Hallberg Lillemor R-M, Hakeberg Magnus, Hallberg Ulrika
School of Social and Health Science, Halmstad University, Sweden.
Swed Dent J. 2012;36(3):149-56.
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.
通过名为“牙科护理保险——固定价格的牙科护理”的改革，为患者提供了一种牙科保险，即人头费计划，该计划确保他们能够在三年时间内每月以固定价格看牙医（瑞典公共牙科保健）。这种保险可以提供给所有患者。本研究的目的是生成一种理论，解释公共牙科服务机构的工作人员在必须向患者介绍和推广牙科护理保险时的主要担忧。收集了代表公共牙科服务机构内不同职业的17人的访谈数据，并根据扎根理论的指导方针同时进行了分析。结果表明，牙医/牙科保健员在实施牙科保险方面遇到了几个困难的立场，有点像道德困境。工作人员总体上对即将推出的牙科护理保险持“谨慎积极的态度”，但对于如何以及何时向患者提供保险以及这对诊所可能意味着什么有自己的看法。受访者思考了诊所的经济方面以及随着时间推移患者的口腔健康可能受到的影响。
