Risk Driven Capitation Models
- 92 Downloads
Dental capitation plans are a relatively recent concept. They should equitably spread the predicted monthly cost of care so as to provide financial assurance to patients and to clinicians. This cost may take into account both patients’ historic needs and current disease states, and should ideally also include an assessment of predicted clinical risks.
Plans should provide for individual, appropriately timed reviews, care and treatment based on these needs and risks, and should promote self-care by the patient as well as a preventive ethos whereby both parties—clinician and patient—are motivated to achieve optimally reduced needs and future risks of disease. By inference this will ideally reduce costs and resources, enabling the dental team to care for more patients, thus serving the interests of all.
Capitation plans should aspire to promote a dentist-patient partnership approach, with each party striving towards a longer-term objective of optimal oral health. Ongoing clinical risk assessments can support efficiency, enable effectiveness and demonstrate good outcomes.
- 1.Cockcroft B. Presentation to British Society of Dental Hygienists and Therapists. 9 November 2012.Google Scholar
- 2.Frandsen A, editor. Preventive dentistry in practice. Oslo: Munksgaard; 1976. p. 9–16.Google Scholar
- 4.Bauernschuster S, Driva A, Hornung E. Bismarck’s health insurance. The Global Dispatches; 2017. www.theglobaldispatches.com/articles/bismarcks-health-insurance/. Accessed 21 July 2018.
- 10.Anup N, Vishnani P. Cariogram – a multi-factorial risk assessment software for risk prediction of dental caries. Int J Sci Stud. 2014;1(4):58–62.Google Scholar
- 18.Frankel M, Boffa J. Prepaid dental care technical assistance manual. Boston: Jerold Enterprises Inc.; 1974.Google Scholar
- 26.Wright K. Dentists’ pay and the National Health Service (Primary Care) Bill: pp 7-9. House of Commons research paper 97/17. https://researchbriefings.parliament.uk/ResearchBriefing/Summary/RP97-17. Accessed 16 July 2018.
- 27.House of Commons Health Committee. Dental services. Fifth report of session 2007-8. London: The Stationery Office; 2008.Google Scholar
- 28.Steele J. NHS dental services in England: an independent review. London: Department of Health; 2009.Google Scholar
- 29.NHS Dental Contract Pilots – Early Findings. Gateway reference 18199. London: Department of Health; 2012.Google Scholar
- 30.NHS Dental Contract Pilots. Learning after first two years of piloting. London: Department of Health; 2014.Google Scholar
- 31.Dental Contract Reform: Prototypes. Evaluation of the first year of prototyping 2016-2017. London: Department of Health & Social Care; 2018.Google Scholar
- 32.Internal communication. Simplyhealth Professionals. 2018.Google Scholar
- 34.Burke FJT, Busby M, McHugh S, Delargy S, Mullins A, Matthews R. Evaluation of an oral health scoring system by dentists in general dental practice. Br Dent J. 2003;194:214–8.Google Scholar
- 45.McDonald R, Cheraghi-Sohi S, Tickle M, Doran T. The impact of incentives on the behaviour and performance of primary care professionals. A report for the National Institute for Health Research Service Delivery and Organisation programme. London: HMSO; 2010.Google Scholar