Comparison of access and costs of Medicaid dental services in a hospital clinic and community practices.

Abstract:

OBJECTIVES:This paper reports the results of a three-year evaluation of access to dental care and its associated costs for Aid to Families with Dependent Children (AFDC) beneficiaries enrolled in a hospital-based health maintenance organization (HMO) or a fee-for-service (FFS) option. METHODS:Medicaid enrollees (n = 3, l655) having a year of eligibility were assigned to either the hospital HMO or FFS care, and their use of dental care and its costs compared. RESULTS:A higher percent of those beneficiaries enrolled in the FFS option used dental care than those in the HMO plan. FFS enrollees also had more annual visits per person than those in the randomly assigned HMO group. FFS dental patients treated in the hospital had the highest costs of any payment-provider combination studied. CONCLUSIONS:To understand the mix of utilization rates, visits, and costs, one must take into account the way in which the HMO hospital plan is reimbursed, the way in which the dental department is reimbursed, and the way in which the dental provider is reimbursed.

journal_name

J Public Health Dent

authors

Marcus M,Coulter I,Mann J,Leibowitz A,Buchanan J

doi

10.1111/j.1752-7325.1996.tb02462.x

subject

Has Abstract

pub_date

1996-10-01 00:00:00

pages

341-6

issue

6

eissn

0022-4006

issn

1752-7325

journal_volume

56

pub_type

临床试验,杂志文章,随机对照试验
  • Assessing oral cancer early detection: clarifying dentists' practices.

    abstract:OBJECTIVE:This study explores new methods for assessing in greater detail what dentists do when they perform oral cancer early detection examinations. It clarifies practice behaviors and opens opportunities to identify factors that facilitate thorough early detection examinations by clinicians and to assess the relativ...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.2009.00148.x

    authors: LeHew CW,Epstein JB,Kaste LM,Choi YK

    更新日期:2010-04-01 00:00:00

  • Dental health services utilization and associated factors in children 6 to 12 years old in a low-income country.

    abstract:OBJECTIVE:To determine the factors associated with the dental health services utilization among children ages 6 to 12 in León, Nicaragua. MATERIAL AND METHODS:A cross-sectional study was carried out in 1,400 schoolchildren. Using a questionnaire, we determined information related to utilization and independent variabl...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.2007.00056.x

    authors: Medina-Solis CE,Maupomé G,del Socorro HM,Pérez-Núñez R,Avila-Burgos L,Lamadrid-Figueroa H

    更新日期:2008-01-01 00:00:00

  • Opinions of South Carolina dental students toward tobacco use interventions.

    abstract:OBJECTIVES:Tobacco use accounts for 75 percent of oral cancer deaths in the United States. One objective of Healthy People 2010 is to increase the percentage of dentists who provide smoking cessation counseling. However, studies of dentists have shown that the majority feel inadequately prepared to do so. The objective...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.2006.tb02550.x

    authors: Cannick GF,Horowitz AM,Reed SG,Drury TF,Day TA

    更新日期:2006-01-01 00:00:00

  • Perceived professional roles and implications for clinical decision-making.

    abstract:OBJECTIVES:This study aims to (a) investigate the relationship between dentists' perceived professional role (PPR), defined as the belief that they are health care professionals versus business people, and treatment intensity, determined by the aggressiveness of clinical approaches, such as in number or scope, and (b) ...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/jphd.12346

    authors: Yu B,Ghoneim A,Lawrence H,Glogauer M,Quiñonez C

    更新日期:2020-01-01 00:00:00

  • A comparison of dental restoration outcomes after placement by restorative function auxiliaries versus dentists.

    abstract:OBJECTIVES:To compare the outcomes of restorations placed by restorative function auxiliaries (RFAs) with those placed by dentists. METHODS:Between July 1, 2007, and June 30, 2008, we matched 455 restorations placed by RFAs working at HealthPartners Dental Group with the same number placed by dentists. Restorations we...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.2011.00291.x

    authors: Worley DC,Thoele MJ,Asche SE,Godlevsky OV,Schmidt AM,Yardic RL,Rush WA

    更新日期:2012-04-01 00:00:00

  • Twelve-month sealant retention in a school-based program using a self-etching primer/adhesive.

    abstract:OBJECTIVES:Very little independent research has been done on the new self-etching primer/adhesives in dentistry. A recent clinical study compared two sealant application techniques involving self-etching primer adhesives and the traditional phosphoric acid etch. The purpose of this study was to compare these two techni...

    journal_title:Journal of public health dentistry

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1111/j.1752-7325.2004.tb02752.x

    authors: Venker DJ,Kuthy RA,Qian F,Kanellis MJ

    更新日期:2004-10-01 00:00:00

  • An epidemiological comparison of Dean's index and the Developmental Defects of Enamel (DDE) index.

    abstract:OBJECTIVES:To compare the Dean's and DDE indices in examining dental fluorosis and diffuse opacities. METHODS:Survey of a random sample of 9-year-old children in Southland, New Zealand. Dental fluorosis was measured using Dean's index. Enamel defects were recorded using the DDE index. RESULTS:A total of 436 children ...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.2010.00186.x

    authors: Mohamed AR,Thomson WM,Mackay TD

    更新日期:2010-10-01 00:00:00

  • The pre- and posteruptive effects of fluoride in the caries decline.

    abstract::The widespread availability of fluoride from many sources is accepted as a major reason for the caries decline among children in developed countries. There is still controversy, however, about its principal mode of action. This article reviews the evidence on fluoride's preeruptive and posteruptive effects, and sugges...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章,评审

    doi:10.1111/j.1752-7325.1988.tb03204.x

    authors: Beltran ED,Burt BA

    更新日期:1988-10-01 00:00:00

  • The effectiveness of community water fluoridation in the United States.

    abstract::Grand Rapids, the first city in the world to implement controlled water fluoridation, has served as a model for thousands of other communities. Fluoridation is one of the greatest public health and disease-preventive measures of all time. Its advantages include effectiveness for all, ease of delivery, safety, equity, ...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章,评审

    doi:10.1111/j.1752-7325.1996.tb02448.x

    authors: Horowitz HS

    更新日期:1996-01-01 00:00:00

  • Feasibility of colocating dental hygienists into medical practices.

    abstract:OBJECTIVES:To test the feasibility of colocating registered dental hygienists (RDHs) into medical practices and to evaluate parent/caregiver oral health characteristics. METHODS:From December 2008 to April 2009, we colocated five RDHs into five medical practices identified for their service to low-income children. Dua...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/jphd.12010

    authors: Braun PA,Kahl S,Ellison MC,Ling S,Widmer-Racich K,Daley MF

    更新日期:2013-07-01 00:00:00

  • Teachers as models in programs for school dental health; an evaluation of "The Toothkeeper".

    abstract::An evaluation of the effectiveness of the Toothkeeper program was performed in Houston to determine if participation in the program by elementary school children would result in their having cleaner teeth and better gingival health than seen in similar children not in the program. Assessments for plaque and gingivitis...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.1975.tb04029.x

    authors: Smith LW,Evans RI,Suomi JD,Friedman LA

    更新日期:1975-04-01 00:00:00

  • The building blocks of precision oral health in early childhood: the ZOE 2.0 study.

    abstract::Improving children's oral health is a long-standing area of priority and sustained efforts by many stakeholders. Despite these efforts, dental caries, particularly early childhood caries (ECC), persists as a clinical and dental public health problem with multilevel consequences. Despite recent successes in the non-res...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/jphd.12303

    authors: Divaris K,Joshi A

    更新日期:2020-03-01 00:00:00

  • Socioeconomic and racial/ethnic oral health disparities among US older adults: oral health quality of life and dentition.

    abstract:OBJECTIVE:This study aims to examine if older adults living in poverty and from minority racial/ethnic groups experienced disproportionately high rates of poor oral health outcomes measured by oral health quality of life (OHQOL) and number of permanent teeth. METHODS:Cross-sectional analysis of 2,745 community-dwellin...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/jphd.12072

    authors: Huang DL,Park M

    更新日期:2015-04-01 00:00:00

  • Perfluoroalkyls/polyfluoroalkyl substances and dental caries experience in children, ages 3-11 years, National Health and Nutrition Examination Survey, 2013-2014.

    abstract:OBJECTIVE:The objective of this research is to determine the association of seven perfluoroalkyl and polyfluoroalkyl substances versus dental caries experience in US children, ages 3-11 years. METHODS:A cross-sectional study design was used in the analysis of National Health and Nutrition Examination Survey 2013-2014 ...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/jphd.12329

    authors: Wiener RC,Waters C

    更新日期:2019-12-01 00:00:00

  • The association between developmental enamel defects and caries in populations with and without fluoride in their drinking water.

    abstract:OBJECTIVES:The purpose of this study was to consider the association between developmental enamel defects and dental caries in children from areas with different levels of fluoride in their drinking water. METHODS:children (mean age = 14.1 +/- 0.3 years) were examined from areas with less than 0.1 ppm (n = 267) and 0....

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.1996.tb02400.x

    authors: Ellwood RP,O'Mullane D

    更新日期:1996-04-01 00:00:00

  • Socioeconomic and demographic disparities in symptoms of orofacial pain.

    abstract:OBJECTIVES:The purpose of this study was to document the association between socioeconomic status (SES) and the prevalence and impact of orofacial pain by anatomical location. In addition, differential effects of SES on orofacial pain across levels of sex, race, and age were documented. METHODS:The subjects were 724 p...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.2003.tb03495.x

    authors: Riley JL 3rd,Gilbert GH,Heft MW

    更新日期:2003-07-01 00:00:00

  • Accreditation of emerging oral health professions: options for dental therapy education programs.

    abstract:OBJECTIVES:The study explored the options for accreditation of educational programs to prepare a new oral health provider, the dental therapist. METHODS:A literature review and interviews of 10 content experts were conducted. The content experts represented a wide array of interests, including individuals associated w...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.2011.00269.x

    authors: Gelmon SB,Tresidder AF

    更新日期:2011-04-01 00:00:00

  • Preventive benefit of access to fluoridated water for young adults.

    abstract::Water fluoridation has been repeatedly associated with lower caries experience in children but uncertainty still exists on strength and extent of the association into adulthood. OBJECTIVE:To analyze the preventive effect of access to fluoridated water on dental caries among young adults. METHODS:In 1991/92 a cross-s...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/jphd.12207

    authors: Spencer AJ,Liu P,Armfield JM,Do LG

    更新日期:2017-06-01 00:00:00

  • Relationship between dental status and Oral Impacts on Daily Performances in older Southern Chinese people.

    abstract:OBJECTIVE:The objective of this study was to assess the relationship between different clinical indicators of dental status and an Oral Health-Related Quality of Life (OHRQoL) measure, the Oral Impacts on Daily Performances (OIDP) index, using different scoring formats, among older Southern Chinese people. METHODS:A t...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.2009.00149.x

    authors: Zeng X,Sheiham A,Bernabé E,Tsakos G

    更新日期:2010-04-01 00:00:00

  • Opinions of dentists on the treatment of elderly patients in long-term care facilities.

    abstract::The high prevalence of disorders in the mouths of elderly residents in long-term care (LTC) facilities suggests that the dental services available to the residents are inadequate. A questionnaire was sent to most of the dentists practicing in Vancouver (British Columbia) to solicit their opinions on treating older pat...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.1992.tb02280.x

    authors: MacEntee MI,Weiss RT,Waxler-Morrison NE,Morrison BJ

    更新日期:1992-07-01 00:00:00

  • The effect of North Carolina hospital payor mix on dental-related pediatric emergency room utilization.

    abstract:OBJECTIVES:We examined the effect of hospital payor mix on the proportion of pediatric emergency department (ED) visits that were dental related. METHODS:We used the North Carolina (NC) Emergency Room Discharge Database from 2007 to 2009 to estimate the relationship between the percent of pediatric ED patients that we...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/jphd.12025

    authors: Hom JM,Burgette LF,Lee JY

    更新日期:2013-10-01 00:00:00

  • The 48-month increment of root caries in an urban population of older adults participating in a preventive dental program.

    abstract::The purpose of this study was to determine the effect of a 48-month preventive dental program on the incidence of root caries in an urban, geriatric, noninstitutionalized population residing in an optimally fluoridated area. The 466 participants were randomly assigned to one of three groups at baseline. Group A (contr...

    journal_title:Journal of public health dentistry

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1752-7325.1993.tb02691.x

    authors: Wallace MC,Retief DH,Bradley EL

    更新日期:1993-07-01 00:00:00

  • MORE Care: an evaluation of an interprofessional oral health quality improvement initiative.

    abstract:OBJECTIVE:This evaluation assesses the Medical Oral Expanded Care (MORE Care) initiative in four states that focused on oral health integration into primary care practices located in dental shortage areas. METHODS:This analysis is conducted using self-reported primary data collected from each of the participating MORE...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/jphd.12407

    authors: Kanan C,Ohrenberger K,Bayham M,Raskin SE,Tranby EP,Boynes S

    更新日期:2020-09-01 00:00:00

  • Lack of oral care policies in Toronto daycares.

    abstract:OBJECTIVES:Currently, there is a deficit of information on policies regarding oral hygiene practices in Toronto daycares. It is unknown if any tooth-brushing programs are in existence and if children are permitted to follow professional advice on oral hygiene. The main objectives of this investigation were to a) determ...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.2009.00123.x

    authors: Gartsbein E,Lawrence HP,Leake JL,Stewart H,Kulkarni G

    更新日期:2009-07-01 00:00:00

  • Perceived safety and benefit of community water fluoridation: 2009 HealthStyles survey.

    abstract:OBJECTIVES:To describe perceived benefits and safety of community water fluoridation (CWF) and investigate factors associated with those perceptions of CWF among respondents to a proprietary survey in the United States. METHODS:We obtained data from the 2009 HealthStyles survey, a convenience sample of 4,556 responden...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/jphd.12104

    authors: Mork N,Griffin S

    更新日期:2015-10-01 00:00:00

  • An examination of racial/ethnic disparities in children's oral health in the United States.

    abstract:OBJECTIVE:To assess the extent factors other than race/ethnicity explain apparent racial/ethnic disparities in children's oral health and oral health care. METHODS:Data were from the 2007 National Survey of Children's Health, for children 2-17 years (n=82,020). Outcomes included parental reports of child's oral health...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.2012.00367.x

    authors: Fisher-Owens SA,Isong IA,Soobader MJ,Gansky SA,Weintraub JA,Platt LJ,Newacheck PW

    更新日期:2013-04-01 00:00:00

  • An exploratory qualitative study examining the social and psychological processes involved in regular dental attendance.

    abstract:OBJECTIVE:This study aimed to provide a description of the psychosocial process involved in regular dental attendance. METHODS:The study design was a qualitative cross-sectional study using unstructured and semistructured interviews and observations of regular dental visits. The study participants included 12 men and ...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.2000.tb03285.x

    authors: Gibson BJ,Drennan J,Hanna S,Freeman R

    更新日期:2000-01-01 00:00:00

  • Assessment of a dental disease prevention program after three years.

    abstract::This assessment compared routine data on selected clinical services provided within the Oklahoma City Area of the Indian Health Service during the first six months of fiscal year 1984, prior to implementation of a program emphasizing oral health promotion and disease prevention, to comparable data from 1987. The asses...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.1989.tb02023.x

    authors: Malvitz DM,Broderick EB

    更新日期:1989-01-01 00:00:00

  • Does dentistry as we know it have a future?

    abstract::The American Dental Association's Strategic Plan for the Future of Dentistry is primarily a self-serving document in that it attempts to protect the dentist regardless of the changing oral health needs of the population. Marketing, even if initially successful, will not increase the absolute demand for dental services...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.1985.tb01125.x

    authors: Schoen MH

    更新日期:1985-07-01 00:00:00

  • The prevalence and severity of enamel fluorosis in North American children.

    abstract::The question considered in this review is the extent to which changes in the prevalence or severity of enamel fluorosis have occurred over the last half-century. Emphasis is given to a review of those studies in which subjects are drinking water that is fluoride deficient and those in which subjects are drinking optim...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章,评审

    doi:10.1111/j.1752-7325.1999.tb03276.x

    authors: Rozier RG

    更新日期:1999-10-01 00:00:00