Remuneration of dental care - how to give patients and dentists what they need

TL;DRAbstract

There are at least three different systems in remuneration of dental care: Fee-for-service (FFS), capitation (CAP), and national health service (NHS). Empirically, FFS dominates, with elements of CAP and NHS in some countries. Advantages and disadvantages with all the systems are reviewed. 
\nIn moral philosophy, there are also three different ways to distribute something good - according to Right, Desert, and Need. The matrix of these distributory principles and the remuneration systems is presented and analysed, with attention to the need 
\nconcept. Right is connected to CAP, Desert to FFS, and Need to NHS. 
\nThere is scarce empirical evidence relevant for this model. In the few studies done, CAP decreases restorative treatment and there is a tendency of decreased caries incidence. “Supervised neglect” cannot be established. CAP increases preventive care. Results regarding productivity are inconclusive. One study points to improved patient Oral Health-Related Quality of

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