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Variation in Dentist Service Rates in a Homogeneous Patient Population

Identifieur interne : 000892 ( Istex/Curation ); précédent : 000891; suivant : 000893

Variation in Dentist Service Rates in a Homogeneous Patient Population

Auteurs : David Grembowski ; Peter Mllgrom ; Louis Fiset

Source :

RBID : ISTEX:121DFAD6A62FE76F77B4E579CF1A856E3FFA6629

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English descriptors

Abstract

Previous studies in medicine and dentistry document wide variations in service rates across small areas, large regions, and providers. The practice patterns of providers and underlying differences in patient need are thought to be important sources of this variation. To control for variation in patient needs, we calculated service rates of 200 general dentists in Washington state based on a homogeneous, well‐educated, upper‐middle‐class population of patients. Wide variations were found in the rates for many dental services. Dentists' practice beliefs and characteristics of the practice were sources of variation in the rates. The evidence is insufficient to determine whether undertreatment or overtreatment occurred among dentists with the lowest and highest expenditures per patient, respectively. However, the perceived oral health status of adult patients was lower in practices with the lowest total expenditures per patient than in practices with the highest total expenditures per patient, suggesting that undertreatment of adult patients in the lowest‐expenditure practices may have occurred.

Url:
DOI: 10.1111/j.1752-7325.1990.tb02129.x

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ISTEX:121DFAD6A62FE76F77B4E579CF1A856E3FFA6629

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David Grembowski
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Peter Mllgrom
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Louis Fiset
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<mods:affiliation>Department of Dental Public Health Sciences University of Washington School of Dentistry Health Sciences Center, Suite B509, SM‐35 Seattle, WA 98195‐9950</mods:affiliation>
<wicri:noCountry code="subField">98195‐9950</wicri:noCountry>
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<term>Standard deviations</term>
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<term>Surgery adjunctive</term>
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<front>
<div type="abstract" xml:lang="en">Previous studies in medicine and dentistry document wide variations in service rates across small areas, large regions, and providers. The practice patterns of providers and underlying differences in patient need are thought to be important sources of this variation. To control for variation in patient needs, we calculated service rates of 200 general dentists in Washington state based on a homogeneous, well‐educated, upper‐middle‐class population of patients. Wide variations were found in the rates for many dental services. Dentists' practice beliefs and characteristics of the practice were sources of variation in the rates. The evidence is insufficient to determine whether undertreatment or overtreatment occurred among dentists with the lowest and highest expenditures per patient, respectively. However, the perceived oral health status of adult patients was lower in practices with the lowest total expenditures per patient than in practices with the highest total expenditures per patient, suggesting that undertreatment of adult patients in the lowest‐expenditure practices may have occurred.</div>
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