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Reimbursement systems influence prosthodontic treatment of adult patients

Davidson, Thomas, (författare)
Linköpings universitet, Avdelningen för hälso- och sjukvårdsanalys, Linköpings universitet, Medicinska fakulteten, Swedish Council Health Technology Assessment, Sweden
Rohlin, Madeleine, (författare)
Malmö University, Sweden
Hultin, Margareta, (författare)
Karolinska Institute, Sweden
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Jemt, Torsten, (författare)
University of Gothenburg, Sweden; Branemark Clin, Sweden
Nilner, Krister, (författare)
Malmö University, Sweden
Sunnegardh-Gronberg, Karin, (författare)
Umeå University, Sweden
Tranaeus, Sofia, (författare)
Swedish Council Health Technology Assessment, Sweden; Malmö University, Sweden; Karolinska Institute, Sweden
Nilsson, Mats, (författare)
County Hospital Ryhov, Sweden
Sunnegårdh Grönberg, Karin, (författare)
Umeå universitet, Institutionen för odontologi
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Linköpings universitet Institutionen för medicin och hälsa. Avdelningen för hälso- och sjukvårdsanalys. (creator_code:org_t)
Linköpings universitet Medicinska fakulteten. (creator_code:org_t)
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Umeå universitet Medicinska fakulteten. Institutionen för odontologi. (creator_code:org_t)
Malmö University Faculty of Odontology. (creator_code:org_t)
Göteborgs universitet Sahlgrenska akademin. Institutionen för odontologi. 
Malmö University Faculty of Odontology. (creator_code:org_t)
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2015
Engelska.
Ingår i: Acta Odontologica Scandinavica. - 0001-6357. ; 73:6, s. 414-420
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
Stäng  
  • Objective. To evaluate the influence of reimbursement system and organizational structure on oral rehabilitation of adult patients with tooth loss. Materials and methods. Patient data were retrieved from the databases of the Swedish Social Insurance Agency. The data consisted of treatment records of patients aged 19 years and above claiming reimbursement for dental care from July 1, 2007 until June 30, 2009. Before July 1, 2008, a proportionately higher level of subsidy was available for dental care in patients 65 years and above, but thereafter the system was changed, so that the subsidy was the same, regardless of the patients age. Prosthodontic treatment in patients 65 years and above was compared with that in younger patients before and after the change of the reimbursement system. Prosthodontic treatment carried out in the Public Dental Health Service and the private sector was also analyzed. Results. Data were retrieved for 722,842 adult patients, covering a total of 1,339,915 reimbursed treatment items. After the change of the reimbursement system, there was a decrease in the proportion of items in patients 65 years and above in relation to those under 65. Overall, there was a minimal change in the proportion of treatment items provided by the private sector compared to the public sector following the change of the reimbursement system. Conclusions. Irrespective of service provider, private or public, financial incentive such as the reimbursement system may influence the provision of prosthodontic treatment, in terms of volume of treatment.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Odontologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Dentistry (hsv//eng)

Nyckelord

insurance; financial incentives; prosthodontics
insurance
financial incentives
prosthodontics
ODONTOLOGY
ODONTOLOGI
Medicine
PAY-FOR-PERFORMANCE
PHYSICIANS
BEHAVIOR
CARE
INCENTIVES
PLANS
Oral Surgery & Medicine

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