Utilization of Dental Services by Medicaid-enrolled Residential Care Facility Residents in Iowa PDF Download
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Author: Timothy Murl Brister
Publisher:
ISBN:
Category : Developmentally disabled
Languages : en
Pages : 156
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Book Description
Author: Timothy Murl Brister
Publisher:
ISBN:
Category : Developmentally disabled
Languages : en
Pages : 156
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Author: Mary C. Kelly Grief
Publisher:
ISBN:
Category : Dental care
Languages : en
Pages : 87
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Book Description
OBJECTIVE: To establish baseline data of dental utilization and determine the predictors of receipt of dental procedures by Medicaid-enrolled senior adults who reside in Iowa nursing facilities. METHODS: This was a longitudinal retrospective analysis of Iowa Medicaid claims data for SFY 2007-2014 of senior adults who were 68 years or older upon entry to a nursing facility and continuously enrolled (eligible 58 out of 60 months) in Medicaid for three years prior to and at least two years after admission. RESULTS: Controlling for the subject and nursing facility level variables, the strongest predictor of dental utilization after entry was the receipt of a dental procedure before entry (p
Author: Donald Leslie Chi
Publisher:
ISBN:
Category : Children with disabilities
Languages : en
Pages : 566
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Book Description
Not residing in a dental Health Professional Shortage Area, previous use of dental care, and previous utilization of primary medical care were all positively associated with dental utilization. Identifying and understanding the determinants of access to dental care is an important first step in developing clinical interventions and policies aimed at improving access to dental care for all Medicaid-enrolled children. Future work should focus on identifying the socio-behavioral determinants of as well as the clinical outcomes associated with access to dental services for vulnerable children.
Author: Donna L. Ginsterblum
Publisher:
ISBN:
Category :
Languages : en
Pages : 78
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Book Description
The purpose of this investigation was to quantify mix and intensity of dental services provided to an insured population and a Medicaid population in Iowa. Two administrative claims databases were examined. The source of the first database was a national mltiple-carrier insurance claims database from which a subset was derived consisting of seventeen Iowa general practitioners who had submitted over 500 claims from 1990-1992. This database consisted of 116,141 services provided to a population of 20,430 patients. The source of the second database were Medicaid claims from the Iowa Department of Health and Human Services through the University of Iowa. A subset of these data was drived from 138 zip codes in the same geographic region as the seventeen insured practices. This database consisted of 102,647 services provided to 13,072 patients. Utilization profiles and intensities of service were calculated by American Dental Association (ADA) procedure category and age category. Totaled charges, most frequently claimed services, and proportions of charges and services by public health levels of prevention were presented. Results indicated that the Medicaid population received more restorative, oral surgery, and removable prosthetic services, possibly reflecting immediate needs while the insured population received more preventive services. Older adults in the Medicaid population received the lowest intensity of services of all age groups; older insured adults received the greatest intensity of services. Administrative claims data alone appear insufficient for in-depth health services research. Further research is needed to understand causes of differences in services provided to the two populations.
Author:
Publisher:
ISBN:
Category : Delegated legislation
Languages : en
Pages : 1134
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Author:
Publisher:
ISBN:
Category : Medicine
Languages : en
Pages : 1480
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Book Description
Author: Christine French Beatty
Publisher: Elsevier Health Sciences
ISBN: 0323698336
Category : Medical
Languages : en
Pages : 351
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Book Description
NEW! Comprehensive, cutting-edge content is updated on topics including national initiatives, Healthy People 2030, data on the status of oral health and factors that affect access to oral healthcare, cultural competence, oral health programs in the community, applied research, and the different career paths for dental hygienists. EXPANDED! Coverage of dental hygiene competencies and interprofessional collaborative practice is enhanced to reflect changes in the oral health profession. UPDATED! Community Case sections in each chapter include sample cases along with test questions. F EXPANDED! Additional photographs and illustrations depict key concepts.
Author: Paul Maurice Colthirst
Publisher:
ISBN:
Category : Foster children
Languages : en
Pages : 154
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Book Description
Author: Amer Assoc of Public Health Dentistry
Publisher: Elsevier Health Sciences
ISBN: 0323554857
Category : Medical
Languages : en
Pages : 354
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Book Description
Learn about the challenges, current trends, and the positive role that you can play in improving the dental health of the community. Completely revised and updated by members of the American Association of Public Health Dentistry, Burt and Eklund's Dentistry, Dental Practice, and the Community, 7th Edition presents dentistry and dental practice against the ever-changing backdrop of economic, technological, and demographic trends, as well as the distribution of the oral diseases that dental professionals treat and prevent. Readers will learn the latest techniques of research and measurement, and how oral disease may be limited through control and prevention. This updated text also addresses the new educational competencies for predoctoral/ post-doctoral dental students and dental hygiene students with updated and new content on cultural competency, oral health literacy, social responsibility, motivational interviewing, and oral systemic associations. All in all, this text takes a comprehensive look at the social context of dental care and the difference you can make in improving the health of the community you serve. Logical four-part organization divides content into dentistry and the community; dental care delivery; methods and measurement of oral diseases and conditions; and health promotion and prevention of oral diseases. A focus on need-to-know content emphasizes the important core information while providing comprehensive coverage of dental public health. Comprehensive analysis of dentistry’s social and professional role examines issues such as epidemiology of oral diseases, prevention, and the provision of care. Evidence-based recommendations reflect the latest literature on today’s public health issues. Illustrations, tables, and graphics illustrate the key material and visually enhance discussions. NEW! Completely revised and updated content looks at populations oral health and dental care as well as how it fits into a changing world. NEW! Coverage of new educational competencies provides predoctoral/ post-doctoral dental students and dental hygiene students with updated and new content on cultural competency, oral health literacy, social responsibility, motivational interviewing, and oral systemic associations. NEW! New chapters cover the applications of epidemiology and biostatistics in dental public health, oral health as it related to quality of life, oral health education, health literacy, social determinants of health and health disparities, and delivery of oral healthcare in Canada. NEW! Newly revised competencies for the Dental Public Health specialty are incorporated throughout the book.
Author: Matthew. A. Winheim
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Background: Regular access to dental services is a well-known factor in the oral health and development of children.1 As such, the United States federal government mandates each state to include dental services for children enrolled in Medicaid through the age of 21. Despite this mandate, the utilization rate of dental services among Medicaid enrolled children has remained remarkably low.2 In July 2005, Virginia implemented a sweeping Medicaid policy reform titled "Smiles for Children" specifically aiming to increase Medicaid pediatric dental utilization rates. The purpose of this study aims to assess the effect of this 2005 policy reform on the utilization of dental services by children enrolled in Medicaid. Objective: The purpose of this study is to examine the impact of the 2005 Virginia Smiles for Children Medicaid policy reform on the utilization of dental services among Medicaid enrolled children. Methods: This was a retrospective cohort study of children (pre-reform n=559,820, post-reform n=690,538) enrolled in Virginia Medicaid from 2002 through 2008. Descriptive statistics and repeated measures multivariate logistic regressions were used to determine the relationship between enrollment (Pre- and Post-policy reform) and the utilization of dental services (1+ Dental Visits vs. No Dental Visits). Results: Descriptive analysis of the cohort found that 34% of pre-reform children had a dental visit while 44% of post-reform children. The logistic regression models revealed that children in the post reform period were 1.39 as likely to have had a dental visit. Stratifying for enrollment length reveals that as the length of exposure time to the post-reform policy increases, the odds of having a dental visit also increase as compared to the pre-reform period: for 31-36 months of enrollment the odds increase 1.54 times. Conclusions: Medicaid policy reform can significantly improve access to dental services for children and can therefore play an important role in promoting public health.
