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2018 French dental contracts: On the road to achieving universal dental health coverage?

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  • Mazevet, Marco E.
  • Garyga, V.
  • Mayne, Catherine
  • Pitts, Nigel B.
  • Pennington, Mark W.

Abstract

Following the failure of earlier negotiations, the new French Government decided not to go ahead with a unilateral decision to define fees in the dental contracts, and to reopen the negotiations. This in a bid to satisfy the providers' requests, as well as to negotiate Emmanuel Macron's presidential campaign promise of no out-of-pocket expenses on dental prosthetics. The three stakeholders, the National Health Insurance System, Dental Trade Unions and Complementary Health Insurers, started another round of negotiations which lead to an agreement. This new convention, which will be phased in from the 1 st of April 2019, will exclude 90 % of dental procedures from out-of pocket payments for patients. Though economic models were controversial between the stakeholders, this reform is likely to engage France in a system where the dental medical divide is narrowing, quasi-universal dental coverage is achieved and policy making processes are adaptable to the evolution of evidence-based medicine and economic realities. This reform, supported by more than 95 % of the French population, is likely to serve as an example for its impact on: political campaigns; the role of comprehensive data collection systems; economic models; and adaptive policies in order to overcome barriers to reforms.

Suggested Citation

  • Mazevet, Marco E. & Garyga, V. & Mayne, Catherine & Pitts, Nigel B. & Pennington, Mark W., 2020. "2018 French dental contracts: On the road to achieving universal dental health coverage?," Health Policy, Elsevier, vol. 124(8), pages 781-786.
    • Handle: RePEc:eee:hepoli:v:124:y:2020:i:8:p:781-786
    DOI: 10.1016/j.healthpol.2020.04.016
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    References listed on IDEAS

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    1. Holmes, Richard D. & Steele, Jimmy G. & Donaldson, Cam & Exley, Catherine, 2015. "Learning from contract change in primary care dentistry: A qualitative study of stakeholders in the north of England," Health Policy, Elsevier, vol. 119(9), pages 1218-1225.
    2. Mazevet, Marco E. & Garyga, V. & Pitts, Nigel B. & Pennington, Mark W., 2018. "The highly controversial payment reform of dentists in France: Seeking a new compromise after the 2017 strike," Health Policy, Elsevier, vol. 122(12), pages 1273-1277.
    3. di Bella, Enrico & Leporatti, Lucia & Montefiori, Marcello & Krejci, Ivo & Ardu, Stefano, 2017. "Popular initiatives in 2014–2016 call for the introduction of mandatory dental care insurance in Switzerland: The contrasting positions at stake," Health Policy, Elsevier, vol. 121(6), pages 575-581.
    4. Simões, Jorge & Figueiredo Augusto, Gonçalo & do Céu, Ana & Ferreira, Maria Cristina & Jordão, Margarida & Calado, Rui & Fronteira, Inês, 2018. "Ten years since the 2008 introduction of dental vouchers in the Portuguese NHS," Health Policy, Elsevier, vol. 122(8), pages 803-807.
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    Cited by:

    1. Allin, Sara & Farmer, Julie & Quiñonez, Carlos & Peckham, Allie & Marchildon, Gregory & Panteli, Dimitra & Henschke, Cornelia & Fattore, Giovanni & Lamloum, Demetrio & Holden, Alexander C.L. & Rice, T, 2020. "Do health systems cover the mouth? Comparing dental care coverage for older adults in eight jurisdictions," Health Policy, Elsevier, vol. 124(9), pages 998-1007.

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