Poor oral health as an obstacle to employment for Medicaid beneficiaries with disabilities
Poor oral health as an obstacle to employment for Medicaid beneficiaries with disabilities
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DOI：
10.1111/j.1752-7325.2012.00359.x
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发表时间：
2013-12-01
影响因子：
2.3
通讯作者：
Kurth, Noelle K.
中科院分区：
文献类型：
--
作者：
Hall, Jean P.;Chapman, Shawna L. Carroll;Kurth, Noelle K.
目的：为政策提供更好的信息，了解就业的医疗补助人群的口腔保健需求，即16至64岁的社会保障确定残疾的人参加了医疗补助购买计划。研究方法：统计检验对Medicaid购买计划满意度调查的响应之间的显著差异，该调查包括来自疾病控制和预防中心的行为风险因素监测系统和口腔健康影响概况（OHIP）的口腔健康问题，以获得该州普通人群和美国普通人群的结果。结果如下：与州一般人群或美国一般人群相比，研究人群的所有牙科护理获取和口腔健康指标均显着更差。由于牙齿问题而难以完成工作的OHIP措施的差异特别明显，这几乎是研究人群的五倍。结论：研究人群更全面的牙科福利可能会增加口腔和整体健康，并最终节省医疗补助的成本，因为更多的人工作，改善健康，并支付保险费。
Objectives: To inform policy with better information about the oral health-care needs of a Medicaid population that engages in employment, that is, people ages 16 to 64 with Social Security-determined disabilities enrolled in a Medicaid Buy-In program. Methods: Statistically test for significant differences among responses to a Medicaid Buy-In program satisfaction survey that included oral health questions from the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System and the Oral Health Impact Profile (OHIP) to results for the state's general population and the US general population. Results: All measures of dental care access and oral health were significantly worse for the study population as compared with a state general population or a US general population. Differences were particularly pronounced for the OHIP measure for difficulty doing one's job due to dental problems, which was almost five times higher for the study population. Conclusions: More comprehensive dental benefits for the study population could result in increased oral and overall health, and eventual cost savings to Medicaid as more people work, have improved health, and pay premiums for coverage.