Frequency of examination of children by dentists working under different payment systems in the United Kingdom

作者: A. C. MELLOR , M. A. LENNON

DOI: 10.1111/J.1365-263X.1993.TB00056.X

关键词: KingdomDental examinationHumanitiesReino unidoMedicineCapitation Payment

摘要: Summary. The aims of this study were, first, to determine the frequency dental examination child patients by general practitioners working under a fee-for-service or capitation payment system in eight areas United Kingdom and, secondly, consider how varied dentist system, area, age and dentist. number examinations carried out 198 over one-year period for 17,389 children aged 0–15 years was recorded. mean per year treated dentists 1.7, those 1.6; difference, although small, statistically significant. were also shown be related but not area which worked. Resume. Le de cette etude est preciser, d'abord, la frequence des consultations, par enfants, chirurgiens dentistes generalistes remuneres le systeme du payement l'acte ou dans huit regions Royaume -Uni et, ensuite, preciser comment varie consultations en fonction payement, region, l'âge l'enfant et praticien. Le nombre donnees praticiens 177 389 enfants âges 0 15 ans ete enregistre, pendant une annee. moyen an, les suivis un praticien remunere etait 1,7 1,6 capitation. Cette bien que faible, statistiquement significative. aussi relation avec mais pas region. Zusammenfassung. Die Ziele dieser Studie waren: Erstens die Haufigkeit der zhnarztlichen Untersuchungen bei Kindern Zu bestimmen, welche 8 Gebieten UK durch allgemeine Zahnarzte untersucht wurden. Sie taten dies entweder mit einer Bezahlung nach Leistung oder pro Kopf Honorierung. Zweitens, herauszufinden, wie abhangig ist von dem Honorierungssystem, Region, Alter Kindes, Zahnarztes. 17 Kinder wurden wahrend eines Jahres Zhnarzten untersucht. Durchschnittlich wurde eine Kind Jahrlich, Zahnarzten honoriert festgestellt. Bei Honorierung Dieser kleine Unterschied aber statisch signifikant. Diese Zahnlen sind vom Zahnarzt, Alters Kindes nicht Gebiet UK. Resumen. Los propositos este estudio fueron (1) determinar frecuencia examenes odontologicos realizados ninos por odontologos generales trabajando sistema pago tratamiento o capita ocho del Reino Unido, y (2) tomar consideracion como examen odontologico variaba acuerdo al odontologo, edad nino, odontologo. Se anoto el numero durante ano anos edad. El medio para tratados servicio fue 1.7 aquellos bajo esta pequena diferencia due sin embargo estadisticamente significativa. odontologo nino tambien tuvieron relacion con examenes, pero no trabajaba.

参考文章(15)
Tryfon J. Beazoglou, Albert H. Guay, Dennis R. Heffley, Capitation and fee-for-service dental benefit plans: economic incentives, utilization, and service-mix Journal of the American Dental Association. ,vol. 116, pp. 483- 487 ,(1988) , 10.14219/JADA.ARCHIVE.1988.0319
M H Schoen, Observation of selected dental services under two prepayment mechanisms. American Journal of Public Health. ,vol. 63, pp. 727- 731 ,(1973) , 10.2105/AJPH.63.8.727
Gerald L. Cogan, A quantitative comparison of services performed for fee-for-service and capitation patients Journal of the American Dental Association. ,vol. 91, pp. 836- 837 ,(1975) , 10.14219/JADA.ARCHIVE.1975.0497
R J Elderton, Six-monthly examinations for dental caries. British Dental Journal. ,vol. 158, pp. 370- 374 ,(1985) , 10.1038/SJ.BDJ.4805616
N M Nuttall, J A Davies, Dental attendance behaviour of children in Scotland between 1983 and 1988. British Dental Journal. ,vol. 172, pp. 378- 382 ,(1992) , 10.1038/SJ.BDJ.4807890
Donald G. Boggs, M. Anthony Schork, Determination of optimal time lapse for recall of patients in an incremental dental care program Journal of the American Dental Association. ,vol. 90, pp. 644- 653 ,(1975) , 10.14219/JADA.ARCHIVE.1975.0148
R J Elderton, Routine six-monthly checks for dental disease? British Dental Journal. ,vol. 159, pp. 277- 278 ,(1985) , 10.1038/SJ.BDJ.4805706
Harry M. Rosen, Robert A. Sussman, Elliott J. Sussman, THE INCLUSION OF CAPITATION REIMBURSEMENT IN SOLO PRACTICE Journal of Public Health Dentistry. ,vol. 38, pp. 184- 192 ,(1978) , 10.1111/J.1752-7325.1978.TB03729.X
Kathryn A. Atchison, Max H. Schoen, A Comparison of Quality in a Dual‐choice Dental Plan: Capitation versus Fee‐for‐service Journal of Public Health Dentistry. ,vol. 50, pp. 186- 193 ,(1990) , 10.1111/J.1752-7325.1990.TB02113.X