Mellor A C, Coventry P, Worthington H V, Holloway P J, Lennon M A
Department of Restorative Dentistry, Turner Dental School, University of Manchester.
Br Dent J. 1990 Apr 7;168(7):303-5. doi: 10.1038/sj.bdj.4807170.
During the course of a 3-year parallel, controlled clinical trial comparing a capitation system of remuneration with fee-for-service for the dental care of children, the views of the dentists were gained through meetings, informal communication, and a structured questionnaire sent to every dentist in the study. The questionnaires completed by the dentists who had been in the study from the beginning were used in the analysis. The views of practice principals on practice administration were also gained. Dentists in capitation claimed to have greater clinical freedom than those in fee-for-service, but the system under test involved more practice administration. The trial allowed the two systems to be compared under limited, controlled conditions, thus benefiting any substantive scheme that might be developed from it.
在一项为期3年的平行对照临床试验过程中，该试验比较了儿童牙科保健的按人头付费薪酬制度和按服务收费制度，通过会议、非正式交流以及向研究中的每位牙医发送结构化问卷来收集牙医的意见。分析采用的是从研究开始就参与其中的牙医填写的问卷。同时也收集了诊所负责人对诊所管理的看法。参与按人头付费的牙医声称比按服务收费的牙医拥有更大的临床自由度，但所测试的制度涉及更多的诊所管理工作。该试验使得这两种制度能够在有限的受控条件下进行比较，从而使可能从中发展而来的任何实质性方案受益。
