Abstract：
OBJECTIVE:To examine general dental and orthodontic utilization and expenditures by health insurance status, public health insurance eligibility, and sociodemographic characteristics among children aged 0 to 17 years using data from 2010-2012. METHODS:Nationally representative data from the Medical Expenditure Panel Survey (2010-2012) provided data on insurance status, public health insurance eligibility, and visits to dental providers for both general dental care and orthodontic care. RESULTS:Overall, 41.9% of US children reported an annual dental office-based visit for general (nonorthodontic) dental care. Fewer Hispanic (34.7%) and non-Latino black children (34.8%) received dental care compared to non-Hispanic whites (47.3%) and Asians (40.3%). Children living in families with the lowest income were also the least likely to have a visit (32.9%) compared to children in the highest-income families (54.7%). Among children eligible for public coverage, Medicaid-eligible children had the lowest percentage of preventive dental visits (29.2%). Socioeconomic and racial/ethnic disparities in use and expenditures for orthodontic care are much greater than those for general and preventive dental care. Average expenditures for orthodontic care were $1,823, of which 56% ($1,023) was paid out of pocket by families. CONCLUSIONS:Our findings provide a baseline assessment for examining trends in the future, especially as coverage patterns for children may change as the Affordable Care Act is implemented and the future of the State Child Health Insurance Program remains uncertain beyond 2017.
journal_name
Acad Pediatrjournal_title
Academic pediatricsauthors
Berdahl T,Hudson J,Simpson L,McCormick MCdoi
10.1016/j.acap.2016.02.013subject
Has Abstractpub_date
2016-05-01 00:00:00pages
314-26issue
4eissn
1876-2859issn
1876-2867pii
S1876-2859(16)00081-4journal_volume
16pub_type
杂志文章abstract：OBJECTIVE:Although it is known that children with mental health problems utilize primary care services more than most other children, it is unknown how addressing mental health problems in primary care affects children's subsequent services utilization. This study measures primary care utilization in the context of a r...
journal_title：Academic pediatrics
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.acap.2010.06.012
更新日期：2010-09-01 00:00:00
abstract：OBJECTIVE:To examine whether infrequent bullying perpetration and victimization (once or twice a month) are associated with elevated levels of internalizing and externalizing problems and to assess evidence for a minimum frequency threshold for bullying involvement. METHODS:The analytic sample included 128,681 6th, 9t...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2013.02.004
更新日期：2013-05-01 00:00:00
abstract：:Primary care pediatricians and psychology practitioners who comanage mental health problems can develop interdisciplinary communication and collaborative skills from joint standardized patient encounters and debriefings, combined with brief didactics. Learners showed increased confidence in shared management of behavi...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2017.06.014
更新日期：2018-01-01 00:00:00
abstract：:All medical educators have experienced "teachable moments" during their career, and most can likely share examples of these moments from both training and their role as educators. In addition, most if not all have faced a situation in which an educational opportunity fell short or was missed entirely. This View from t...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2020.08.011
更新日期：2020-08-20 00:00:00
abstract：OBJECTIVE:The Advisory Committee on Immunization Practices (ACIP) has recommended routine human papillomavirus (HPV) vaccination at age 11 or 12 years for girls since 2006 and for boys since 2011. We sought to describe adolescent HPV vaccination coverage, doses administered from 2009 to 2012, and age at first vaccinati...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2014.03.005
更新日期：2014-09-01 00:00:00
abstract：OBJECTIVE:Promoting safe firearm storage in pediatric primary care is one way to address youth suicide by firearm. The study objective was to determine the perspectives of primary care physicians (PCPs) and leaders of primary care practices regarding the acceptability and use of screening, counseling, and firearm locks...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2018.11.007
更新日期：2019-08-01 00:00:00
abstract：OBJECTIVE:To identify whether psychosocial stress exposure during early childhood predicts subsequent increased eating in the absence of hunger (EAH), emotional overeating, food responsiveness, and enjoyment of food. METHODS:This was an observational longitudinal study. Among 207 low-income children (54.6% non-Hispani...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2018.01.007
更新日期：2018-08-01 00:00:00
abstract：OBJECTIVE:The stress associated with adverse childhood experiences (ACEs) has immediate and long-lasting effects. The objectives of this study were to examine 1) how often pediatricians ask patients' families about ACEs, 2) how familiar pediatricians are with the original ACE study, and 3) physician/practice characteri...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2015.08.002
更新日期：2016-03-01 00:00:00
abstract：BACKGROUND:The American Board of Pediatrics requires that pediatricians be able to initiate stabilization of a newborn. After residency, 45% of general pediatricians routinely attend deliveries. However, there is no standard approach or tool to measure resident proficiency in newborn resuscitation across training progr...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2018.09.004
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVE:To determine the prevalence of overweight/obese status in children with autism spectrum disorders (ASD), identify associated characteristics, and develop a model to predict weight status. METHODS:The prevalence of overweight and obesity was determined in 2769 children with ASD enrolled in the Autism Speaks A...
journal_title：Academic pediatrics
pub_type： 杂志文章,多中心研究
doi：10.1016/j.acap.2015.03.008
更新日期：2015-07-01 00:00:00
abstract：OBJECTIVE:To identify the proportion of patients previously diagnosed with apparent life-threatening events (ALTE) who would meet criteria for brief resolved unexplained events (BRUE) and to identify rates of adverse outcomes in subgroups: ALTE not meeting criteria for BRUE, lower-risk BRUE, and higher-risk ALTE. METH...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2019.08.001
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVE:The number of pediatric Global Health (GH) tracks has more than doubled in less than 10 years. The goal of this study was to describe the characteristics of the pediatric GH tracks to identify commonalities and differences in track structure, funding, and education. In addition, we also identified demographic...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2018.03.009
更新日期：2018-08-01 00:00:00
abstract：OBJECTIVE:To measure the difference in prescribing error rates between 2 clinics, 1 with a system in place to reduce errors and 1 with no such system; to determine variables that affect the likelihood of prescription errors. METHODS:This was a retrospective study at 2 university-based general pediatric clinics utilizi...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2014.03.018
更新日期：2014-09-01 00:00:00
abstract：OBJECTIVE:To develop and validate a computable phenotype algorithm for identifying patient populations with sickle cell disease. METHODS:In this retrospective study we used electronic health record data from the Children's Hospital of Wisconsin to develop a computable phenotype algorithm for sickle cell disease. The a...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2016.12.005
更新日期：2017-04-01 00:00:00
abstract：OBJECTIVE:Preterm/very low birth weight infants may suffer neurodevelopmental delays. Pediatricians should monitor neurodevelopment and pursue timely referrals. Yet parents who speak non-English primary languages (NEPL) report worse health care communication and fewer appropriate specialty referrals for their children....
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2016.04.004
更新日期：2016-09-01 00:00:00
abstract：OBJECTIVE:Parent knowledge about developmental disabilities (DDs) may facilitate access to DD care; however, parents may vary in their knowledge and familiarity with common DDs. This study aimed to assess racial/ethnic and language differences in low-income families' familiarity, knowledge, and personal experience with...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2018.06.011
更新日期：2018-01-01 00:00:00
abstract：BACKGROUND:Picky eating is common in children. Few studies have examined predictors of picky eating, and the association of picky eating with weight status and dietary quality is inconsistent in the literature. We aimed to identify predictors of picky eating and to test the association of picky eating with child body m...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2017.08.014
更新日期：2018-04-01 00:00:00
abstract：OBJECTIVE:We sought to determine the age at which US parents first turned their child's car seat to face forward and information sources used to make that decision at the time of the release of the 2011 guidelines for child passenger safety and 30 months later. METHODS:We administered 2 separate cross-sectional Web-ba...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2014.10.004
更新日期：2015-09-01 00:00:00
abstract：OBJECTIVE:An innovative low-cost parenting intervention, implemented through health services in Jamaica showed benefits to children's cognitive development at 18 months and parent's attitudes concerning childcare. We assessed the impact of the intervention on child and parent outcomes at 6 years of age. METHODS:A clus...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2021.01.003
更新日期：2021-01-09 00:00:00
abstract：BACKGROUND:Adults tend to underestimate their personal risk of disease, but little is known about parents' perceptions of children's risk. METHODS:In total, 648 parents of children 0 to 18 years old attending 2 pediatric practices were surveyed about their children's exposure to smoking; 344 parents with children ≥2 y...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2018.09.008
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVE:Reach Out and Read (ROR) is a primary care-based intervention supported by considerable evidence regarding its efficacy. Implementation of ROR, however, varies across participating sites. The objective of this study was to identify practice attributes associated with variability in ROR implementation. METHOD...
journal_title：Academic pediatrics
pub_type： 杂志文章,多中心研究
doi：10.1016/j.acap.2008.10.004
更新日期：2009-01-01 00:00:00
abstract：OBJECTIVE:The demand for global health electives among medical students and residents has grown substantially, yet perspectives of international hosts are not well documented. This study aimed to assess how host country supervising clinical preceptors perceive learners on short-term global health electives of up to 6 w...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2015.11.002
更新日期：2016-05-01 00:00:00
abstract：OBJECTIVE:To evaluate how parents and physicians perceive the utility of a comprehensive, electronic previsit screener, and to assess its impact on the visit. METHODS:A mixed methods design was used. English-speaking parents were recruited from 3 primary care systems (urban MD and rural NY and VT) when they presented ...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2013.04.005
更新日期：2013-07-01 00:00:00
abstract：OBJECTIVE:There are many studies of the Pediatric Symptom Checklist (PSC), but none has followed a naturalistic sample longitudinally. We aimed to examine persistence and change in PSC scores over time in children seen in an ambulatory pediatric setting. METHODS:The sample of 1033 patients was PSC screened at 2 consec...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2009.03.004
更新日期：2009-07-01 00:00:00
abstract：BACKGROUND:Use of complementary and alternative medical (CAM) therapies is common among adults with mental health concerns, but little is known about CAM use among adolescents with mental health concerns. METHODS:Data from the 2007 National Health Interview Survey were analyzed for youth from 7 to 17 years old. The st...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2013.05.001
更新日期：2013-11-01 00:00:00
abstract：BACKGROUND:There are limited training opportunities for pediatricians in caring for children with medical complexity (CMC) in the home and community. Prior studies have described a lack of comfort caring for CMC among pediatric residents. OBJECTIVE:1) To evaluate the impact of participation in a virtual home visit cur...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2020.05.001
更新日期：2020-01-01 00:00:00
abstract：OBJECTIVE:Goals of care discussions are crucial in helping parents navigate complex medical decisions and shown to improve quality of care. Little is known about whether physicians elicit or address parents' goals during a child's hospitalization. The purpose of this study was to understand the current practice of goal...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2020.05.016
更新日期：2020-05-31 00:00:00
abstract：OBJECTIVE:A parent-child relational framework was used as a method to train pediatric residents in basic knowledge and observation skills for the assessment of child development. Components of the training framework and its preliminary validation as an alternative to milestone-based approaches are described. METHODS:P...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2016.09.005
更新日期：2017-01-01 00:00:00
abstract：OBJECTIVE:To describe influences on shared decision making between primary care pediatricians and parents of young children with autism spectrum disorder (ASD). METHODS:We conducted a qualitative study using key informant interviews with 20 pediatricians of varying experience from 10 primary care practices and 20 Engl...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2016.04.007
更新日期：2016-08-01 00:00:00
abstract：OBJECTIVE:Previous research suggests that cognitive functioning is associated with the risk of several adult psychiatric disorders. In this study we investigated whether adolescents who perform worse than expected at secondary school are at a higher risk for general mental health problems. METHODS:In a cross-sectional...
journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2017.04.016
更新日期：2017-08-01 00:00:00
