Facing a moral dilemma--introducing a dental care insurance within the public dental service.

Hallberg, Lillemor R-M,1942Högskolan i Halmstad,Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences,Centrum för forskning om välfärd, hälsa och idrott (CVHI),Univ Gothenburg, Sahlgrenska Acad, Inst Odontol, Dept Behav & Community Dent, S-40530 Gothenburg, Sweden. (author)

Through the reform entitled "Dental care insurance-dental care at a fixed price", patients are offered a dental insurance, a capitation plan, that ensures that they can visit the dentist regularly during a period of three years at a fixed price per month (Frisktandvård).This insurance may be offered to all patients. The aim of this study was to generate a theory explaining the main concern for the staff at the public dental service when they have to introduce and advocate dental care insurance to patients. Interview data from 17 persons, representing different professions within the public dental service, were collected and analyzed simultaneously in line with guidelines for grounded theory. The results indicated that dentists/dental hygienists experienced several difficult standpoints concerning the implementation of the dental insurance, somewhat of a moral dilemma. The staff generally had a "cautiously positive attitude" to the forthcoming dental care insurance, but had perceptions how and when the patients should be offered the insurance and what that may mean to the clinic.The respondents reflected about the economic aspects for the clinic and how the oral health may be affected over time for the patients.

Hakeberg, Magnus,1954Gothenburg University,Göteborgs universitet,Institutionen för odontologi,Institute of Odontology(Swepub:gu)xhakem (author)
Hallberg, UlrikaGothenburg University,Göteborgs universitet,Institutionen för odontologi,Institute of Odontology,Nordic Sch Publ Hlth, Gothenburg, Sweden. (author)
Göteborgs universitetInstitutionen för vårdvetenskap och hälsa (creator_code:org_t)

By the author/editor: Hallberg, Lillem ...; Hakeberg, Magnus ...; Hallberg, Ulrika

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Dentistry

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Otorhinolaryngol ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Public Health Gl ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Other Health Sci ...

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