The Impact of the Affordable Care Act on Dental Care: An Integrative Literature Review.
The Impact of the Affordable Care Act on Dental Care: An Integrative Literature Review.
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DOI：
10.3390/ijerph18157865
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发表时间：
2021-07-25
影响因子：
--
通讯作者：
Wong LN
中科院分区：
文献类型：
--
作者：
Song J;Kim JN;Tomar S;Wong LN
《患者保护和平价医疗法案》（ACA）的目标是增加获得医疗保险的机会，降低医疗成本，同时提高医疗质量。随着越来越多的文章研究ACA条款之一与牙齿健康结果之间的关系，我们系统地回顾了ACA对牙科保健覆盖范围和获得牙科服务的影响。我们在2010年1月至2020年11月期间使用美国国家医学图书馆的Medline （PubMed）和汤森路透的Web of Science检索文献。我们确定了33篇与牙科覆盖和获得/利用牙科保健服务相关的文章。这项研究的系统回顾表明，ACA使成人和儿童的牙科覆盖率有所提高，但结果与牙科护理的可及性好坏参半。总的来说，我们发现该政策降低了成本壁垒，增加了年轻人的私人牙科保险，增加了低收入无子女成年人的牙科护理使用。ACA的实施与美国人的牙科保险覆盖率没有直接关联。然而，结果表明ACA对国家层面数据集中人们的牙科保健覆盖率和使用率产生了积极的溢出效应。
The goal of the Patient Protection and Affordable Care Act (ACA) is to increase access to health insurance and decrease health care cost while improving health care quality. With more articles examining the relationship between one of the ACA provisions and dental health outcomes, we systematically reviewed the effect of the ACA on dental care coverage and access to dental services. We searched literature using the National Library of Medicine’s Medline (PubMed) and Thomson Reuters’ Web of Science between January 2010 and November 2020. We identified 33 articles related to dental coverage, and access/utilization of dental care services. This systematic review of studies showed that the ACA resulted in gains in dental coverage for adults and children, whereas results were mixed with dental care access. Overall, we found that the policy led to a decrease in cost barriers, an increase in private dental coverage for young adults, and increased dental care use among low-income childless adults. The implementation of the ACA was not directly associated with dental insurance coverage among people in the U.S. However, results suggest positive spillover effects of the ACA on dental care coverage and utilization by people in the national level dataset.
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影响因子：
3.4
作者：
French, Michael T.;Homer, Jenny;Hickling, Lucas
通讯作者：
Hickling, Lucas
影响因子：
1.4
作者：
Logan, Henrietta L.;Catalanotto, Frank;Dharamsi, Shafik
通讯作者：
Dharamsi, Shafik
影响因子：
4.2
作者：
Kino, Shiho;Kawachi, Ichiro
通讯作者：
Kawachi, Ichiro
影响因子：
2.3
作者：
Currie, Richard B.;Pretty, Iain A.;Maupome, Gerardo
通讯作者：
Maupome, Gerardo
DOI：
10.1097/phh.0000000000000481
发表时间：
2017-09-01
影响因子：
3.3
作者：
Dumont, Dora M.;Oh, Junhie;Cooper, Tara
通讯作者：
Cooper, Tara