Chalkley, Martin John orcid.org/0000-0002-1091-8259 and Listl, Stefan (2017) First do no harm –:The impact of financial incentives on dental x-rays. Discussion Paper. CHE Research Papers . Centre for Health Economics, University of York , York, UK.
Abstract
This paper 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 patients are made exempt from payment. There are further increases in x-rays when a patient switches to a fee for service dentist relative to them switching to a salaried one.
Metadata
Item Type: | Monograph |
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Authors/Creators: |
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Keywords: | HEALTH CARE,INCENTIVES,Matched data,dentistry |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Social Sciences (York) > Centre for Health Economics (York) The University of York > Faculty of Social Sciences (York) > Centre for Health Economics (York) > CHE Research Papers (York) |
Depositing User: | Pure (York) |
Date Deposited: | 12 Sep 2018 09:00 |
Last Modified: | 21 Jan 2025 18:31 |
Status: | Published |
Publisher: | Centre for Health Economics, University of York |
Series Name: | CHE Research Papers |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:135410 |
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