December 2016

Volume 33, Issue 4

Payment systems and oral health in Swedish dental care: Observations over six years

Authors: M. Hakeberg C.A. Andås
doi: 10.1922/CDH_3843Andas05


Objective: The aim of this longitudinal study of patients in regular dental care was to compare the findings of manifest caries and fillings after a 6-year adherence to either of two optional payment models, the traditional fee-for service (FFS) model, or the new capitation model ‘Dental Care for Health’ (DCH). Material and methods: Data on manifest caries lesions, the number of fillings and a number of background variables were collected from both a register and a questionnaire completed by 6,299 regular dental patients who met the inclusion criteria. The influence of payment system adherence and background variables on the number of manifest caries lesions at study end was examined by the means of negative binomial regression analysis. Results: The incidence rate ratio of manifest caries lesions after six years in FFS was 1.5 compared to DCH, after controlling for age, gender, education and pre-baseline caries incidence. The number of fillings was higher in FFS than in DCH at study start and at study end, and was also described by a steeper slope. Conclusions: At group level, this study showed a statistically significant difference between the caries situation after six years in DCH compared with FFS, when some important background factors, including pre-baseline caries, were kept constant in a regression model. Key words: capitation, dental caries, fee-for-item, oral health, Sweden


Other articles in this issue

Article Pages Access
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


Online (Single user only)
Institution Online (IP address validation)

Back issues may be obtained from the publisher

Consider recommending subscription to your institution's library

You can view Open Access papers without a subscription.