Cost-Savings of Fluoride Varnish Application in Primary Care for Medicaid-Enrolled Children in Virginia
Cost-Savings of Fluoride Varnish Application in Primary Care for Medicaid-Enrolled Children in Virginia
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DOI：
10.1016/j.jpeds.2019.05.026
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发表时间：
2019-09-01
影响因子：
5.1
通讯作者：
Naavaal, Shillpa
中科院分区：
文献类型：
--
作者：
Scherrer, Christina R.;Naavaal, Shillpa
目的：从医疗补助支付者的角度，确定弗吉尼亚州（VA）医疗补助/儿童健康保险计划人群在儿科井访视期间应用氟化物涂膜的成本效益。从初级保健提供者（PCP）的角度提供初步的成本估计。研究设计最近的文献进行了系统的搜索，以获得输入数据的Monte Carlo成本效益模拟和氟化清漆的应用时间，劳动力和材料成本的PCP。该分析是从医疗补助的角度进行的;计算了VA中所有符合医疗补助条件的3岁以下儿童在7.5年内与乳牙列中氟化物清漆应用相关的成本和节省。进行敏感性分析，以减轻参数不确定性的影响。
Objectives To determine the cost-benefit of fluoride varnish application during pediatric well-visits for the Medicaid/Children's Health Insurance Program population in Virginia (VA) from a Medicaid payer perspective. To provide initial cost estimates from the primary care provider (PCP) perspective.Study design A systematic search of recent literature was completed to obtain input data for a Monte Carlo cost-benefit simulation and for the fluoride varnish application time, labor, and materials costs for PCPs. The analysis was conducted from a Medicaid perspective; costs and savings related to fluoride varnish application in primary dentition through 7.5 years were calculated for all Medicaid-eligible children up to 3 years of age in VA. Sensitivity analysis was performed to mitigate the effects of parameter uncertainty.Results Delivering fluoride varnish to all children