IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v124y2020i8p781-786.html
   My bibliography  Save this article

2018 French dental contracts: On the road to achieving universal dental health coverage?

Author

Listed:
  • Mazevet, Marco E.
  • Garyga, V.
  • Mayne, Catherine
  • Pitts, Nigel B.
  • Pennington, Mark W.

Abstract

Following the failure of earlier negotiations, the new French Government decided not to go ahead with a unilateral decision to define fees in the dental contracts, and to reopen the negotiations. This in a bid to satisfy the providers' requests, as well as to negotiate Emmanuel Macron's presidential campaign promise of no out-of-pocket expenses on dental prosthetics. The three stakeholders, the National Health Insurance System, Dental Trade Unions and Complementary Health Insurers, started another round of negotiations which lead to an agreement. This new convention, which will be phased in from the 1 st of April 2019, will exclude 90 % of dental procedures from out-of pocket payments for patients. Though economic models were controversial between the stakeholders, this reform is likely to engage France in a system where the dental medical divide is narrowing, quasi-universal dental coverage is achieved and policy making processes are adaptable to the evolution of evidence-based medicine and economic realities. This reform, supported by more than 95 % of the French population, is likely to serve as an example for its impact on: political campaigns; the role of comprehensive data collection systems; economic models; and adaptive policies in order to overcome barriers to reforms.

Suggested Citation

  • Mazevet, Marco E. & Garyga, V. & Mayne, Catherine & Pitts, Nigel B. & Pennington, Mark W., 2020. "2018 French dental contracts: On the road to achieving universal dental health coverage?," Health Policy, Elsevier, vol. 124(8), pages 781-786.
  • Handle: RePEc:eee:hepoli:v:124:y:2020:i:8:p:781-786
    DOI: 10.1016/j.healthpol.2020.04.016
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168851020301019
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.healthpol.2020.04.016?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Holmes, Richard D. & Steele, Jimmy G. & Donaldson, Cam & Exley, Catherine, 2015. "Learning from contract change in primary care dentistry: A qualitative study of stakeholders in the north of England," Health Policy, Elsevier, vol. 119(9), pages 1218-1225.
    2. Mazevet, Marco E. & Garyga, V. & Pitts, Nigel B. & Pennington, Mark W., 2018. "The highly controversial payment reform of dentists in France: Seeking a new compromise after the 2017 strike," Health Policy, Elsevier, vol. 122(12), pages 1273-1277.
    3. di Bella, Enrico & Leporatti, Lucia & Montefiori, Marcello & Krejci, Ivo & Ardu, Stefano, 2017. "Popular initiatives in 2014–2016 call for the introduction of mandatory dental care insurance in Switzerland: The contrasting positions at stake," Health Policy, Elsevier, vol. 121(6), pages 575-581.
    4. Simões, Jorge & Figueiredo Augusto, Gonçalo & do Céu, Ana & Ferreira, Maria Cristina & Jordão, Margarida & Calado, Rui & Fronteira, Inês, 2018. "Ten years since the 2008 introduction of dental vouchers in the Portuguese NHS," Health Policy, Elsevier, vol. 122(8), pages 803-807.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Allin, Sara & Farmer, Julie & Quiñonez, Carlos & Peckham, Allie & Marchildon, Gregory & Panteli, Dimitra & Henschke, Cornelia & Fattore, Giovanni & Lamloum, Demetrio & Holden, Alexander C.L. & Rice, T, 2020. "Do health systems cover the mouth? Comparing dental care coverage for older adults in eight jurisdictions," Health Policy, Elsevier, vol. 124(9), pages 998-1007.
    2. Henschke, Cornelia & Winkelmann, Juliane & Eriksen, Astrid & Orejas Pérez, Eugenia & Klingenberger, David, 2023. "Oral health status and coverage of oral health care: A five-country comparison," Health Policy, Elsevier, vol. 137(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Allin, Sara & Farmer, Julie & Quiñonez, Carlos & Peckham, Allie & Marchildon, Gregory & Panteli, Dimitra & Henschke, Cornelia & Fattore, Giovanni & Lamloum, Demetrio & Holden, Alexander C.L. & Rice, T, 2020. "Do health systems cover the mouth? Comparing dental care coverage for older adults in eight jurisdictions," Health Policy, Elsevier, vol. 124(9), pages 998-1007.
    2. B. N. Porfiriev & A. A. Shirov & O. O. Yanushevich & D. I. Grachev & D. A. Polzikov & I. V. Zolotnitskii & S. D. Arutyunov, 2023. "Development of Subsidized Prosthodontic Care: Socio-Economic Problems and Opportunities," Studies on Russian Economic Development, Springer, vol. 34(1), pages 68-76, February.
    3. Henschke, Cornelia & Winkelmann, Juliane & Eriksen, Astrid & Orejas Pérez, Eugenia & Klingenberger, David, 2023. "Oral health status and coverage of oral health care: A five-country comparison," Health Policy, Elsevier, vol. 137(C).
    4. Laurent Mériade & Corinne Rochette, 2022. "Governance tensions in the healthcare sector: a contrasting case study in France," Post-Print hal-03516559, HAL.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:124:y:2020:i:8:p:781-786. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.