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 were covered by Medicaid and the percent of pediatric ED visits that were dental related. Hospital-level fixed effects controlled for unobserved hospital-level characteristics. Discharge claims from 110 ED facilities in NC were analyzed over the 3-year study period. Claims were limited to individuals under 18 years old with dental disease-related International Classification of Diseases, Ninth Edition, Clinical Modification diagnostic codes, 520.00-530.00. RESULTS:Using 327 hospital-years of data, 62 percent of ED visits for pediatric dental reasons were covered by Medicaid, a proportion over two times greater than for pediatric reasons overall, 26 percent. Hospitals with a greater proportion of Medicaid payors had a greater proportion of pediatric dental ED visits (P < 0.01). CONCLUSIONS:Hospitals serving a large population of children on Medicaid should be prepared to provide emergency dental services. Public health administrators should prioritize oral health resources at hospital communities with a high proportion of Medicaid payors.

journal_name

J Public Health Dent

authors

Hom JM,Burgette LF,Lee JY

doi

10.1111/jphd.12025

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

289-96

issue

4

eissn

0022-4006

issn

1752-7325

journal_volume

73

pub_type

杂志文章
  • Factors associated with job and career satisfaction among dental hygienists.

    abstract::Information concerning dental hygienists' job and career satisfaction is dated and incomplete. Because satisfaction may be important in retention of dental hygienists, a survey of all active dental hygienists in private practices in North Carolina was performed to ascertain dimensions and levels of job and career sati...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.1992.tb02242.x

    authors: Bader JD,Sams DH

    更新日期:1992-01-01 00:00:00

  • Estimating determinants of dentist productivity: new evidence.

    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

    authors: Conrad DA,Lee RS,Milgrom P,Huebner CE

    更新日期:2010-10-01 00:00:00

  • The prevalence of dental fluorosis in a school-based program of fluoride mouthrinsing, fluoride tablets, and both procedures combined.

    abstract:OBJECTIVES:The objective of the study was to describe and compare the prevalence and severity of dental fluorosis in children who participated in an eight-year clinical trial of the effectiveness of school-based fluoride procedures according to three treatment regimens and age of regimen initiation. METHODS:At baselin...

    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.1752-7325.1995.tb02361.x

    authors: Nowjack-Raymer RE,Selwitz RH,Kingman A,Driscoll WS

    更新日期:1995-07-01 00:00:00

  • A comparison of the costs and patient acceptability of professionally applied topical fluoride foam and varnish.

    abstract:OBJECTIVES:In Canada and the United States, professionally applied topical fluorides (PATF) are usually applied as a gel or foam. However, fluoride varnish has also been found to be effective for caries prevention and may be a preferred method because less time is required and fluoride exposure can be better controlled...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.2004.tb02736.x

    authors: Hawkins R,Noble J,Locker D,Wiebe D,Murray H,Wiebe P,Frosina C,Clarke M

    更新日期:2004-04-01 00:00:00

  • Linn County Dental Health Center--a successful dental public health access program of treatment and prevention.

    abstract::The Linn County Dental Health Center is an example of what appears to be a highly successful dental society access program. A target population, the children of the poor and working poor in Linn County, have an opportunity to enter a system of continuous dental care for the prevention and control of dental disease. Th...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.1983.tb01891.x

    authors: Jones RB

    更新日期:1983-04-01 00:00:00

  • Maryland adults' knowledge of oral cancer and having oral cancer examinations.

    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

    authors: Horowitz AM,Moon HS,Goodman HS,Yellowitz JA

    更新日期:1998-10-01 00:00:00

  • Assessing attitudes and actions of pediatric dentists toward childhood obesity and sugar-sweetened beverages.

    abstract:OBJECTIVES:Childhood obesity is a major US health concern, and oral health professionals have opportunities to participate in an interprofessional effort to intervene owing to their access to young patients and their abilities in addressing obesity-related dietary habits like consumption of sugar-sweetened beverages (S...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/jphd.12240

    authors: Wright R,Casamassimo PS

    更新日期:2017-06-01 00:00:00

  • Utilization in Alberta's universal dental plan for the elderly, 1974-91.

    abstract::Since 1973 the government of Alberta, a Canadian province of 2.4 million people, has funded a dental care plan for all residents over 64 years old and their dependents. It is the only dental plan in North America that covers all seniors and their dependents residing in a state or province. Under this plan, just over 2...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.1992.tb02286.x

    authors: Lewis DW,Thompson GW

    更新日期:1992-10-01 00:00:00

  • Issues in cost effectiveness in health care.

    abstract::Cost-effectiveness analysis (CEA) is becoming increasingly popular as society moves toward rationalizing health costs. This review describes the applications and limitations of the technique. Conceptually simple though frequently complicated in application, CEA compares the cost of a procedure with its effectiveness, ...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.1989.tb02085.x

    authors: Warner KE

    更新日期:1989-01-01 00:00:00

  • The Venturi Fluoride Saturator project.

    abstract::This study was conducted to determine whether Venturi Fluoride Saturator (VFS) systems could be used to fluoridate small community and school water supply systems with an acceptable level of maintenance. VFS systems were installed and operated at four school and six community well sites according to state and federal ...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.1991.tb02209.x

    authors: Hastreiter RJ,Falken MC,Smith GG,Wunderlich HC,Roesch MH

    更新日期:1991-07-01 00:00:00

  • Survey of diplomates of the American Board of Dental Public Health, 1980.

    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

    authors: Conti AJ,Lotzkar S,Sanchez M,Marks R

    更新日期:1982-07-01 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

  • At the crossroads of oral health inequities and precision public health.

    abstract:OBJECTIVES:This paper reviews the precision public health literature pertaining to oral health, identifies possible threats that could inadvertently increase health inequities, and proposes potential opportunities that precision public health could utilize to reduce oral health inequities. METHODS:The health sciences ...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章,评审

    doi:10.1111/jphd.12316

    authors: Gansky SA,Shafik S

    更新日期:2020-03-01 00:00:00

  • Theoretical considerations in applying benefit-cost and cost-effectiveness analyses to preventive dental programs.

    abstract::Benefit-cost analysis and cost-effectiveness analysis can be used to evaluate preventive regimens and aid policy-makers in making resource-allocation decisions. This paper demonstrates the application of benefit-cost and cost-effectiveness analyses to preventive dental programs. The two analyses are defined and descri...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.1984.tb03077.x

    authors: Niessen LC,Douglass CW

    更新日期:1984-10-01 00:00:00

  • Impact of public dental care spending and insurance coverage on utilization disparities among Canadian jurisdictions.

    abstract:OBJECTIVE:To investigate the role of public dental care spending and insurance coverage on dental services utilization disparities among different Canadian jurisdictions. METHODS:We utilized Canadian Institute for Health Information provincial/territorial per capita estimates for public dental care expenditure, public...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/jphd.12283

    authors: Dehmoobadsharifabadi A,Singhal S,Quiñonez CR

    更新日期:2018-09-01 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

  • Development of functional oral health literacy assessment instruments: application of literacy and cognitive theories.

    abstract:OBJECTIVES:This paper describes the development of a new literacy assessment instrument, the Hong Kong Oral Health Literacy Assessment Task for Paediatric Dentistry (HKOHLAT-P). Its relationship to literacy theory is analyzed to establish content and face validity. Implications for construct validity are examined by an...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/jphd.12033

    authors: Bridges SM,Parthasarathy DS,Au TK,Wong HM,Yiu CK,McGrath CP

    更新日期:2014-04-01 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

  • Dental care satisfaction: the reliability and validity of the DSQ in a low-income population.

    abstract:OBJECTIVES:Studies examining satisfaction with dental health care among the poor are quite rare. This study was done to confirm the internal structure and reliability of the Dental Satisfaction Questionnaire (DSQ), a measure of dental care satisfaction, among a low-income population, and provide normative data regardin...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.1995.tb02372.x

    authors: Golletz D,Milgrom P,Mancl L

    更新日期:1995-10-01 00:00:00

  • Encouraging early preventive dental visits for preschool-aged children enrolled in Medicaid: using the extended parallel process model to conduct formative research.

    abstract:OBJECTIVE:Preventive dental visits for preschool-aged children can result in better oral health outcomes, especially for children from lower income families. Many children, however, still do not see a dentist for preventive visits. This qualitative study examined the potential for the Extended Parallel Process Model (E...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.2012.00369.x

    authors: Askelson NM,Chi DL,Momany E,Kuthy R,Ortiz C,Hanson JD,Damiano P

    更新日期:2014-01-01 00:00:00

  • The views of dentists, nurses and nutritionists on the association between diabetes and periodontal disease: a qualitative study in a Latino community.

    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

    authors: Koerber A,Peters KE,Kaste LM,Lopez E,Noorullah K,Torres I,Crawford JM

    更新日期:2006-07-01 00:00:00

  • Examiner reliability of fluorosis scoring: a comparison of photographic and clinical examination findings.

    abstract:OBJECTIVE:To assess and compare examiner reliability of clinical and photographic fluorosis examinations using the Fluorosis Risk Index (FRI) among children in the Iowa Fluoride Study (IFS). METHODS:The IFS examined 538 children for fluorosis and dental caries at age 13 and obtained intraoral photographs from nearly a...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.2012.00315.x

    authors: Cruz-Orcutt N,Warren JJ,Broffitt B,Levy SM,Weber-Gasparoni K

    更新日期:2012-04-01 00:00:00

  • Geographic variations in dental sealant utilization by Medicaid enrollees.

    abstract:OBJECTIVE:To investigate geographical variations and their relationship to race/ethnicity in dental sealant utilization for first molars among Wisconsin Medicaid enrollees from 2010 to 2013. METHODS:Wisconsin Medicaid dental claims for sealants in children aged 6-16 years were analyzed. County-level population density...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/jphd.12420

    authors: Okunseri CE,Okunseri E,Garcia RI,Visotcky A,Szabo A

    更新日期:2020-11-11 00:00:00

  • Water consumption and nursing characteristics of infants by race and ethnicity.

    abstract:OBJECTIVES:The purpose of this project was to determine racial/ethnic differences in water consumption levels and nursing habits of children younger than 2 years old. METHODS:Data from the 1994-96 Continuing Survey of Food intakes by individuals (CSFII) were used for these analyses. Water consumption and breast-feedin...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.2000.tb03319.x

    authors: Heller KE,Sohn W,Burt BA,Feigal RJ

    更新日期:2000-07-01 00:00:00

  • Factors influencing the appropriateness of restorative dental treatment: an epidemiologic perspective.

    abstract:OBJECTIVES:An epidemiology analysis was performed to identify patient and dentist factors influencing over- and undertreatment of restorative services in a sample of insured adults. METHODS:At baseline, 681 Washington State employees and their spouses, aged 20 to 34 years and residing in the Olympia or Pullman areas, ...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.1997.tb02469.x

    authors: Grembowski D,Fiset L,Milgrom P,Forrester K,Spadafora A

    更新日期:1997-01-01 00:00:00

  • Gains in dental care use not shared by minority elders.

    abstract::Americans have steadily increased their reported use of dental services over the past 30 years. Persons aged 65 years and older have made the greatest gains, from 16 percent in 1957-58 to 43 percent in 1989. This article reviews national data on reported use of dental care over the past three decades, focusing on diff...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.1994.tb01177.x

    authors: Jones JA,Fedele DJ,Bolden AJ,Bloom B

    更新日期:1994-01-01 00:00:00

  • How do you implement value-based care methodologies in dentistry with existing dental organizational paradigms?

    abstract::The U.S. healthcare sector is a paradox - achieving comparatively poor population health outcomes despite outspending the world - and the current paradigm is a dichotomy - pursuing value definition consisting of quality, outcome, and cost, but failing to act in aligned and informed manner. In 2018, U.S. dental spendin...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/jphd.12412

    authors: Sinnott M,Mullins JM,Simmons KL

    更新日期:2020-09-01 00:00:00

  • Children's school performance: impact of general and oral health.

    abstract:OBJECTIVES:The purpose of this study was to examine: a) the sociodemographic and health factors associated with poor school performance among North Carolina children; and b) the impact of poor oral health status on school performance while controlling for other health and sociodemographic factors. METHODS:We used data...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.2007.00062.x

    authors: Blumenshine SL,Vann WF Jr,Gizlice Z,Lee JY

    更新日期:2008-04-01 00:00:00

  • The association of individual characteristics and neighborhood poverty on the dental care of American adolescents.

    abstract:OBJECTIVE:The purpose of this study was to explore the extent to which neighborhood poverty was associated with the utilization of dental care by American adolescents. METHODS:To accomplish the study goals we conducted multilevel modeling analyses of two nationally representative data sets: National Longitudinal Study...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/j.1752-7325.2012.00340.x

    authors: Atkins R,Sulik MJ,Hart D

    更新日期:2012-10-01 00:00:00

  • Expanded Medicaid dental coverage under the Affordable Care Act: an analysis of Minnesota emergency department visits.

    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...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章

    doi:10.1111/jphd.12214

    authors: Laniado N,Badner VM,Silver EJ

    更新日期:2017-09-01 00:00:00