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Treatment Intensity and Provider Remuneration: Dentists in the British National Health Service

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  • Martin Chalkley
  • Colin Tilley

Abstract

Dental service providers in the British National Health Service (NHS) operate under a number of remuneration arrangements that give rise to different incentives. Using data derived from the Scottish dental system, we examine the relationships between remuneration, patient exemption status and treatment intensity. After controlling for differences in patient need and dentist-specific preferences, we find that self-employed dentists treat patients who are exempt from payment more intensively than their salaried counterparts. The results imply that changes in remuneration can have a large effect on the distribution of treatments. More generally, our results provide support for economic models that view financial incentives as important determinants of physician behaviour. Copyright © 2006 John Wiley & Sons, Ltd.
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  • Martin Chalkley & Colin Tilley, 2002. "Treatment Intensity and Provider Remuneration: Dentists in the British National Health Service," Dundee Discussion Papers in Economics 135, Economic Studies, University of Dundee.
  • Handle: RePEc:dun:dpaper:135
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    1. repec:esr:resser:rs80 is not listed on IDEAS
    2. Anthony Scott & Stefanie Schurer & Paul H. Jensen & Peter Sivey, 2008. "The Effect of Financial Incentives on Quality of Care: The Case of Diabetes," Melbourne Institute Working Paper Series wp2008n12, Melbourne Institute of Applied Economic and Social Research, The University of Melbourne.
    3. Listl, Stefan & Chalkley, Martin, 2014. "Provider payment bares teeth: Dentist reimbursement and the use of check-up examinations," Social Science & Medicine, Elsevier, vol. 111(C), pages 110-116.
    4. Harris, Rebecca V. & Sun, Ningwei, 2012. "Translation of remuneration arrangements into incentives to delegate to English dental therapists," Health Policy, Elsevier, vol. 104(3), pages 253-259.
    5. Martin Chalkley & Colin Tilley & Linda Young & Debbie Bonnetti & Jan Clarkson, 2008. "The Effect of Activity-Based Payment on Dentists’ Activity: Evidence from a Natural Experiment in the UK National Health Service," Dundee Discussion Papers in Economics 217, Economic Studies, University of Dundee.
    6. Feng, Y. & Farrar, S. & Sutton, M. & May, A., 2011. "The Effect of an Increase in the Rate of Payment on General Practitioner's Intrinsic and Extrinsic Motivation," Research Papers 000175, Office of Health Economics.
    7. repec:eee:jhecon:v:58:y:2018:i:c:p:1-9 is not listed on IDEAS
    8. Martin Chalkley & Colin Tilley & Shaolin Wang, 2011. "Comparing the treatment provided by migrant and non-migrant health professionals: dentists in Scotland," Dundee Discussion Papers in Economics 249, Economic Studies, University of Dundee.
    9. Marton, James & Yelowitz, Aaron & Talbert, Jeffery C., 2014. "A tale of two cities? The heterogeneous impact of medicaid managed care," Journal of Health Economics, Elsevier, vol. 36(C), pages 47-68.
    10. Jones, A.M, 2010. "Models For Health Care," Health, Econometrics and Data Group (HEDG) Working Papers 10/01, HEDG, c/o Department of Economics, University of York.
    11. Bonnetti, Debbie & Chalkley, Martin & Clarkson, Jan & Tilley, Colin & Young, Linda, 2008. "The Effect of Activity-Based Payment on Dentists’ Activity: Evidence from a Natural Experiment in the UK National Health Service," SIRE Discussion Papers 2008-45, Scottish Institute for Research in Economics (SIRE).

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