveness of a reminder telephone call in improving patient appointment attendance at a Community Dental Service clinic 239-241 Download
The acceptability of healthcare: from satisfaction to trust 242-251 Download
Patient characteristics in relation to dental care payment model: capitation vs fee for service 252-256 Download
Payment systems and oral health in Swedish dental care: Observations over six years 257-261 Download
A summary of knowledge about the oral health of older people in England and Wales 262-266 Download
The use of diet diaries in general dental practice in England 267-273 Download
Psychometric properties of the English version of the Oral Health Literacy Adults Questionnaire - OHL-AQ 274-280 Download
Approximal caries increment in relation to baseline approximal caries prevalence among adolescents in Sweden with and without a school-based fluoride varnish programme 281-285 Download
Variation in methods used to determine national mean DMFT scores for 12-year-old children in European countries 286-291 Download
Prevalence and severity of dental fluorosis in four English cities 292-296 Download
The relationship between maternal smoking during pregnancy and parental-reported experience of dental caries in Indigenous Australian children 297-302 Download
Dental problems and Familismo: social network discussion of oral health issues among adults of Mexican origin living in the Midwest United States 303-308 Download


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