Factors affecting fee setting for private treatment in general dental practice. 2004

J Kabir, and A C Mellor
GDP, 3 Mayfield Street, Atherton, Manchester M46 0BF, UK.

OBJECTIVE To examine how pricing policies were contrived in general dental practice in terms of fee-for-item and hourly rate and how these were affected by specialist status and the level of private care provided in a practice. METHODS A postal questionnaire. METHODS Members of the British Society for General Dental Surgery working in dental practice. RESULTS Out of 160 eligible members, responses were received from 124 members (78%). Fifty-seven respondents claimed to specialise in one or more fields of dentistry. The majority of respondents consulted fellow colleagues or partners for advice on fee setting. A minority took external advice. The charging method varied according to the item of treatment with fee-for-item used predominantly for items such as a new patient examination, and hourly rate used more for items such as a direct composite restoration. Seventy-one respondents stated that their practice was 80-100% private treatment and these practitioners were significantly more likely to charge by hourly rate than fee-for-item for many items of treatment. Specialist status did not have any effect on charging method. The most important factors related to the setting of fees-for-item or hourly rate were clinical time spent, practice overheads and laboratory costs. CONCLUSIONS This project has taken the views of a large group of experienced general dental practitioners, many of whom work purely in the private sector. The most important factors affecting fee setting were clinical time, practice overheads and laboratory costs. The method of charging was most affected by the proportion of private treatment provided by the practice.

UI MeSH Term Description Entries
D007400 Interprofessional Relations The reciprocal interaction of two or more professional individuals. Etiquette, Medical,Medical Etiquette,Relations, Interprofessional
D007754 Laboratories, Dental Facilities for the performance of services related to dental treatment but not done directly in the patient's mouth. Dental Laboratories,Dental Laboratory,Laboratory, Dental
D008297 Male Males
D011331 Private Practice Practice of a health profession by an individual, offering services on a person-to-person basis, as opposed to group or partnership practice. Solo Practice,Practice, Private,Practice, Solo,Practices, Private,Practices, Solo,Private Practices,Solo Practices
D011907 Rate Setting and Review A method of examining and setting levels of payments. Rate Setting, Review,Review and Rate Setting,Rate Settings, Review,Review Rate Setting,Review Rate Settings,Setting, Review Rate,Settings, Review Rate
D003729 Dental Care The total of dental diagnostic, preventive, and restorative services provided to meet the needs of a patient (from Illustrated Dictionary of Dentistry, 1982). Care, Dental
D005250 Fees, Dental Amounts charged to the patient as payer for dental services. Dental Fee,Dental Fees,Fee, Dental
D005260 Female Females
D005792 General Practice, Dental Nonspecialized dental practice which is concerned with providing primary and continuing dental care. Dental General Practice,Dental General Practices,General Practices, Dental,Practice, Dental General,Practices, Dental General
D006113 United Kingdom Country in northwestern Europe including Great Britain and the northern one-sixth of the island of Ireland, located between the North Sea and north Atlantic Ocean. The capital is London. Great Britain,Isle of Man

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