Promoting children's oral health: Identifying provider-, practice-, and community-level characteristics associated with delivery of fluoride varnish in medical offices
促进儿童口腔健康:确定与医疗办公室提供氟化物清漆相关的提供者、实践和社区层面的特征
基本信息
- 批准号:10413137
- 负责人:
- 金额:$ 42.65万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2020
- 资助国家:美国
- 起止时间:2020-08-14 至 2024-05-31
- 项目状态:已结题
- 来源:
- 关键词:Advisory CommitteesAffectAttitudeBeliefBig DataCaregiversCessation of lifeCharacteristicsChildChild HealthChildhoodCommunitiesControl GroupsCost SharingDataData SetDeductiblesDentalDental CareDental cariesDentistsDiseaseEmergency department visitEnvironmentFluoride VarnishesFutureHealthHealth BenefitHealth Care ReformHealth InsuranceHealth ServicesHealthy People 2020HospitalizationInsurance CarriersInterviewMassachusettsMedicaidMedicalMethodsOral healthPainPatient Self-ReportPatientsPoliciesPreventivePreventive servicePrivatizationProviderQuality of lifeResearchResearch PersonnelRiskSchoolsServicesSocioeconomic StatusStatutes and LawsSurveysTrainingVisitWell Child VisitsWorkagedcare providerscontextual factorscostdevianthealth planimprovedinformantmedical specialtiespediatricianpreventprogramsprovider behaviorrurality
项目摘要
Project Summary
Tooth decay is preventable, yet costly. Spending on dental treatment for children totaled $8.7 billion in 2013—
making it the fifth most costly child health condition. Preventive oral health services, like fluoride varnish, can
prevent tooth decay in young children. However, fewer than 50% of children have an annual dental visit, likely
due to cost, dentists’ reluctance to treat young children, and dental workforce shortages. To increase use of
preventive oral health services, private health plans and all state Medicaid programs now cover delivery of
fluoride varnish in medical offices to all children younger than 6 years. Existing evidence indicates that delivery
of fluoride varnish in medical offices increases utilization and reduces decay in publicly insured children.
Despite these benefits, few children receive fluoride varnish in medical offices. In 2014, only 5% of eligible
children received this service in Massachusetts. Prior studies to identify barriers and strategies have focused
on publicly insured children and relied on self-reported provider information, thus a new “big data” approach is
needed to identify provider, practice, community-, and policy-level factors affecting delivery of fluoride varnish
in medical offices. Our mixed-methods study will use Massachusetts All Payer Claims Dataset, which includes
both medical and dental claims for publicly and privately insured children, to (1) describe children receiving
preventive oral health services, (2) estimate the causal impact of mandatory medical coverage on children’s
receipt of preventive oral health services, (3) examine the mechanisms affecting delivery of preventive oral
health services in medical offices, and (4) use a qualitative positive deviance approach to identify strategies
and contextual factors promoting or deterring medical providers’ delivery of preventive oral health services.
项目总结
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Ashley Kranz其他文献
Ashley Kranz的其他文献
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{{ truncateString('Ashley Kranz', 18)}}的其他基金
Impact of School-Based Health Centers on Improving Health and Promoting Equity
校本健康中心对改善健康和促进公平的影响
- 批准号:
10656891 - 财政年份:2023
- 资助金额:
$ 42.65万 - 项目类别:
Promoting children's oral health: Identifying provider-, practice-, and community-level characteristics associated with delivery of fluoride varnish in medical offices
促进儿童口腔健康:确定与医疗办公室提供氟化物清漆相关的提供者、实践和社区层面的特征
- 批准号:
10673452 - 财政年份:2022
- 资助金额:
$ 42.65万 - 项目类别:
Comparing Quality of Care for Pediatric Dental Procedures Conducted in Ambulatory Surgical Centers and Hospital Outpatient Departments
比较门诊手术中心和医院门诊部进行的儿科牙科手术的护理质量
- 批准号:
10652740 - 财政年份:2021
- 资助金额:
$ 42.65万 - 项目类别:
Comparing Quality of Care for Pediatric Dental Procedures Conducted in Ambulatory Surgical Centers and Hospital Outpatient Departments
比较门诊手术中心和医院门诊部进行的儿科牙科手术的护理质量
- 批准号:
10363848 - 财政年份:2021
- 资助金额:
$ 42.65万 - 项目类别:
Comparing Quality of Care for Pediatric Dental Procedures Conducted in Ambulatory Surgical Centers and Hospital Outpatient Departments
比较门诊手术中心和医院门诊部进行的儿科牙科手术的护理质量
- 批准号:
10686909 - 财政年份:2021
- 资助金额:
$ 42.65万 - 项目类别:
Comparing Quality of Care for Pediatric Dental Procedures Conducted in Ambulatory Surgical Centers and Hospital Outpatient Departments
比较门诊手术中心和医院门诊部进行的儿科牙科手术的护理质量
- 批准号:
10491152 - 财政年份:2021
- 资助金额:
$ 42.65万 - 项目类别:
Promoting children's oral health: Identifying provider-, practice-, and community-level characteristics associated with delivery of fluoride varnish in medical offices
促进儿童口腔健康:确定与医疗办公室提供氟化物清漆相关的提供者、实践和社区层面的特征
- 批准号:
10238830 - 财政年份:2020
- 资助金额:
$ 42.65万 - 项目类别:
Promoting children's oral health: Identifying provider-, practice-, and community-level characteristics associated with delivery of fluoride varnish in medical offices
促进儿童口腔健康:确定与医疗办公室提供氟化物清漆相关的提供者、实践和社区层面的特征
- 批准号:
10668989 - 财政年份:2020
- 资助金额:
$ 42.65万 - 项目类别:
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