State Medicaid Early and Periodic Screening, Diagnosis, and Treatment guidelines: adherence to professionally recommended best oral health practices.
State Medicaid Early and Periodic Screening, Diagnosis, and Treatment guidelines: adherence to professionally recommended best oral health practices.
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DOI：
10.14219/jada.archive.2013.0117
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发表时间：
2013-03
期刊：
影响因子：
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通讯作者：
Casamassimo PS
中科院分区：
文献类型：
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作者：
Hom JM;Lee JY;Silverman J;Casamassimo PS
作者评估了州医疗补助计划早期和定期筛查，诊断和治疗（EPSDT）指南对婴儿和幼儿推荐的最佳口腔健康实践的遵守情况。作者通过互联网或华盛顿的Medicaid-CHIP州牙科协会获得了州EPSDT指南。作者通过芝加哥的美国儿童牙科学会（AAPD）确定了最佳口腔健康实践。他们评估了每个EPSDT牙科周期表关于婴幼儿七个关键口腔健康领域的时间和内容。32个州和哥伦比亚特区（D.C.）有EPSDT牙科周期表。除牙医转诊领域外，29个州（88%）遵守AAPD指南规定的最佳口腔健康实践的内容和时间。在牙医转诊领域，32个州中的31个州和哥伦比亚特区（94%）要求将儿童转诊给牙医，但只有11个州（33%）坚持最佳口腔健康做法，要求在1岁之前转诊。除了第一次牙医转诊的时间外，在具有单独的EPSDT牙科周期表的州中，婴儿和幼儿的最佳口腔健康实践具有很高的依从性。对最佳口腔健康实践依从性较低的州，特别是1岁以下的牙科就诊，可以通过遵守AAPD建议来加强其EPSDT计划的口腔健康内容。
The authors evaluated adherence of state Medicaid Early and Periodic Screening, Diagnosis and Treatment (EPSDT) guidelines to recommended best oral health practices for infants and toddlers. The authors obtained state EPSDT guidelines via the Internet or from the Medicaid-CHIP State Dental Association in Washington. The authors identified best oral health practices through the American Academy of Pediatric Dentistry (AAPD), Chicago. They evaluated each EPSDT dental periodicity schedule with regard to the timing and content of seven key oral health domains for infants and toddlers. Thirty-two states and the District of Columbia (D.C.) had EPSDT dental periodicity schedules. With the exception of the dentist referral domain, 29 states (88 percent) adhered to the content and timing of best oral health practices, as established by the AAPD guideline. For the dentist referral domain, 31 of the 32 states and D.C. (94 percent) required referral of children to a dentist, but only 11 states (33 percent adhered to best oral health practices by requiring referral by age 1 year. With the exception of the timing of the first dentist referral, there was high adherence to best oral health practices for infants and toddlers among states with separate EPSDT dental periodicity schedules. States with low adherence to best oral health practices, especially regarding the dental visit by age 1 year can strengthen the oral health content of their EPSDT schedules by complying with the AAPD recommendations.