Question · asked by 1 review

Capitation remuneration vs Fee-for-service remuneration: Patient outcomes: mean percentage of 0- to 15-year-olds having one or more teeth extracted

Population
Children (0- to 15-year-olds) undergoing routine continuing dental care at 354 dental practices, in matched pairs of Health Service administrative areas in England (northern urban, commuter suburb, rural) and Scotland
Intervention
Capitation remuneration
Comparison
Fee-for-service remuneration
Outcome
Patient outcomes: mean percentage of 0- to 15-year-olds having one or more teeth extracted

Capitation remuneration may leads to lower patient outcomes: mean percentage of 0- to 15-year-olds having one… compared with fee-for-service remuneration (low certainty).

What each review found

Include earlier review versions
No studies found 0 · 0%GRADE not reported 0 · 0%Very low 0 · 0%Low 4 · 100%Moderate 0 · 0%High 0 · 0%
FindingEffectStudiesGRADE certainty
Capitation remuneration vs Fee-for-service remuneration
Patient outcomes: mean percentage of 0- to 15-year-olds having one or more teeth extracted · Children (0- to 15-year-olds) undergoing routine continuing dental care at 354 dental practices, in matched pairs of… · 3 years, Rural community
Capitation remuneration may leads to lower patient outcomes: mean percentage of 0- to 15-year-olds having one… compared with fee-for-service remuneration (low certainty).
The effect of different methods of remuneration on the behaviour of primary care dentists (2013) · Cochrane All outcomes
RR 0.701 study · 2250 participantsLow
Capitation remuneration vs Fee-for-service remuneration
Patient outcomes: mean percentage of 0- to 15-year-olds having one or more teeth extracted · Children (0- to 15-year-olds) undergoing routine continuing dental care at 354 dental practices, in matched pairs of… · 3 years, Commuter suburb community
Capitation remuneration may leads to higher patient outcomes: mean percentage of 0- to 15-year-olds having one… compared with fee-for-service remuneration (low certainty).
The effect of different methods of remuneration on the behaviour of primary care dentists (2013) · Cochrane All outcomes
RR 1.001 study · 2250 participantsLow
Capitation remuneration vs Fee-for-service remuneration
Patient outcomes: mean percentage of 0- to 15-year-olds having one or more teeth extracted · Children (0- to 15-year-olds) undergoing routine continuing dental care at 354 dental practices, in matched pairs of… · 3 years, Northern urban community
Capitation remuneration may leads to lower patient outcomes: mean percentage of 0- to 15-year-olds having one… compared with fee-for-service remuneration (low certainty).
The effect of different methods of remuneration on the behaviour of primary care dentists (2013) · Cochrane All outcomes
RR 0.721 study · 2250 participantsLow
Capitation remuneration vs Fee-for-service remuneration
Patient outcomes: mean percentage of 0- to 15-year-olds having one or more teeth extracted · Children (0- to 15-year-olds) undergoing routine continuing dental care at 354 dental practices, in matched pairs of… · 3 years, Scottish community
Capitation remuneration may leads to lower patient outcomes: mean percentage of 0- to 15-year-olds having one… compared with fee-for-service remuneration (low certainty).
The effect of different methods of remuneration on the behaviour of primary care dentists (2013) · Cochrane All outcomes
RR 0.931 study · 2250 participantsLow

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
The effect of different methods of remuneration on the behaviour of primary care dentists
2013 · Cochrane All outcomes
2013-06Not listedNot assessed
How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.