Dental Utilization for Medicaid-enrolled Children with Cystic Fibrosis PDF Download
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Author: Elise Watson Sarvas
Publisher:
ISBN:
Category :
Languages : en
Pages : 37
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Background: Despite a highly cariogenic diet and frequent use of inhaled xerostomia-inducing medications, children with CF are believed to be at a lower risk for dental caries (tooth decay) compared to other children. A potential protective factor is increased use of preventive dental care, but not studies to date have examined dental use for children with CF. This goal of this study was to compare dental care use for Medicaid-enrolled children with and without CF. Methodology: Iowa Medicaid data from 2012 were analyzed for children age 3 -17 years who were enrolled in Medicaid for at least 11 months (N = 156,268). Poisson regression models were used to compare utilization rates for any dental care and also for specific categories of dental care (diagnostic, preventive, routine restorative, and complex restorative). Results: The study included 85 children with CF (0.05%). Overall, 66.8% of study children utilized dental care. Children with CF were significantly less likely to use any dental care than children without CF after adjusting for confounders (incident rate ratio: 0.819, 95% CI: 0.80-0.84, p
Author: Elise Watson Sarvas
Publisher:
ISBN:
Category :
Languages : en
Pages : 37
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Book Description
Background: Despite a highly cariogenic diet and frequent use of inhaled xerostomia-inducing medications, children with CF are believed to be at a lower risk for dental caries (tooth decay) compared to other children. A potential protective factor is increased use of preventive dental care, but not studies to date have examined dental use for children with CF. This goal of this study was to compare dental care use for Medicaid-enrolled children with and without CF. Methodology: Iowa Medicaid data from 2012 were analyzed for children age 3 -17 years who were enrolled in Medicaid for at least 11 months (N = 156,268). Poisson regression models were used to compare utilization rates for any dental care and also for specific categories of dental care (diagnostic, preventive, routine restorative, and complex restorative). Results: The study included 85 children with CF (0.05%). Overall, 66.8% of study children utilized dental care. Children with CF were significantly less likely to use any dental care than children without CF after adjusting for confounders (incident rate ratio: 0.819, 95% CI: 0.80-0.84, p
Author: James F. Heidenreich
Publisher:
ISBN:
Category :
Languages : en
Pages : 41
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Author: June Gibbs Brown
Publisher:
ISBN:
Category : Children
Languages : en
Pages : 104
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Author: Maureen H. Craig
Publisher:
ISBN:
Category :
Languages : en
Pages : 40
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Objectives: To identify potential disparities affecting young children with special health care needs (CSHCN) within public dental programs by evaluating preventive dental care utilization rates in Washington State's Access to Baby and Child Dentistry (ABCD) Program. Methods: This is a cross-sectional analysis of 2012 Medicaid data from Washington state. The data was obtained from the Washington State Health Care Authority and included children under age six who were enrolled in the Medicaid program in 2012 for 11-12 months (N=206,488). Medical diagnosis codes (from hospital, inpatient, and outpatient data) and Medicaid eligibility files were used to determine each child's special needs status. The outcome was utilization of preventive dental services, as determined by Current Dental Terminology (CDT) codes. Modified Poisson regression was used to estimate both crude and adjusted prevalence rate ratios with 95% confidence intervals (CI). All analyses were conducted using Stata 13 for Windows (StataCorp LP, College Station, Texas, USA). Results: There were 58,511 children determined to have SHCN (28.3%). A total of 114,570 children had at least one preventive dental visit in 2012 (55.5%). Age, SHCN status, Ethnicity, Race, and county Health Professional Shortage Area (HPSA) were statistical confounders and included in the adjusted Modified Poisson regression analysis. The adjusted analysis revealed CSHCN were 1.04 times more likely to utilize preventive dental care than their typically developing peers (95% CI: 1.03, 1.05, p
Author:
Publisher:
ISBN:
Category : Reference
Languages : en
Pages : 44
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Author: Catherine J. Binkley
Publisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 296
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Book Description
Oral disease is the greatest unmet healthcare need of disadvantaged children in the United States, with only 20% of disadvantaged Medicaid-eligible children receiving routine dental care. Peter Margolis proposed a theoretical model of access to healthcare services and reported the effectiveness of a case manager intervention in increasing medical care utilization by disadvantaged mothers and infants. This study was based on Margolis's theory and used a case manager to assist parents in obtaining dental care. Methods. The study was based on secondary analyses of data from the "Parental Help Seeking for Dental Care" project. The randomized, controlled intervention study was conducted with 202 parents/caregivers of Medicaid insured children in Louisville, Kentucky, from March 2004 to April 2005. The research questions were: (1) What is the direct effect of the intervention on dental care utilization? (2) Do contextual factors moderate the intervention effects on utilization? (3) What is the effect of the intervention on barriers? The primary dependent variable was dental care utilization and the primary independent variable was group assignment. Covariates included socioeconomic and psychosocial factors. Analyses were conducted using univariate, bivariate, and multivariate statistical techniques. Results. One-fourth of the children enrolled were regular dental utilizers and the intervention did not have a direct effect on utilization for the entire sample of children. Subgroup analyses, however, indicated that younger children in the intervention group were three times more likely to visit the dentist than younger children in the control group. Additional subgroup analyses indicated that intervention families who did not routinely utilize dental care, who had a low family annual income, and/or who completed all study activities were almost three times more likely to see the dentist than similar families in the control group. The intervention did not have any obvious effect on perceived barriers. Conclusions. The intervention was effective in increasing utilization only by younger children, those who had not previously received routine dental care, and those families in the lowest income brackets. Important information was gained from this study that could help develop effective interventions for disadvantaged families, thus reducing oral health disparities.
Author: Max J. Coppes
Publisher: Elsevier Health Sciences
ISBN: 0323642241
Category : Medical
Languages : en
Pages :
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With collaboration of Dr. Bonita Stanton, Drs. Coppes and Fisher-Owens have created a current issue that looks at oral health in children, with a much needed update in the literature for pediatricians. Top experts have contributed clinical reviews on the following topics: Oral Health and Development; Infant Oral Health and the Influence of Habits; Prevention of tooth decay; Fluoride; Caries; Disparities in Children’s Oral Health (including Oral Health of Native Children); Children with Special Health Care Needs; Orthodontics; Oral Manifestations of Systemic Disease (specific to pediatrics and life course); Soft Tissue; Trauma; The Role of Primary Care Physicians (pediatricians and others) in Prevention Oral Disease; and Oral Health Care/Policies. Pediatricians will come away with the current clinical recommendations they need to improve oral health in children.
Author: Travis M. Nelson
Publisher: Springer
ISBN: 3030104834
Category : Medical
Languages : en
Pages : 295
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Book Description
This concise manual offers best practice guidance on dental treatment of pediatric patients with special health care needs (CSHCN). The straightforward approaches described will enable clinicians to deliver high-quality, patient-centered care to children with intellectual and developmental disabilities. Readers will find up-to-date information on case-based treatment planning, alternative caries management strategies, the use of behavioral and pharmacological interventions to facilitate delivery of quality treatment, and a team approach to care. Practical clinical tips are provided on how to achieve and maintain oral health, including good oral hygiene and nutrition. A systematic framework for patient assessment and interaction with medical colleagues will assist readers in understanding when dental protocols must be altered. Other important topics include techniques for effective communication with CSHCN, behavioral strategies to improve treatment acceptance, the role of occupational therapy techniques, the sensory adapted dental environment, and the use protective stabilization.
Author: Karen Van Landeghem
Publisher:
ISBN:
Category :
Languages : en
Pages : 6
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Author: Norman Tinanoff
Publisher:
ISBN:
Category : Children
Languages : en
Pages : 16
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