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Systematic Literature Review of Capitation and Fee-for-Service Payment Models for Oral Health Services: An Australian Perspective

The aim of this review was to assess relevant global literature on capped-fee (CF) and fee-for-service (FFS) payment models as used by public dental services. Research data were assessed through the PRISMA check list and sourced from MEDLINE, PubMed, ProQuest, Cochrane Library, and other methods. Th...

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Autores principales: Conquest, Jennifer H., Gill, Nirjgot, Sivanujan, Praveena, Skinner, John, Kruger, Estie, Tennant, Marc
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8469501/
https://www.ncbi.nlm.nih.gov/pubmed/34574902
http://dx.doi.org/10.3390/healthcare9091129
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author Conquest, Jennifer H.
Gill, Nirjgot
Sivanujan, Praveena
Skinner, John
Kruger, Estie
Tennant, Marc
author_facet Conquest, Jennifer H.
Gill, Nirjgot
Sivanujan, Praveena
Skinner, John
Kruger, Estie
Tennant, Marc
author_sort Conquest, Jennifer H.
collection PubMed
description The aim of this review was to assess relevant global literature on capped-fee (CF) and fee-for-service (FFS) payment models as used by public dental services. Research data were assessed through the PRISMA check list and sourced from MEDLINE, PubMed, ProQuest, Cochrane Library, and other methods. The inclusion criteria were peer reviewed articles published between 2004 and 2020 and (i) other countries’ health systems that were evaluated in contrast to Australia; (ii) care provided to individuals; (iii) payment models for private services that were the same as Australian government policy (CF and FFS); and (iv) care provided by dentists. We used a mixed methodology for data collection. A total of 262 references were reviewed with 10 references meeting the inclusion criteria with the quality rating being: three—strong, six—moderate, and one—weak. The literature included studies from Sweden (three references), Ireland (three references), United Kingdom (six references), United States of America (two references), and Norway (one reference). Four references included studies within multiple countries. The sample size varied between 20 and 106,874 participants. The two payment systems can impact on individual outcomes, such as by overtreatment in an FFS system and undertreatment in a CF system.
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spelling pubmed-84695012021-09-27 Systematic Literature Review of Capitation and Fee-for-Service Payment Models for Oral Health Services: An Australian Perspective Conquest, Jennifer H. Gill, Nirjgot Sivanujan, Praveena Skinner, John Kruger, Estie Tennant, Marc Healthcare (Basel) Article The aim of this review was to assess relevant global literature on capped-fee (CF) and fee-for-service (FFS) payment models as used by public dental services. Research data were assessed through the PRISMA check list and sourced from MEDLINE, PubMed, ProQuest, Cochrane Library, and other methods. The inclusion criteria were peer reviewed articles published between 2004 and 2020 and (i) other countries’ health systems that were evaluated in contrast to Australia; (ii) care provided to individuals; (iii) payment models for private services that were the same as Australian government policy (CF and FFS); and (iv) care provided by dentists. We used a mixed methodology for data collection. A total of 262 references were reviewed with 10 references meeting the inclusion criteria with the quality rating being: three—strong, six—moderate, and one—weak. The literature included studies from Sweden (three references), Ireland (three references), United Kingdom (six references), United States of America (two references), and Norway (one reference). Four references included studies within multiple countries. The sample size varied between 20 and 106,874 participants. The two payment systems can impact on individual outcomes, such as by overtreatment in an FFS system and undertreatment in a CF system. MDPI 2021-08-30 /pmc/articles/PMC8469501/ /pubmed/34574902 http://dx.doi.org/10.3390/healthcare9091129 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Conquest, Jennifer H.
Gill, Nirjgot
Sivanujan, Praveena
Skinner, John
Kruger, Estie
Tennant, Marc
Systematic Literature Review of Capitation and Fee-for-Service Payment Models for Oral Health Services: An Australian Perspective
title Systematic Literature Review of Capitation and Fee-for-Service Payment Models for Oral Health Services: An Australian Perspective
title_full Systematic Literature Review of Capitation and Fee-for-Service Payment Models for Oral Health Services: An Australian Perspective
title_fullStr Systematic Literature Review of Capitation and Fee-for-Service Payment Models for Oral Health Services: An Australian Perspective
title_full_unstemmed Systematic Literature Review of Capitation and Fee-for-Service Payment Models for Oral Health Services: An Australian Perspective
title_short Systematic Literature Review of Capitation and Fee-for-Service Payment Models for Oral Health Services: An Australian Perspective
title_sort systematic literature review of capitation and fee-for-service payment models for oral health services: an australian perspective
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8469501/
https://www.ncbi.nlm.nih.gov/pubmed/34574902
http://dx.doi.org/10.3390/healthcare9091129
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