Pay-for-performance in dentistry: what we know.

Academic Article


  • Little is known about the effect of a pay-for-performance system (P4P) on primary medical care providers and even less is known about its potential impact in dentistry. Based on the growing acceptance of performance-based reimbursements in medicine and the dissemination of innovative technologies, structures, and processes of care from medical to dental services, it is likely that the dental profession will face performance-based payments in the not-too-distant future. In this paper, we present the current experience of P4P in primary medical care that has relevance to dentistry and discuss the dental performance-based programs to date. Taking into consideration these lessons, the structure of dental service delivery in the United States, and the paucity of evidence-based quality indicators in dentistry, we provide several guidelines for the design of P4P pilot programs for dental services. We conclude that large-scale implementation of P4P for dentistry may not be a realistic option before significant progress is achieved in quality of dental care indicators.
  • Authors

    Published In

    Digital Object Identifier (doi)

    Author List

  • Voinea-Griffin A; Rindal DB; Fellows JL; Barasch A; Gilbert GH; Safford MM
  • Start Page

  • 51
  • End Page

  • 58
  • Volume

  • 32
  • Issue

  • 1