FACTORS INFLUENCING VARIATION IN DENTIST SERVICE RATES

被引:39
作者
GREMBOWSKI, D
MILGROM, P
FISET, L
机构
[1] UNIV WASHINGTON,SCH DENT,HLTH SCI CTR,DEPT PUBL HLTH SCI,SEATTLE,WA 98195
[2] UNIV WASHINGTON,SCH DENT,HLTH SCI CTR,DEPT SOCIOL,SEATTLE,WA 98195
[3] UNIV WASHINGTON,SCH DENT,HLTH SCI CTR,DENT FEARS RES CLIN,SEATTLE,WA 98195
关键词
dental insurance; dentist practice profiles; quality of care; supplier‐induced demand; utilization review;
D O I
10.1111/j.1752-7325.1990.tb02130.x
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
In the previous article, we calculated dentist service rates for 200 general dentists based on a homogeneous, well‐educated, upper‐middle‐class population of patients. Wide variations in the rates were detected. In this analysis, factors influencing variation in the rates were identified. Variation in rates for categories of dental services was explained by practice characteristics, patient exposure to fluoridated water supplies, and non‐price competition in the dental market. Rates were greatest in large, busy practices in markets with high fees. Older practices consistently had lower rates across services. As a whole, these variables explained between 5 and 30 percent of the variation in the rates. Copyright © 1990, Wiley Blackwell. All rights reserved
引用
收藏
页码:244 / 250
页数:7
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