Remuneration is a significant feature of human re-source management, and these resources are the most crucial factor in the delivery of a good number of public health services (1). Mukesh Chawla et al. in 1997 revised different remuneration systems for health care personnel; fixed salary provides incentives for shirking, performance related pay (PRP) for concentrating on those aspects of the job that are measured, and misrepresenting output (2).
A major problem with salary-based remuneration systems in India is that there are no incentives for dentists to perform over and above the minimum that is required of them in order to keep their jobs, do not contribute the optimal or desired level of effort, not giving any particular attention to quality of care or patient satisfaction and to build or foster a close relationship with their patients, and access to care may be somewhat limited by the limited time that the dentist may allocate to his duties since their compensation is not likely to be affected in any way.