Changes to financial incentives in English dentistry 2006-2009: a qualitative study
| Autor: | Martin Tickle, Sudeh Cheraghi-Sohi, Ruth McDonald, Caroline Sanders |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male public policy media_common.quotation_subject psychosocial aspects of oral health Decision Making Dentistry Public Policy Evidence-Based Dentistry clinical decision making clinical Grounded theory Interviews as Topic Evidence Based Dentistry(EBD) Coalition government Medicine Humans General Dentistry Reimbursement Incentive health care economics and organizations Qualitative Research disparities public health policy media_common Practice Patterns Dentists' Dentistry(all) business.industry Public Health Environmental and Occupational Health Health services research Payment health services research Physician Incentive Plans Incentive England State Dentistry Health Care Reform Female Health care reform business Evidence-based dentistry qualitative research Qualitative research |
| Zdroj: | McDonald, R, Cheraghi-Sohi, S, Sanders, C & Tickle, M 2012, ' Changes to financial incentives in English dentistry 2006 to 2009: a qualitative study. ', Community Dentistry and Oral Epidemiology, vol. 40, no. 5, pp. 468-473 . https://doi.org/10.1111/j.1600-0528.2012.00687.x, https://doi.org/10.1111/j.1600-0528.2012.00687.x |
| ISSN: | 1600-0528 |
| DOI: | 10.1111/j.1600-0528.2012.00687.x |
| Popis: | ObjectivesTo explore the views of NHS dentists in England regarding reforms, which changed their incentive and payment structure.MethodsSemi-structured interviews with 35 dentists, digitally recorded, transcribed verbatim and analysed using a constant comparative method.ResultsDentists reported changing their behaviour in response to incentives in ways that were likely to have adverse impacts on patients. There was also a loss of trust in NHS paymasters, as well as a loss of faith in the ability to provide high quality care in NHS dentistry.ConclusionsResponses suggest that many dentists were quick to change behaviour following the introduction of a revised contractual structure in 2006. The coalition government in the UK has stated its intention to introduce a new NHS dental contract. Our data suggest that part of the process of changing behaviours, norms and attitudes will require the rebuilding of trust in the NHS amongst NHS dentists, as opposed to merely redesigning incentive structures, though the two are related. |
| Databáze: | OpenAIRE |
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