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What do systematic reviews say?

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Evidence found and GRADE certainty

12 questions · 30 findings · 1 reviews · Effective Practice and Organisation of Care · All outcomes

No studies found 0 · 0%GRADE not reported 3 · 10%Very low 3 · 10%Low 24 · 80%Moderate 0 · 0%High 0 · 0%

Fee‐for‐service (FFS) vs no intervention or control intervention (control)

Healthcare costs: cost-effectiveness of fee-for-service vs control (incremental cost-effectiveness ratio, reported as % change in outcome per GBP; currency year NR) · Dentists seeing children with erupted second permanent molars (Scotland, in areas representing the four most deprived categories out of…
1 finding from 1 review

Capitation remuneration vs Fee-for-service remuneration

Measures of non-clinical behaviour: proportion of dentists introducing innovations into their dental practices · Children (0- to 15-year-olds) undergoing routine continuing dental care at 354 dental practices, in matched pairs of Health Service…

Capitation remuneration led to lower measures of non-clinical behaviour: proportion of dentists… compared with fee-for-service remuneration; GRADE not reported.

1 finding from 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 · Children (0- to 15-year-olds) undergoing routine continuing dental care at 354 dental practices, in matched pairs of Health Service…

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).

4 findings from 1 review
Show 1 more finding

Capitation remuneration vs Fee-for-service remuneration

Measures of health service utilisation: mean number of visits per 0- to 15-year-old · Children (0- to 15-year-olds) undergoing routine continuing dental care at 354 dental practices, in matched pairs of Health Service…

Capitation remuneration showed no clear difference in measures of health service utilisation: mean number of visits per 0-… compared with fee-for-service remuneration (low certainty).

4 findings from 1 review
Show 1 more finding

Capitation remuneration vs Fee-for-service remuneration

Mean number of decayed teeth (mean DT) · Children (0- to 15-year-olds) undergoing routine continuing dental care at 354 dental practices, in matched pairs of Health Service…

Capitation remuneration showed no clear difference in patient outcomes: mean number of decayed teeth per 14- to… compared with fee-for-service remuneration (low certainty).

4 findings from 1 review
Show 1 more finding

Capitation remuneration vs Fee-for-service remuneration

Unintended effects: self-reported temptation to under-prescribe (0- to 100-point visual analogue scale) · Children (0- to 15-year-olds) undergoing routine continuing dental care at 354 dental practices, in matched pairs of Health Service…

Capitation remuneration showed no clear difference in unintended effects: self-reported temptation to under-prescribe (0-… compared with fee-for-service remuneration; GRADE not reported.

1 finding from 1 review

Capitation remuneration vs Fee-for-service remuneration

Measures of clinical activity: mean percentage of 0- to 15-year-olds receiving active preventive advice · Children (0- to 15-year-olds) undergoing routine continuing dental care at 354 dental practices, in matched pairs of Health Service…

Capitation remuneration may leads to higher measures of clinical activity: mean percentage of 0- to 15-year-olds… compared with fee-for-service remuneration (low certainty).

4 findings from 1 review
Show 1 more finding

Fee‐for‐service (FFS) vs no intervention or control intervention (control)

Measures of clinical activity: mean percentage of 12- to 14-year-olds receiving fissure sealants for second permanent molars per dentist (weighted by number of children seen) - unadjusted · Dentists seeing children with erupted second permanent molars (Scotland, in areas representing the four most deprived categories out of…

It is very uncertain whether fee-for-service remuneration changes measures of clinical activity: mean percentage of 12- to… compared with no specific intervention (control) (very low certainty).

1 finding from 1 review

Capitation remuneration vs Fee-for-service remuneration

Healthcare costs: mean expenditure in GBP per 0- to 15-year-old (currency year NR) · Children (0- to 15-year-olds) undergoing routine continuing dental care at 354 dental practices, in matched pairs of Health Service…

Capitation remuneration showed no clear difference in healthcare costs: mean expenditure in GBP per 0- to 15-year-old… compared with fee-for-service remuneration (low certainty).

4 findings from 1 review
Show 1 more finding

Capitation remuneration vs Fee-for-service remuneration

Unintended effects: self-reported temptation to over-prescribe (0- to 100-point visual analogue scale) · Children (0- to 15-year-olds) undergoing routine continuing dental care at 354 dental practices, in matched pairs of Health Service…

Capitation remuneration showed no clear difference in unintended effects: self-reported temptation to over-prescribe (0-… compared with fee-for-service remuneration; GRADE not reported.

1 finding from 1 review

Capitation remuneration vs Fee-for-service remuneration

Patient outcomes: mean number of filled teeth per 0- to 15-year-old · Children (0- to 15-year-olds) undergoing routine continuing dental care at 354 dental practices, in matched pairs of Health Service…

Capitation remuneration showed no clear difference in patient outcomes: mean number of filled teeth per 0- to 15-year-old compared with fee-for-service remuneration (low certainty).

4 findings from 1 review
Show 1 more finding

Fee‐for‐service (FFS) vs no intervention or control intervention (control)

Measures of clinical activity: mean percentage of 12- to 14-year-olds receiving fissure sealants for second permanent molars per dentist (weighted by number of children seen) - adjusted · Dentists seeing children with erupted second permanent molars (Scotland, in areas representing the four most deprived categories out of…

It is very uncertain whether fee-for-service remuneration changes measures of clinical activity: mean percentage of 12- to… compared with no specific intervention (control) (very low certainty).

1 finding from 1 review