英国牙科公私混合供给侧的变迁

The changing public/private mix in dentistry in the UK–a supply‐side perspective

Health Economics · 2002
被引 15
人大 A-

中文导读

研究英国NHS牙医工作负荷中公私混合比例变化的原因,发现非收入供给因素(如管理策略、态度)影响服务公平性和质量。

Abstract

This paper examines the factors beyond NHS dentists' remuneration which may explain the variations in the public/private mix in general dental practitioners' workload in the UK. Given that NHS dentistry is subject to a fixed price system, the study focused mainly on non-income supply-side factors. Using data from a postal survey of a national random sample of dentists practising in the NHS in England in 1997, the study found that the strategies adopted by dentists in the management of NHS lists and the evidence that dentists spent significantly more time in private consultations compared with NHS consultations support concerns over equity of access to dental care and the quality of NHS dentistry. Dentists' attitudes to NHS and private dentistry revealed considerable ambiguity towards the NHS. While, on the one hand, the lack of sufficient demand for private dentistry emerged as a strong reason for remaining in the NHS, on the other, there was evidence that equity in access to dental treatment is still seen as an important principle. The implications of these findings in the context of recent discussion of the future of NHS dentistry are considered.

英国牙科公私混合供给方因素NHS牙科