Pediatric dental clinic location and utilization in a high-resource setting.
Pediatric dental clinic location and utilization in a high-resource setting.
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DOI：
10.1111/jphd.12086
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发表时间：
2015
影响因子：
2.3
通讯作者：
Polk D
中科院分区：
文献类型：
--
作者：
Dumas SA;Polk D
调查居住在高资源地区的参加医疗补助的儿童的牙齿利用情况。描述获得护理的距离和旅行相关变量的特征。在宾夕法尼亚州匹兹堡的牙科诊所收集了横截面数据，照顾医疗补助保险的儿童≥1年。通过地理信息系统分析确定了牙科诊所和高度贫困人口普查地区之间的最短距离、开车时间和公交车旅行。对初级保健诊所(PCC)的调查数据进行分析，了解儿童的牙科使用情况。对看过牙医和没有看过牙医的儿童的人口统计特征和旅行相关变量进行了比较。10家牙科诊所接受医疗补助参保儿童1年≥。从高度贫困人口普查区域到最近的诊所的平均距离为1.2英里(±0.2英里)，平均公交车旅行时间为15.6分钟(±12.3分钟)。总体而言，46%的PCC儿童报告曾去看过牙，而居住在高贫困人口普查地区的儿童与不居住在高贫困人口普查地区的儿童之间没有显著差异(分别为41%和35%，P=.58)。孩子们到牙科诊所的平均路程为4.75英里(SD 2.37英里)。到他们最近的牙科诊所的平均距离为2.81英里(SD 2.12英里)。资源丰富地区的牙科诊所离参加医疗补助的儿童居住的地方很近；儿童之家和牙科诊所之间的距离在就诊和未就诊的儿童之间没有显著差异，这表明尽管距离很近，障碍仍然存在。无论如何，与国家费率相比，距离更近可能有助于更高的服务利用率。
Examine dental utilization by Medicaid-insured children living in a high resource area. Characterize distance and travel-related variables to accessing care. Cross-sectional data was collected on dental clinics in Pittsburgh, Pennsylvania, caring for Medicaid-insured children ≥1 year. Shortest distances, drive times, and bus travel between dental clinics and high-poverty census tracts was determined through geographical information systems analysis. Primary care clinic (PCC) survey data was analyzed for children’s dental use. Demographic characteristics and travel-related variables were compared between children who had and had not been to a dentist. Ten dental clinics accepted Medicaid-insured children ≥1 year. Mean distance between high-poverty census tracts and their nearest clinic was 1.2 miles (±0.2 miles), with mean bus travel time 15.6 minutes (±12.3 minutes). Overall, 46% of PCC children reported a dental visit, and this was not significantly different between those who lived in a high poverty census tract versus those who did not (41% and 35%, respectively, P=.58). Children traveled a mean distance of 4.75 miles (SD 2.37 miles) to their dental clinic. Mean distance to their nearest dental clinic was 2.81 miles (SD 2.12 miles). Dental clinics in a high resource area are in close proximity to where young Medicaid-insured children live; and distances between children’s homes and dental clinics are not significantly different between children who had and had not reported a dental visit, suggesting that barriers persist despite close proximity. Regardless, closer proximity may contribute to the higher utilization of services observed compared with national rates.
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影响因子：
2.9
作者：
Vargas CM;Ronzio CR
通讯作者：
Ronzio CR
影响因子：
9.7
作者：
Pourat, Nadereh;Finocchio, Len
通讯作者：
Finocchio, Len
影响因子：
3.1
作者：
Tinanoff, Norman;Reisine, Susan
通讯作者：
Reisine, Susan
DOI：
10.14219/jada.archive.2002.0239
发表时间：
2002-05-01
影响因子：
3.9
作者：
Susi, L;Mascarenhas, K
通讯作者：
Mascarenhas, K
DOI：
10.14219/jada.archive.2005.0241
发表时间：
2005-05-01
影响因子：
3.9
作者：
Krause, D;Frate, DA;May, WL
通讯作者：
May, WL