| 1. |
- Boberg, Emelie, et al.
(författare)
-
Dentists ' and Dental Hygienists ' experiences of the Capitation Contract System-the dilemma of conflicting loyalties
- 2022
-
Ingår i: BDJ Open. - : Springer Nature. - 2056-807X. ; 8:1, s. 1-7
-
Tidskriftsartikel (refereegranskat)abstract
- Objective The Capitation Contract system (CCS) is a payment model adopted by the Swedish Public Dental Health Service (PDHS). Patients enrolled in the CCS are usually assessed as being at lower risk of dental disease and are more regular dental attenders than those treated by Fee for Service (FFS). With increasing numbers of patients and CCS enrolments, Sweden faces a shortage of dental personnel. Our aim was to analyse dentists ' and dental hygienists ' perceptions and experiences of the capitation contact system. Material and methods Eleven dentists and dental hygienists from three Swedish regions participated in online qualitative interviews conducted according to the Grounded Theory methodology. Results When working with CCS the informants tried hard ' to find a balance between attitudes, compliance with guidelines and clinical resources '. Not all patients were offered CCS, even though they qualified: among other determinants were the informants' interpretations of guidelines and regulations, clinical resources, and patient interest. Conclusions When dental resources are in balance, the informants appreciate the CCS and consider it to be favourable to patient health but are aware of conflicting loyalties of their dual roles of insurance sales agent and care provider. The informants ' individual mindset affects which patients are offered CCS enrolment.
|
|
| 3. |
- Franzon, Bengt, et al.
(författare)
-
Dental politics and subsidy systems for adults in Sweden from 1974 until 2016
- 2017
-
Ingår i: BDJ Open. - : Nature Publishing Group. - 2056-807X. ; 3:17007
-
Tidskriftsartikel (refereegranskat)abstract
- Aims: The dental health sector, as part of the Swedish welfare system, originated in 1974. Since then, the dental insurance has undergone three major changes. The aim of this archive study was to study where in the legislative process the dental politics concerning national dental insurance and subsidies were formed. Materials and Methods: The material, such as Commission of inquiry proposals and Government Bills from four major dental reforms, was collected from the library at the Sveriges Riksdag (Swedish Parliament) and was analysed and structured using a modified version of the Health Field Model. Results: The views on the fundamental ideas, such as the connection between general and dental health, preventive dentistry, rehabilitation of the mouth and promotion of dental health, were the same over the years. The views on dentistry as a market, when it comes to freedom of prices, have undergone a major change since 1974, but the view on the welfare state remains the same. Conclusions: The Swedish dental subsidy systems and how dentistry has been treated politically are the results of a chain of events ranging from care for the population's dental health, political doctrines, ‘zeitgeist‚, dental policy, to state finances.
|
|
