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NHS dentistry
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NHS dentistry : ウィキペディア英語版
NHS dentistry
NHS dentistry in the United Kingdom is intended to ensure that dental treatment is available to the whole population. However, unlike medical care, charges are made to most people. Dentists act as private contractors to the NHS. In the past their contract with the NHS involved being paid a fee for every item of service that they provided. This form of contract became known as the 'fee-for-item' system. This system of payment eventually led to professional conflicts with many dentists feeling that the system of payments was leading to 'perverse incentives'. These 'perverse incentives' were related to incentives to over-treat patients. However, more crucially, they left little room for prevention in general dental practice.〔
==Scope of the service==

According to NHS Choices "All the treatment that your dentist believes is necessary to achieve and maintain good oral health is available on the NHS. This means that the NHS provides any treatment you need to keep your mouth, teeth and gums healthy and free of pain.〔(【引用サイトリンク】url=http://www.nhs.uk/NHSEngland/AboutNHSservices/dentists/Pages/nhs-dental-charges.aspx )〕". This includes if clinically necessary: dentures, crowns and bridges, orthodontistry, root canal treatment, scaling and polishing, and white fillings.
Many dentists who provide NHS services also offer additional services, such as hygienists, for payment. A dentist is allowed to refuse to provide treatment under the NHS and then offer to perform the same treatment privately.〔(【引用サイトリンク】url=http://www.nhs.uk/chq/Pages/1789.aspx )〕 However, this practice is far from clear cut, as many dentists do not provide what they are contractually obliged to provide, and instead "upsell" in a process known as gaming.
A revised contract is under discussion in 2013 with greater emphasis on oral health and quality indicators.〔(【引用サイトリンク】url=https://www.bda.org/dentists/representation/gdps/gdpc/ )〕 The British Dental Association is keen to see reform, having campaigned vigorously against the "flawed, target-driven arrangements" introduced in 2006 that are currently in place.

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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