Abstract：
OBJECTIVES:Hospital emergency departments (EDs) function as the safety net for patients with non-traumatic dental conditions (NTDCs). With the implementation of Medicaid expansion under the Affordable Care Act (ACA) many adults became eligible for dental benefits. We examined the impact of "early" Medicaid expansion in Minnesota on ED visits for NTDCs from 2008 (prereform) to 2014 (postreform). METHODS:Data from the State Emergency Department Databases for Minnesota were analyzed for 2 years: 2008 and 2014. All individuals who presented to the ED with a dental problem were identified based on the International Classification of Diseases, Ninth Revision, Clinical Modification with a primary diagnosis of 520.0-529.9. Demographic variables including patient age, gender, and primary payer were examined. RESULTS:Between 2008 and 2014 there was a 18.8 percent increase in the number of all non-dental ED visits and a 9.7 percent decrease in the number of NTDC visits. In that time period, young adults 18-26 years old showed a significant decrease (19.3 percent, P < 0.001) in the number of NTDC visits. CONCLUSIONS:The Minnesota experience suggests that the increase in Medicaid dental benefits through the ACA has significantly decreased NTDC visits, especially among young adults who were eligible for a dependent coverage policy that extends parents' health insurance to age 26. To our knowledge, no previous study has reported on the impact of early Medicaid expansion on the rate of ED use for NTDCs.
journal_name
J Public Health Dentjournal_title
Journal of public health dentistryauthors
Laniado N,Badner VM,Silver EJdoi
10.1111/jphd.12214subject
Has Abstractpub_date
2017-09-01 00:00:00pages
344-349issue
4eissn
0022-4006issn
1752-7325journal_volume
77pub_type
杂志文章abstract：OBJECTIVES:This study sought to determine (1) knowledge of risk factors for oral cancer, (2) knowledge of signs and symptoms of oral cancers, and (3) factors associated with having had an oral cancer examination among 916 Maryland adults 18 years of age and older. METHODS:A statewide, random-digit dial, computer-assis...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1998.tb03010.x
更新日期：1998-10-01 00:00:00
abstract：:The Ryan White Comprehensive AIDS Resources Emergency (CARE) Act of 1990 was passed by Congress "to improve the quality and availability of care for individuals and families with HIV disease." The act targets those individuals infected with HIV who lack financial resources to pay for care. While provision of oral heal...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1993.tb02714.x
更新日期：1993-10-01 00:00:00
abstract：OBJECTIVE:The objective was to verify the relation between periodontal status and prematurity/low birth weight. METHODS:a case control study of 211 women, 44 being mothers of children born with weight below 2.500g or gestational age of less than 37 weeks (case group) and 177 mothers of children born with weight of ove...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2006.tb04088.x
更新日期：2006-10-01 00:00:00
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
更新日期：2020-09-01 00:00:00
abstract：OBJECTIVES:Methamphetamine (MA) is a widely used illicit drug and a nationwide public health concern. Although dental complications are consistently reported among MA users, yet limited nationally representative studies on the associations between MA use and oral health currently exist. METHODS:Using the National Heal...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12389
更新日期：2020-08-18 00:00:00
abstract：OBJECTIVE:Productivity (output per unit of input) is a major driver of dental service capacity. This study uses 2006-2007 data to update available knowledge on dentist productivity. METHODS:In 2006-2007, the authors surveyed 1,604 Oregon general dentists regarding-hours worked, practice size, payment and patient mix, ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2010.00180.x
更新日期：2010-10-01 00:00:00
abstract：OBJECTIVES:This study investigated possible reasons for observed discrepancies in prevalence estimates and measures of association for periodontal disease between phases (1988-91 and 1991-94) of the third National Health and Nutrition Examination Survey (NHANES III). METHODS:NHANES III data on CD-ROM were obtained fro...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1999.tb03237.x
更新日期：1999-04-01 00:00:00
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
更新日期：1993-07-01 00:00:00
abstract：OBJECTIVES:Previous surveys have demonstrated high rates of early childhood caries (ECC) in the Alaska Native (AN) population of western Alaska. There are many challenges to providing dental care in this road-less Yukon-Kuskokwim Delta region. The regional Tribal Health Organization implemented an electronic dental rec...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12435
更新日期：2020-12-06 00:00:00
abstract：OBJECTIVES:In Australia, the majority of dental patients attend the private sector, while those with means tested eligibility for government assistance may attend the public sector. The aims of this study were to compare dental caries among persons who last visited private and public clinics, controlling for age, sex, ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2010.00199.x
更新日期：2011-01-01 00:00:00
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
更新日期：2008-01-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to analyze the relationship between oral health behaviors and general health behaviors in adults. METHODS:A total of 2,467 adults (1,208 men and 1,259 women aged 20-59 years) who consulted dentists in Chiba City were administered a questionnaire. RESULTS:Women, older participants, ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2003.tb03508.x
更新日期：2003-10-01 00:00:00
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
更新日期：2010-10-01 00:00:00
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
更新日期：2020-03-01 00:00:00
abstract：:It was the purpose of this study to investigate several variables in family structure which might influence the caries experience in 3-12-year-old children for Central Oklahoma. These variables, which included parental age at marriage and at birth of the child for both mother and father, birth rank, family size, and a...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1982.tb04056.x
更新日期：1982-04-01 00:00:00
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
更新日期：1996-04-01 00:00:00
abstract：OBJECTIVES:In the United States, silver diamine fluoride (SDF) is a relatively new, quick, and low-cost method for arresting dental caries. This study's purpose was to identify determinants of the implementation of an SDF protocol for pediatric patients in three safety net clinics to inform future efforts to implement ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12324
更新日期：2019-12-01 00:00:00
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
更新日期：1975-04-01 00:00:00
abstract：OBJECTIVE:To interview health professionals in a Latino community about the association between diabetes and periodontitis, and provide a basis to develop interventions for them to promote oral health and good glycemic control among patients with diabetes. METHODS:Five dentists, seven nurses and two nutritionists were...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2006.tb02583.x
更新日期：2006-07-01 00:00:00
abstract：OBJECTIVES:The purpose of our study was to examine the association between rurality and select oral health care metrics: teeth condition, decay, and access measures such as preventive dental care among children in the United States. METHODS:We conducted a cross-sectional study with a sample of 20,842 respondents from ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12444
更新日期：2021-01-27 00:00:00
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
更新日期：2012-04-01 00:00:00
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
更新日期：1989-01-01 00:00:00
abstract：OBJECTIVES:This study aimed to evaluate parents' Willingness to Invest (WTI) in their children's oral health in terms of money, visits to a dental practice, and brushing minutes. Objectives were to assess the association between parents' WTI and a) children's dental caries experience, b) children's oral hygiene behavio...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12242
更新日期：2018-12-01 00:00:00
abstract：:The racial and ethnic diversity of the US oral health care workforce remains insufficient to meet the needs of an increasingly diverse population and to address persistent health disparities. The findings from a recent national survey of underrepresented minority dentists are reviewed and recommendations are made for ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章,评审
doi：10.1111/jphd.12219
更新日期：2017-03-01 00:00:00
abstract：OBJECTIVE:It has been speculated that amoxicillin use could be associated with enamel defects, but there have been few studies of this possible relationship. This study assessed the association between amoxicillin use during the first year of life and primary tooth fluorosis. METHODS:Subjects (n = 490) were recruited ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.2004.tb02724.x
更新日期：2004-01-01 00:00:00
abstract：OBJECTIVES:Preventive dental health services are intended to reduce the likelihood of development of tooth decay and the need for more intensive treatment overtime. The evidence on the effectiveness of preventive dental care in reducing treatment services and expenditures is lagging for adults, particularly those with ...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12262
更新日期：2018-06-01 00:00:00
abstract：OBJECTIVES:The specific aims of this study were to describe the baseline oral health status of persons residing in North Carolina assisted living facilities and determine how identified oral health problems vary according to resident and facility demographic variables. METHODS:This cross-sectional descriptive epidemio...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/jphd.12310
更新日期：2019-09-01 00:00:00
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
更新日期：2020-01-01 00:00:00
abstract：:A survey was mailed to all active diplomates of the American Board of Dental Public Health in January of 1980 requesting information regarding activities for the period including January 1978 to December 1979. Eighty-two of the then 86 full-time active diplomates responded to the survey. Comparisons with the results o...
journal_title：Journal of public health dentistry
pub_type： 杂志文章
doi：10.1111/j.1752-7325.1982.tb02642.x
更新日期：1982-07-01 00:00:00
abstract：OBJECTIVE:To examine whether public expenditure on health and Euro Health Consumer Index (EHCI) are associated with dental check-ups in European countries. METHODS:Individual data were from Eurobarometer 72.3, 2009 a cross-national survey of 27 European countries. Eligible participants were those aged 18 years and old...
journal_title：Journal of public health dentistry
pub_type： 杂志文章,多中心研究
doi：10.1111/jphd.12204
更新日期：2017-06-01 00:00:00
