Shiraz E-Medical Journal

Published by: Kowsar

Factors Affecting Fee-Setting for Dental Services in Iran’s Private Sector: Dentists’ Perspective

Mahmood Nekoei-Moghadam 1 , Javad Nazari 2 , Mohammad Reza Amiresmaili 3 and Saeed Amini 4 , *
Authors Information
1 Research Center for Health Services Management, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
2 Department of Pediatric, School of Medicine, Arak University of Medical Sciences, Arak, Iran
3 Medical Informatics Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
4 Department of Health Services Management, Faculty of Public Health, Arak University of Medical Sciences, Arak, Iran
Article information
  • Shiraz E-Medical Journal: 20 (3); e74247
  • Published Online: September 8, 2018
  • Article Type: Research Article
  • Received: May 4, 2018
  • Revised: July 13, 2018
  • Accepted: July 18, 2018
  • DOI: 10.5812/semj.74247

To Cite: Nekoei-Moghadam M, Nazari J, Amiresmaili M R, Amini S. Factors Affecting Fee-Setting for Dental Services in Iran’s Private Sector: Dentists’ Perspective, Shiraz E-Med J. Online ahead of Print ; 20(3):e74247. doi: 10.5812/semj.74247.

Copyright © 2018, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited
1. Background
2. Methods
3. Results
4. Discussion
  • 1. Bazyar M, Rashidian A, Kane S, Vaez Mahdavi MR, Akbari Sari A, Doshmangir L. Policy options to reduce fragmentation in the pooling of health insurance funds in Iran. Int J Health Policy Manag. 2016;5(4):253-8. doi: 10.15171/ijhpm.2016.12. [PubMed: 27239868]. [PubMed Central: PMC4818990].
  • 2. Pakshir HR. Dental education and dentistry system in Iran. Med Princ Pract. 2003;12 Suppl 1:56-60. doi: 10.1159/000069844. [PubMed: 12707502].
  • 3. Nahvi M, Zarei E, Marzban S, Jahanmehr N. [Utilization of dental services and its out-of-pocket payments: a study in dental clinics of Ramsar]. J Mashhad Dent Sch. 2017;41(2):171-82. Persian. doi: 10.22038/jmds.2017.8810.
  • 4. Barouni M, Amiresmaieli MR, Shahravan A, Amini S. The efficiency assessment of dental units using data envelopment analysis approach: The case of Iran. Iran J Public Health. 2017;46(4):552-9. [PubMed: 28540273]. [PubMed Central: PMC5439046].
  • 5. Hessari H, Vehkalahti MM, Eghbal MJ, Samadzadeh H, Murtomaa HT. Oral health and treatment needs among 18-year-old Iranians. Med Princ Pract. 2008;17(4):302-7. doi: 10.1159/000129610. [PubMed: 18523398].
  • 6. Hessari H, Vehkalahti MM, Eghbal MJ, Murtomaa H. Tooth loss and prosthodontic rehabilitation among 35- to 44-year-old Iranians. J Oral Rehabil. 2008;35(4):245-51. doi: 10.1111/j.1365-2842.2007.01783.x. [PubMed: 18321259].
  • 7. Gachter M, Schwazer P, Theurl E, Winner H. Regional density of private dentists: empirical evidence from Austria. Community Dent Oral Epidemiol. 2014;42(1):20-9. doi: 10.1111/cdoe.12054. [PubMed: 23725403].
  • 8. Tuominen R. Cooperation and competition between dentists and denturists in Finland. Acta Odontol Scand. 2002;60(2):98-102. doi: 10.1080/000163502753509491. [PubMed: 12020122].
  • 9. Kalhor R, Amini S, Emami M, Kakasoltani K, Rhamani N, Kalhor L. Comparison of the Ministry of Health's tariffs with the cost of radiology services using the activity-based costing method. Electron Physician. 2016;8(2):2018-24. doi: 10.19082/2018. [PubMed: 27054013]. [PubMed Central: PMC4821319].
  • 10. Javid M, Hadian M, Ghaderi H, Ghaffari S, Salehi M. Application of the activity-based costing method for unit-cost calculation in a hospital. Glob J Health Sci. 2015;8(1):165-72. doi: 10.5539/gjhs.v8n1p165. [PubMed: 26234974]. [PubMed Central: PMC4803948].
  • 11. Lewis M. Informal payments and the financing of health care in developing and transition countries. Health Aff (Millwood). 2007;26(4):984-97. doi: 10.1377/hlthaff.26.4.984. [PubMed: 17630441].
  • 12. Ensor T. Informal payments for health care in transition economies. Soc Sci Med. 2004;58(2):237-46. doi: 10.1016/S0277-9536(03)00007-8. [PubMed: 14604610].
  • 13. Nekoeimoghadam M, Esfandiari A, Ramezani F, Amiresmaili M. Informal payments in healthcare: a case study of kerman province in Iran. Int J Health Policy Manag. 2013;1(2):157-62. doi: 10.15171/ijhpm.2013.28. [PubMed: 24596856]. [PubMed Central: PMC3937917].
  • 14. Mosadeghrad AM. Factors influencing healthcare service quality. Int J Health Policy Manag. 2014;3(2):77-89. doi: 10.15171/ijhpm.2014.65. [PubMed: 25114946]. [PubMed Central: PMC4122083].
  • 15. Turner-Stokes L. Politics, policy and payment--facilitators or barriers to person-centred rehabilitation? Disabil Rehabil. 2007;29(20-21):1575-82. doi: 10.1080/09638280701618851. [PubMed: 17922328].
  • 16. [Iran dentistry services tarrifs in private sector, approved by Iran Cabinet of Ministers]. 2017. Persian. Available from:
  • 17. Office of Fair Trading: Dentistry . An OFT market study. Office of Fair Trading; May 2012.
  • 18. General policies of health-The office of the Supreme Leader. 2014. Available from:
  • 19. Moradi-Lakeh M, Vosoogh-Moghaddam A. Health sector evolution plan in Iran; equity and sustainability concerns. Int J Health Policy Manag. 2015;4(10):637-40. doi: 10.15171/ijhpm.2015.160. [PubMed: 26673172]. [PubMed Central: PMC4594102].
  • 20. Kavosi Z, Rashidian A, Pourreza A, Majdzadeh R, Pourmalek F, Hosseinpour AR, et al. Inequality in household catastrophic health care expenditure in a low-income society of Iran. Health Policy Plan. 2012;27(7):613-23. doi: 10.1093/heapol/czs001. [PubMed: 22279081].
  • 21. Homaie Rad E, Kavosi Z, Arefnezhad M. Economic inequalities in dental care utilizations in Iran: Evidence from an urban region. Med J Islam Repub Iran. 2016;30:383. [PubMed: 27493927]. [PubMed Central: PMC4972081].
  • 22. Gorji HA, Mousavi S, Shojaei A, Keshavarzi A, Zare H. The challenges of strategic purchasing of healthcare services in Iran Health Insurance Organization: a qualitative study. Electron Physician. 2018;10(2):6299-306. doi: 10.19082/6299. [PubMed: 29629051]. [PubMed Central: PMC5878022].
  • 23. Tuominen R, Palmujoki J. Perceived competition in private dental practice in Finland. Acta Odontol Scand. 2000;58(5):213-6. doi: 10.1080/000163500750051764. [PubMed: 11144872].
  • 24. Amiresmaili M, Amini S, Shahravan A, Goudarzi R, Saberi-Anari SH. Avoidance dental visit, the impact of predictor factors: A cross-sectional study in Kerman, Iran. J Oral Health Oral Epidemiol. 2017;7(1):39-46.
  • 25. Bayat F, Vehkalahti MM, Zafarmand AH, Tala H. Impact of insurance scheme on adults' dental check-ups in a developing oral health care system. Eur J Dent. 2008;2(1):3-10. [PubMed: 19212502]. [PubMed Central: PMC2633147].
  • 26. Brosig-Koch J, Hehenkamp B, Kokot J. The effects of competition on medical service provision. Health Econ. 2017;26 Suppl 3:6-20. doi: 10.1002/hec.3583. [PubMed: 29285872].
  • 27. Whitney CW, Milgrom P, Conrad D, Fiset L, O'Hara D. The relationship between price of services, quality of care, and patient time costs for general dental practice. Health Serv Res. 1997;31(6):773-90. doi: 10.1016/j.jds.2012.10.006. [PubMed: 9018216]. [PubMed Central: PMC1070158].
  • 28. Grytten J, Holst D. Perspectives on providing good access to dental services for elderly people: patient selection, dentists' responsibility and budget management. Gerodontology. 2013;30(2):98-104. doi: 10.1111/j.1741-2358.2012.00646.x. [PubMed: 22582750].
  • 29. Kabir J, Mellor AC. Factors affecting fee setting for private treatment in general dental practice. Br Dent J. 2004;197(4):200-3. discussion 191. doi: 10.1038/sj.bdj.4811572. [PubMed: 15375413].
  • 30. Bayati A, Soltanian F, Kamali P, Shamsi M. [Influencing factors on relative value unit of GPS'visits in private medical offices in Tehran]. Hakim Health Sys Res. 2011;14(2):89-95. Persian.
  • 31. Haghshenas MR, Amiri AA, Vahidshahi K, Shyck Rezaee M, Rahmani4 N, Pourhossen M. [The frequency of malpractice lawsuits referred to forensic medicine department and medical council]. J MazandaranUniv Med Sci. 2012;22(86):244-51. Persian.
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments