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Facing a moral dilemma--introducing a dental care insurance within the public dental service.

Journal article
Authors Lillemor R-M Hallberg
Magnus Hakeberg
Ulrika Hallberg
Published in Swedish dental journal
Volume 36
Issue 3
Pages 149-56
ISSN 0347-9994
Publication year 2012
Published at Institute of Odontology
Institute of Health and Care Sciences
Pages 149-56
Language en
Keywords Adult, Attitude of Health Personnel, Capitation Fee, ethics, Dental Staff, psychology, Female, Humans, Insurance, Dental, ethics, Male, National Health Programs, Professional Role, Sweden
Subject categories Health Sciences, Other Medical Sciences


Through the reform entitled "Dental care insurance-dental care at a fixed price", patients are offered a dental insurance, a capitation plan, that ensures that they can visit the dentist regularly during a period of three years at a fixed price per month (Frisktandvård).This insurance may be offered to all patients. The aim of this study was to generate a theory explaining the main concern for the staff at the public dental service when they have to introduce and advocate dental care insurance to patients. Interview data from 17 persons, representing different professions within the public dental service, were collected and analyzed simultaneously in line with guidelines for grounded theory. The results indicated that dentists/dental hygienists experienced several difficult standpoints concerning the implementation of the dental insurance, somewhat of a moral dilemma. The staff generally had a "cautiously positive attitude" to the forthcoming dental care insurance, but had perceptions how and when the patients should be offered the insurance and what that may mean to the clinic.The respondents reflected about the economic aspects for the clinic and how the oral health may be affected over time for the patients.

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