Reimbursement systems influence prosthodontic treatment of adult patients

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Reimbursement systems influence prosthodontic treatment of adult patients

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Publication Article, peer reviewed scientific
Title Reimbursement systems influence prosthodontic treatment of adult patients
Author(s) Davidson, Thomas ; Rohlin, Madeleine ; Hultin, Margareta ; Jemt, Torsten ; Nilner, Krister ; Sunnegardh-Gronberg, Karin ; Tranaeus, Sofia ; Nilsson, Mats
Date 2015
English abstract
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 patient's 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.
DOI http://dx.doi.org/10.3109/00016357.2014.976260 (link to publisher's fulltext)
Publisher Taylor & Francis
Host/Issue Acta Odontologica Scandinavica;6
Volume 73
ISSN 0001-6357
Pages 414-420
Language eng (iso)
Subject(s) insurance
financial incentives
prosthodontics
Medicine
Research Subject Categories::ODONTOLOGY
Handle http://hdl.handle.net/2043/20025 (link to this page)

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