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Dental remuneration systems

Paying for prevention: the BDA view

British Dental Journal volume 236, page 107 (2024)Cite this article

Key points

  • Activity-based remuneration is a poor fit for promoting prevention.

  • Capitation-based contracts can align financial incentives to preventive aims.

  • There are financial, public service culture and evidence-based challenges that have presented obstacles to the adoption of a capitation system.

  • The right remuneration system is necessary but not sufficient to deliver prevention.

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References

  1. Department of Health and Social Security. Report of the Committee of Enquiry into Unnecessary Dental Treatment. London: HMSO, 1986.

  2. Birch S. Paying for prevention in clinical practice: Aligning provider remuneration with system objectives. BMC Oral Health 2015; DOI: 10.1186/1472-6831-15-S1-S7.

  3. Steele J. NHS Dental Services in England: An Independent Review Led by Professor Jimmy Steele. 2009.

  4. UK Parliament. NHS Dentistry. 2023. Available at https://publications.parliament.uk/pa/cm5803/cmselect/cmhealth/964/report.html (accessed December 2023).

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Author information

Authors and Affiliations

  1. BDA Head of Policy and Research, London, United Kingdom

    Tom King

Authors
  1. Tom King
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Correspondence to Tom King.

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Cite this article

King, T. Paying for prevention: the BDA view. Br Dent J 236, 107 (2024). https://doi.org/10.1038/s41415-024-6764-6

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  • DOI: https://doi.org/10.1038/s41415-024-6764-6

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