First do no harm - The impact of financial incentives on dental X-rays.

Abstract:

:This article assesses the impact of dentist remuneration on the incidence of potentially harmful dental X-rays. We use unique panel data which provide details of 1.3 million treatment claims by Scottish NHS dentists made between 1998 and 2007. Controlling for unobserved heterogeneity of both patients and dentists we estimate a series of fixed-effects models that are informed by a theoretical model of X-ray delivery and identify the effects on dental X-raying of dentists moving from a fixed salary to fee-for-service and patients moving from co-payment to exemption. We establish that there are significant increases in X-rays when dentists receive fee-for-service rather than salary payments and when patients are made exempt from payment.

journal_name

J Health Econ

authors

Chalkley M,Listl S

doi

10.1016/j.jhealeco.2017.12.005

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

1-9

eissn

0167-6296

issn

1879-1646

pii

S0167-6296(17)30099-1

journal_volume

58

pub_type

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