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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: 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: Susan Christine McKernan
Publisher:
ISBN:
Category : Dental public health
Languages : en
Pages : 220
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Book Description
Significant efforts have been undertaken in medicine to identify hospital and primary care service areas (eg, the Dartmouth Atlas of Health Care) using patient origin information. Similar research in dentistry is nonexistent. The goal of this dissertation was to develop and refine methods of defining dentist service areas (DSAs) using dental insurance claims. These service areas were then used as spatial units of analysis in studies that examined relationships between utilization of oral health services, dentist workforce supply, and service area characteristics. Enrollment and claims data were obtained from the Iowa Medicaid program for children and adolescents ages 3-18 years during calendar years 2008 through 2010. The first study described rates of treatment by orthodontists in children ages 6-18 years. Orthodontic DSAs were identified by small area analysis in order to examine regional variability in utilization. The overall rate of utilization was approximately 3%; 19 DSAs were delineated. Interestingly, children living in small towns and rural areas were significantly more likely to have received orthodontic services than those living in metropolitan and micropolitan areas. The second study identified 113 DSAs using claims submitted by primary care dentists (ie, general and pediatric dentists). Characteristics of these primary care DSAs were then compared with counties. Localization of care was used as a measure of how well each region approximated a dental market area. Approximately 59% of care received by Medicaid-enrolled children took place within their assigned service area versus 52% of care within their county of residence. Hierarchical logistic regression was used in the final study to examine the influence of spatial accessibility and the importance of place on the receipt of preventive dental visits among Medicaid-enrolled children. Children living in urban areas were more likely to have received a visit than those living in more rural areas. Spatial accessibility assessed using measures of dentist workforce supply and travel cost did not appear to be a major barrier to care in this population. More studies are needed to explore the importance of spatial accessibility and other geographic barriers on access to oral health services. The methods used in this dissertation to identify service areas can be applied to other populations and offer an appropriate method for examining revealed patient preferences for oral health care.
Author: Simi Mani
Publisher:
ISBN:
Category : Children
Languages : en
Pages : 71
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Book Description
Objective: To understand the association between dental insurance coverage and dental care utilization in Iowa children. Methods: The 2010 Iowa Child and Family Household Health Survey (IHHS) data was used to assess the association between dental insurance coverage and dental care utilization in Iowa children. Andersen's model of health services utilization was used as a framework for determining the predictors of dental care utilization. Chi-square test was used for determining bivariate associations and Logistic regression analysis was used to determine factors associated with dental care utilization. Results: The results from the multivariable logistic regression model indicate that children with private dental insurance (p
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: Jennifer Michelle Cecelia Sukalski
Publisher:
ISBN:
Category : Dental insurance
Languages : en
Pages : 101
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Book Description
Objective: To investigate and determine periodontal treatment needs by the use of the Community Periodontal Index of Treatment Needs (CPITN) of a Medicaid expansion population in the state of Iowa (DWP) in comparison with patients insured by the traditional Medicaid State Plan, patients with private dental insurance, and self-pay patients, while evaluating for systemic health conditions and socio-behavioral factors. Methods: A secondary data analysis of electronic health records (EHR) from the University of Iowa College of Dentistry was completed and analyzed. Univariate and bivariate analyses were conducted. Logistic regression models were used to analyze relationships between predictors and periodontal treatment need. Results: Out of the study population, 54% were indicated for scaling and root planing (SRP). Predictors of indicating the need for SRP treatment were found to be: Age (p
Author: Nicoleta Serban
Publisher: John Wiley & Sons
ISBN: 1119601363
Category : Medical
Languages : en
Pages : 189
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Book Description
A guide to a holistic approach to healthcare measurement aimed at improving access and outcomes Healthcare System Access is an important resource that bridges two areas of research—access modeling and healthcare system engineering. The book’s mathematical modeling approach highlights fundamental approaches on measurement of and inference on healthcare access. This mathematical modeling facilitates translating data into knowledge in order to make data-driven estimates and projections about parameters, patterns, and trends in the system. The complementary engineering approach uses estimates and projections about the system to better inform efforts to design systems that will yield better outcomes. The author—a noted expert on the topic—offers an in-depth exploration of the concepts of systematic disparities, reviews measures for systematic disparities, and presents a statistical framework for making inference on disparities with application to disparities in access. The book also includes information health outcomes in the context of prevention and chronic disease management. In addition, this text: Integrates data and knowledge from various fields to provide a framework for decision making in transforming access to healthcare Provides in-depth material including illustrations of how to use state-of-art methodology, large data sources, and research from various fields Includes end-of-chapter case studies for applying concepts to real-world conditions Written for health systems engineers, Healthcare System Access: Measurement, Inference, and Intervention puts the focus on approaches to measure healthcare access and addresses important enablers of such change in healthcare towards improving access and outcomes.
Author:
Publisher:
ISBN:
Category : Medicine
Languages : en
Pages : 1900
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Book Description
Author: Mary Schreiber Swenson
Publisher: CRC Press
ISBN: 1000936848
Category : Business & Economics
Languages : en
Pages : 228
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Book Description
Medical, Dental, and Wellness Tourism: A Post-Pandemic Perspective offers a thorough and informative guide to medical travel and tourism for the treatment of health-related issues. The book first defines medical, dental, and wellness tourism and travel for treatment and then goes on to look at the myriad issues involved, such as benefits and challenges of travel for treatment, how the COVID-19 pandemic has affected the treatment sectors in tourism, selecting the right destination and facility, ending your life in another country, the growing world of birth tourism, dental tourism, medical travel for second opinions, privacy and health data security, the importance of post-operative care, and more. The book explores why medical tourism is the answer to our healthcare crisis. The patient deserves the right to seek the highest quality of medical, dental and wellness care anywhere on the globe with transparent pricing. This volume provides an abundance of information necessary for practical solutions to healthcare needs, both to avoid the seemingly ever-rising cost of healthcare in the United States, offering choices and options outside the US as well as for choosing effective care in other countries. The volume also addresses advances in technology in the healthcare travel industry. A section on resources and experiences to aid in making the right healthcare decisions is included as well. The chapters answer important questions when considering healthcare outside the US, such as What options and choices are available globally How to choose the right medical, dental, pharma, or wellness location The benefits and challenges of travel for treatment What is involved in euthanasia in other countries How privacy of healthcare data maintained COVID-19 has changed the face of the globe. Patients have a new perspective on how they want to receive health and wellness care, and this includes a deeper dive into the world of medical, dental, and wellness tourism. The future is about customizing how and where the patient wants to receive their medical, dental, and wellness treatments, transparent pricing, and the ability to make choices and view options anywhere in the world. Employers, government agencies, and private organizations are able to control healthcare costs, forecast trends, and allow their employees to get the highest quality of care through specialized Centers of Excellence. The book offers a comprehensive guide to medical, dental, and wellness tourism, explains how technology plays a role, as well as proposes solutions to the current healthcare system. A must read for anyone interested in the future of our global healthcare system. Written by a renowned international speaker on medical, dental, and wellness tourism and travel for treatment, who has significant experience and advocate for affordable healthcare choices, this volume shares necessary information for those considering healthcare in other countries-those needing care as well as their healthcare professionals and loved ones.
Author: Donald L. Chi
Publisher: Elsevier Health Sciences
ISBN: 0323531296
Category : Medical
Languages : en
Pages : 201
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Book Description
This issue of Dental Clinics of North America focuses on Evidence-based Pediatric Dentistry, and is edited by Dr. Donald Chi. Articles will include: Prenatal maternal factors, intergenerational transmission of disease, and child oral health outcomes; Evidence-based Medicaid policies and research use; Social determinants of children’s oral health; Pediatric behavioral oral health interventions; Pediatric social oral health interventions; Pediatric workforce issues; Pediatric-focused interprofessional interventions; Acculturation and pediatric minority oral health interventions; Interventions focusing on children with special health care needs; Genetics and pediatric dental caries; Oral health interventions during pregnancy; Topical fluoride hesitancy, and more!
Author: Rahul Siram Naidu
Publisher: Frontiers Media SA
ISBN: 2889713717
Category : Medical
Languages : en
Pages : 43
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Book Description
