Variation in Dentist Service Rates in a Homogeneous Patient Population
Identifieur interne : 000892 ( Istex/Curation ); précédent : 000891; suivant : 000893Variation in Dentist Service Rates in a Homogeneous Patient Population
Auteurs : David Grembowski ; Peter Mllgrom ; Louis FisetSource :
- Journal of Public Health Dentistry [ 0022-4006 ] ; 1990-06.
Descripteurs français
- Wicri :
- topic : Dentiste, Statistique de la santé.
English descriptors
- KwdEn :
- Adult patients, Amalgam, Amalgam crown, Amalgams crown buildups, Average dentist, Average number, Bailit, Category rates, Cluster analysis, College degree, Dental, Dental care, Dental care demand, Dental claims, Dental expenditures, Dental insurance, Dental practice, Dental practice profiles, Dental services, Dental services category, Dental symptoms, Dentist, Dentistry, Denture, Dentures bridge crowns, Distributional properties, Employer group, Endodontic, Endodontic periodontic, Expenditure rates, Family characteristics, Family incomes, General dentists, General practitioners, Health dentistry, Health services research, Health statistics, Health status, High rate, High rates, Higher levels, Highest expenditure practices, Highest expenditures, Highest number, Highest rate practices, Initial mailing, Large regions, Less time, Little need, Loose teeth, Lower rates, Lowest expenditure practices, Lowest number, Lowest rate practices, Lowest rates, Mail survey, Medical care, National center, Normal distributions, Oral health, Oral health status, Oral surgery, Other categories, Other groups, Other radiographs, Patient characteristics, Patient need, Patient population, Patient visits, Periodontal services, Periodontic, Periodontic rates, Periodontic services, Pins composites crowns root canals gingival curettage scalings quadrant scalings, Positive correlations, Practice profiles, Preventive services, Previous analysis, Previous studies, Primary cause, Professional uncertainty, Public health dent, Radiograph, Radiographs prophylaxes fluoride treatments, Rehabilitative services, Removable prosthodontics, Response rate, Restorative services, Service rates, Service rates service categories, Services examinations radiographs, Significant differences, Small areas, Small minority, Standard deviations, Substantial variation, Substitute services, Surgery adjunctive, Total expenditures, Undertreatment, Utilization rates, Washington education association, Washington state, Wide variation.
- Teeft :
- Adult patients, Amalgam, Amalgam crown, Amalgams crown buildups, Average dentist, Average number, Bailit, Category rates, Cluster analysis, College degree, Dental, Dental care, Dental care demand, Dental claims, Dental expenditures, Dental insurance, Dental practice, Dental practice profiles, Dental services, Dental services category, Dental symptoms, Dentist, Dentistry, Denture, Dentures bridge crowns, Distributional properties, Employer group, Endodontic, Endodontic periodontic, Expenditure rates, Family characteristics, Family incomes, General dentists, General practitioners, Health dentistry, Health services research, Health statistics, Health status, High rate, High rates, Higher levels, Highest expenditure practices, Highest expenditures, Highest number, Highest rate practices, Initial mailing, Large regions, Less time, Little need, Loose teeth, Lower rates, Lowest expenditure practices, Lowest number, Lowest rate practices, Lowest rates, Mail survey, Medical care, National center, Normal distributions, Oral health, Oral health status, Oral surgery, Other categories, Other groups, Other radiographs, Patient characteristics, Patient need, Patient population, Patient visits, Periodontal services, Periodontic, Periodontic rates, Periodontic services, Pins composites crowns root canals gingival curettage scalings quadrant scalings, Positive correlations, Practice profiles, Preventive services, Previous analysis, Previous studies, Primary cause, Professional uncertainty, Public health dent, Radiograph, Radiographs prophylaxes fluoride treatments, Rehabilitative services, Removable prosthodontics, Response rate, Restorative services, Service rates, Service rates service categories, Services examinations radiographs, Significant differences, Small areas, Small minority, Standard deviations, Substantial variation, Substitute services, Surgery adjunctive, Total expenditures, Undertreatment, Utilization rates, Washington education association, Washington state, Wide variation.
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
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: Pour aller vers cette notice dans l'étape Curation :000892
Links to Exploration step
ISTEX:121DFAD6A62FE76F77B4E579CF1A856E3FFA6629Curation
No country items
David Grembowski<affiliation><mods:affiliation>Correspondence address: Send correspondence and reprint requests to Dr. Grembowski.</mods:affiliation>
<wicri:noCountry code="no comma">Correspondence address: Send correspondence and reprint requests to Dr. Grembowski.</wicri:noCountry>
</affiliation>
<affiliation><mods:affiliation>Professor of Dental Public Health Sciences Adjunct Professor of Health Services Director, Dental Fears Research Clinic</mods:affiliation>
<wicri:noCountry code="subField">Clinic</wicri:noCountry>
</affiliation>
<affiliation><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>
</affiliation>
Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Variation in Dentist Service Rates in a Homogeneous Patient Population</title>
<author><name sortKey="Grembowski, David" sort="Grembowski, David" uniqKey="Grembowski D" first="David" last="Grembowski">David Grembowski</name>
<affiliation><mods:affiliation>Departments of Health Services and Dental Public Health Sciences Adjunct Assistant Professor Department of Sociology</mods:affiliation>
<wicri:noCountry code="no comma">Departments of Health Services and Dental Public Health Sciences Adjunct Assistant Professor Department of Sociology</wicri:noCountry>
</affiliation>
<affiliation><mods:affiliation>Correspondence address: Send correspondence and reprint requests to Dr. Grembowski.</mods:affiliation>
<wicri:noCountry code="no comma">Correspondence address: Send correspondence and reprint requests to Dr. Grembowski.</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Mllgrom, Peter" sort="Mllgrom, Peter" uniqKey="Mllgrom P" first="Peter" last="Mllgrom">Peter Mllgrom</name>
<affiliation><mods:affiliation>Professor of Dental Public Health Sciences Adjunct Professor of Health Services Director, Dental Fears Research Clinic</mods:affiliation>
<wicri:noCountry code="subField">Clinic</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Fiset, Louis" sort="Fiset, Louis" uniqKey="Fiset L" first="Louis" last="Fiset">Louis Fiset</name>
<affiliation><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>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">ISTEX</idno>
<idno type="RBID">ISTEX:121DFAD6A62FE76F77B4E579CF1A856E3FFA6629</idno>
<date when="1990" year="1990">1990</date>
<idno type="doi">10.1111/j.1752-7325.1990.tb02129.x</idno>
<idno type="url">https://api.istex.fr/document/121DFAD6A62FE76F77B4E579CF1A856E3FFA6629/fulltext/pdf</idno>
<idno type="wicri:Area/Istex/Corpus">000892</idno>
<idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000892</idno>
<idno type="wicri:Area/Istex/Curation">000892</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title level="a" type="main">Variation in Dentist Service Rates in a Homogeneous Patient Population</title>
<author><name sortKey="Grembowski, David" sort="Grembowski, David" uniqKey="Grembowski D" first="David" last="Grembowski">David Grembowski</name>
<affiliation><mods:affiliation>Departments of Health Services and Dental Public Health Sciences Adjunct Assistant Professor Department of Sociology</mods:affiliation>
</affiliation>
<affiliation><mods:affiliation>Correspondence address: Send correspondence and reprint requests to Dr. Grembowski.</mods:affiliation>
<wicri:noCountry code="no comma">Correspondence address: Send correspondence and reprint requests to Dr. Grembowski.</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Mllgrom, Peter" sort="Mllgrom, Peter" uniqKey="Mllgrom P" first="Peter" last="Mllgrom">Peter Mllgrom</name>
<affiliation><mods:affiliation>Professor of Dental Public Health Sciences Adjunct Professor of Health Services Director, Dental Fears Research Clinic</mods:affiliation>
<wicri:noCountry code="subField">Clinic</wicri:noCountry>
</affiliation>
</author>
<author><name sortKey="Fiset, Louis" sort="Fiset, Louis" uniqKey="Fiset L" first="Louis" last="Fiset">Louis Fiset</name>
<affiliation><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>
</affiliation>
</author>
</analytic>
<monogr></monogr>
<series><title level="j" type="main">Journal of Public Health Dentistry</title>
<title level="j" type="alt">JOURNAL OF PUBLIC HEALTH DENTISTRY</title>
<idno type="ISSN">0022-4006</idno>
<idno type="eISSN">1752-7325</idno>
<imprint><biblScope unit="vol">50</biblScope>
<biblScope unit="issue">4</biblScope>
<biblScope unit="page" from="235">235</biblScope>
<biblScope unit="page" to="243">243</biblScope>
<biblScope unit="page-count">9</biblScope>
<publisher>Blackwell Publishing Ltd</publisher>
<pubPlace>Oxford, UK</pubPlace>
<date type="published" when="1990-06">1990-06</date>
</imprint>
<idno type="ISSN">0022-4006</idno>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><idno type="ISSN">0022-4006</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult patients</term>
<term>Amalgam</term>
<term>Amalgam crown</term>
<term>Amalgams crown buildups</term>
<term>Average dentist</term>
<term>Average number</term>
<term>Bailit</term>
<term>Category rates</term>
<term>Cluster analysis</term>
<term>College degree</term>
<term>Dental</term>
<term>Dental care</term>
<term>Dental care demand</term>
<term>Dental claims</term>
<term>Dental expenditures</term>
<term>Dental insurance</term>
<term>Dental practice</term>
<term>Dental practice profiles</term>
<term>Dental services</term>
<term>Dental services category</term>
<term>Dental symptoms</term>
<term>Dentist</term>
<term>Dentistry</term>
<term>Denture</term>
<term>Dentures bridge crowns</term>
<term>Distributional properties</term>
<term>Employer group</term>
<term>Endodontic</term>
<term>Endodontic periodontic</term>
<term>Expenditure rates</term>
<term>Family characteristics</term>
<term>Family incomes</term>
<term>General dentists</term>
<term>General practitioners</term>
<term>Health dentistry</term>
<term>Health services research</term>
<term>Health statistics</term>
<term>Health status</term>
<term>High rate</term>
<term>High rates</term>
<term>Higher levels</term>
<term>Highest expenditure practices</term>
<term>Highest expenditures</term>
<term>Highest number</term>
<term>Highest rate practices</term>
<term>Initial mailing</term>
<term>Large regions</term>
<term>Less time</term>
<term>Little need</term>
<term>Loose teeth</term>
<term>Lower rates</term>
<term>Lowest expenditure practices</term>
<term>Lowest number</term>
<term>Lowest rate practices</term>
<term>Lowest rates</term>
<term>Mail survey</term>
<term>Medical care</term>
<term>National center</term>
<term>Normal distributions</term>
<term>Oral health</term>
<term>Oral health status</term>
<term>Oral surgery</term>
<term>Other categories</term>
<term>Other groups</term>
<term>Other radiographs</term>
<term>Patient characteristics</term>
<term>Patient need</term>
<term>Patient population</term>
<term>Patient visits</term>
<term>Periodontal services</term>
<term>Periodontic</term>
<term>Periodontic rates</term>
<term>Periodontic services</term>
<term>Pins composites crowns root canals gingival curettage scalings quadrant scalings</term>
<term>Positive correlations</term>
<term>Practice profiles</term>
<term>Preventive services</term>
<term>Previous analysis</term>
<term>Previous studies</term>
<term>Primary cause</term>
<term>Professional uncertainty</term>
<term>Public health dent</term>
<term>Radiograph</term>
<term>Radiographs prophylaxes fluoride treatments</term>
<term>Rehabilitative services</term>
<term>Removable prosthodontics</term>
<term>Response rate</term>
<term>Restorative services</term>
<term>Service rates</term>
<term>Service rates service categories</term>
<term>Services examinations radiographs</term>
<term>Significant differences</term>
<term>Small areas</term>
<term>Small minority</term>
<term>Standard deviations</term>
<term>Substantial variation</term>
<term>Substitute services</term>
<term>Surgery adjunctive</term>
<term>Total expenditures</term>
<term>Undertreatment</term>
<term>Utilization rates</term>
<term>Washington education association</term>
<term>Washington state</term>
<term>Wide variation</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en"><term>Adult patients</term>
<term>Amalgam</term>
<term>Amalgam crown</term>
<term>Amalgams crown buildups</term>
<term>Average dentist</term>
<term>Average number</term>
<term>Bailit</term>
<term>Category rates</term>
<term>Cluster analysis</term>
<term>College degree</term>
<term>Dental</term>
<term>Dental care</term>
<term>Dental care demand</term>
<term>Dental claims</term>
<term>Dental expenditures</term>
<term>Dental insurance</term>
<term>Dental practice</term>
<term>Dental practice profiles</term>
<term>Dental services</term>
<term>Dental services category</term>
<term>Dental symptoms</term>
<term>Dentist</term>
<term>Dentistry</term>
<term>Denture</term>
<term>Dentures bridge crowns</term>
<term>Distributional properties</term>
<term>Employer group</term>
<term>Endodontic</term>
<term>Endodontic periodontic</term>
<term>Expenditure rates</term>
<term>Family characteristics</term>
<term>Family incomes</term>
<term>General dentists</term>
<term>General practitioners</term>
<term>Health dentistry</term>
<term>Health services research</term>
<term>Health statistics</term>
<term>Health status</term>
<term>High rate</term>
<term>High rates</term>
<term>Higher levels</term>
<term>Highest expenditure practices</term>
<term>Highest expenditures</term>
<term>Highest number</term>
<term>Highest rate practices</term>
<term>Initial mailing</term>
<term>Large regions</term>
<term>Less time</term>
<term>Little need</term>
<term>Loose teeth</term>
<term>Lower rates</term>
<term>Lowest expenditure practices</term>
<term>Lowest number</term>
<term>Lowest rate practices</term>
<term>Lowest rates</term>
<term>Mail survey</term>
<term>Medical care</term>
<term>National center</term>
<term>Normal distributions</term>
<term>Oral health</term>
<term>Oral health status</term>
<term>Oral surgery</term>
<term>Other categories</term>
<term>Other groups</term>
<term>Other radiographs</term>
<term>Patient characteristics</term>
<term>Patient need</term>
<term>Patient population</term>
<term>Patient visits</term>
<term>Periodontal services</term>
<term>Periodontic</term>
<term>Periodontic rates</term>
<term>Periodontic services</term>
<term>Pins composites crowns root canals gingival curettage scalings quadrant scalings</term>
<term>Positive correlations</term>
<term>Practice profiles</term>
<term>Preventive services</term>
<term>Previous analysis</term>
<term>Previous studies</term>
<term>Primary cause</term>
<term>Professional uncertainty</term>
<term>Public health dent</term>
<term>Radiograph</term>
<term>Radiographs prophylaxes fluoride treatments</term>
<term>Rehabilitative services</term>
<term>Removable prosthodontics</term>
<term>Response rate</term>
<term>Restorative services</term>
<term>Service rates</term>
<term>Service rates service categories</term>
<term>Services examinations radiographs</term>
<term>Significant differences</term>
<term>Small areas</term>
<term>Small minority</term>
<term>Standard deviations</term>
<term>Substantial variation</term>
<term>Substitute services</term>
<term>Surgery adjunctive</term>
<term>Total expenditures</term>
<term>Undertreatment</term>
<term>Utilization rates</term>
<term>Washington education association</term>
<term>Washington state</term>
<term>Wide variation</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Dentiste</term>
<term>Statistique de la santé</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<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>
</front>
</TEI>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/Istex/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000892 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Istex/Curation/biblio.hfd -nk 000892 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Santé |area= EdenteV2 |flux= Istex |étape= Curation |type= RBID |clé= ISTEX:121DFAD6A62FE76F77B4E579CF1A856E3FFA6629 |texte= Variation in Dentist Service Rates in a Homogeneous Patient Population }}
This area was generated with Dilib version V0.6.32. |