First do no harm: the impact of financial incentives on dental X-rays

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 patient...

Full description

Saved in:
Bibliographic Details
Main Authors: Chalkley, Martin (Author) , Listl, Stefan (Author)
Format: Article (Journal)
Language:English
Published: March 2018
In: Journal of health economics
Year: 2018, Volume: 58, Pages: 1-9
ISSN:1879-1646
DOI:10.1016/j.jhealeco.2017.12.005
Online Access:Verlag, Volltext: http://dx.doi.org/10.1016/j.jhealeco.2017.12.005
Verlag, Volltext: http://www.sciencedirect.com/science/article/pii/S0167629617300991
Get full text
Author Notes:Martin Chalkley, Stefan Listl
Description
Summary: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.
Item Description:Gesehen am 14.05.2018
Physical Description:Online Resource
ISSN:1879-1646
DOI:10.1016/j.jhealeco.2017.12.005