Follow-up preventive dental visits for Medicaid-enrolled children in the medical office.
Follow-up preventive dental visits for Medicaid-enrolled children in the medical office.
复制标题
在医疗办公室对参加医疗补助计划的儿童进行后续预防性牙科就诊。
DOI：
10.1111/j.1752-7325.2007.00055.x
复制
发表时间：
2008
影响因子：
2.3
通讯作者：
Stearns,SallyC
中科院分区：
文献类型：
--
作者：
Quiñonez,RocioBeatriz;Pahel,BhavnaT;Rozier,RGary;Stearns,SallyC
目的：描述的频率和决定因素的后续预防性口腔健康访问在医疗办公室的儿童筛查牙病，接受氟化物清漆和consulting.Methods：参加临床试验的医疗补助儿童的父母完成了基线调查问卷之前，他们的孩子的医疗访问。提供者在每次访问时填写患者牙科就诊表，记录牙科服务，龋齿风险和牙科疾病。问卷、就诊表和医疗补助申请被链接起来，以创建一个数据库，其中包含有关就诊、儿童和护理人员特征以及口腔健康实践的信息。描述性和多变量分析评估变量与随访visits.Results的可能性的关联：共有744名儿童，平均年龄为15个月，在登记有1,415口腔健康访问。儿童平均0.9次口腔健康随访和1.3次健康儿童随访。随访口腔健康的儿童（55%）比健康儿童（70%）少，但在较年轻时进行基线预防性牙科访问的儿童有更多的访问时间间隔较短。报告有更多孩子的照顾者和把孩子放在床上的瓶子有更多的后续访问。年龄较大的儿童，男性儿童和照顾者教育≤12年与较少的后续visions.Conclusions：儿童预防牙科服务在医疗办公室有类似的数量的口腔健康和良好的儿童访问，都低于建议的数字。增加这些服务的策略可能需要与那些旨在提高对健康儿童就诊的依从性，利用非健康儿童就诊，以及实施允许最佳就诊时间的医疗补助政策的策略相结合。
Objective:To describe the frequency and determinants of follow‐up preventive oral health visits at medical offices among children screened for dental disease, receiving fluoride varnish and counseling.Methods:Parents of Medicaid children enrolled in a clinical trial completed a baseline questionnaire before their child's medical visit. The providers completed patient dental encounter forms at each visit, documenting dental services, caries risk, and dental disease. Questionnaires, encounter forms, and Medicaid claims were linked to create a database with information on visits, child and caregiver characteristics, and oral health practices. Descriptive and multivariate analyses assessed associations of variables with likelihood of follow‐up visits.Results:A total of 744 children with mean age of 15 months at enrollment had 1,415 oral health visits. Children averaged 0.9 follow‐up oral health visits and 1.3 follow‐up well‐child visits. Fewer children had follow‐up oral health visits (55 percent) than well‐child visits (70 percent), but children with a baseline preventive dental visit at a younger age had more visits with shorter intervals. Caregivers reporting greater numbers of children and putting the child to bed with the bottle had more subsequent visits. Older age of child, male child, and caregiver education ≤12 years were associated with fewer follow‐up visits.Conclusions:Children with preventive dental services in medical offices have similar numbers of oral health and well‐child visits, with both below recommended numbers. Strategies to increase these services may need to be tied to those aimed at increasing compliance with well‐child visits, taking advantage of nonwell‐child visits, and implementing Medicaid policies that allow for optimal timing of visits.