Incentives and remuneration systems in dental services.
The aim of this study was to examine the effects of an incentive-based remuneration system on number of individuals under supervision and on quality of public dental services in Norway. The basis for the study was a natural experiment in which all public dental officers in one county were given the opportunity to renegotiate their contract from a fixed salary contract to a combined per capita and fixed salary contract. Comprehensive data were collected before and after the change. A main finding is that the transition to an incentive-based remuneration system led to an increase in the number of individuals under supervision without either a fall in quality or a patient selection effect.
Grytten
Jostein
J
Dental Faculty, University of Oslo, P.O. Box 1052, Blindern, 0316, Oslo, Norway. josteing@odont.uio.no
Holst
Dorthe
D
Skau
Irene
I
D003752:Dental Health Services / Q000191:economics*; D003815:Dentists / Q000191:economics* / Q000639:trends; D005250:Fees, Dental; D005260:Female; D006801:Humans; D007347:Insurance, Dental / Q000191:economics / Q000592:standards; D008297:Male; D018803:Models, Economic; D009664:Norway; D012052:Reimbursement, Incentive / Q000191:economics* / Q000639:trends; D013218:State Dentistry / Q000191:economics* / Q000592:standards / Q000639:trends