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Dental remuneration systems

Dental remuneration systems - can we pay for prevention?

British Dental Journal volume 236, page 108 (2024)Cite this article

Key points

  • All dental remuneration systems have pros and cons. There is no perfect remuneration system.

  • If the goal is to strengthen prevention of oral diseases, all health system arrangements - including but not limited to the remuneration system - should be aligned towards achieving that goal.

  • Remuneration reforms are complex. Successful reforms require various considerations.

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References

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  2. Robinson J C. Theory and practice in the design of physician payment incentives. Milbank Q 2001; 79: 149-177.

  3. Brocklehurst P, Tickle M, Birch S et al. Impact of changing provider remuneration on NHS general dental practitioner services in Northern Ireland: a mixed-methods study. Health Serv Deliv Res 2020; DOI: 10.3310/hsdr08060.

  4. Listl S, Chalkley M. Provider payment bares teeth: dentist reimbursement and the use of check-up examinations. Soc Sci Med 2014; 111: 110-116.

  5. Chalkley M, Listl S. First do no harm - the impact of financial incentives on dental x-rays. J Health Econ 2018; 58: 1-9.

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  8. Conrad D A, Milgrom P, Shirtcliff R M et al. Pay-for-performance incentive programme in a large dental group practice. J Am Dent Assoc 2018; 149: 348-352.

  9. Gabel F, Kalmus O, Rosing K, Trescher A-L, Listl S. Implementation of altered provider incentives for a more individual-risk-based assignment of dental recall intervals: evidence from a health systems reform in Denmark. Health Econ 2020; 29: 475-488.

  10. Jivraj A, Barrow J, Listl S. Value-based oral health care: implementation lessons from four case studies. J Evid Based Dent Pract 2022; 22: 101662.

  11. Listl S, Baltussen R, Carrasco-Labra A, Carrer F C, Lavis J N. Evidence-Informed Oral Health Policy Making: Opportunities and Challenges. J Dent Res 2023; 102: 1293-1302.

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Authors and Affiliations

  1. Professor in Translational Health Economics, Heidelberg Institute of Global Health, Germany

    Stefan Listl

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  1. Stefan Listl
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Correspondence to Stefan Listl.

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Cite this article

Listl, S. Dental remuneration systems - can we pay for prevention?. Br Dent J 236, 108 (2024). https://doi.org/10.1038/s41415-024-6763-7

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  • DOI: https://doi.org/10.1038/s41415-024-6763-7

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