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Role of Non-Dental Providers in Reducing Disparities in Early Childhood Oral Health: Impact of State Medicaid Policies

非牙科服务提供者在减少幼儿口腔健康差异方面的作用：国家医疗补助政策的影响

基本信息

批准号：
9152973
负责人：
BRADLEY D STEIN
金额：
$ 57.94万
依托单位：
RAND CORPORATION
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-07-06 至 2019-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9152973
关键词：
5 year old Adopted Adoption Advisory Committees Affect African American Age Attitude Belief Caregivers Cessation of life Child Child health care Childhood Communities Data Dental Dental Care Dental Offices Dental caries Dentists Disadvantaged Disease Effectiveness Emergency department visit Enrollment Ethnic Origin Exhibits Expenditure Family Fluoride Varnishes Future Health Health Benefit Health Services Healthy People 2020 Hispanics Hospitalization Improve Access Income Individual Infant Life Measures Medicaid Medical Modeling National Institute of Dental and Craniofacial Research Oral health Outcome Pain Physician&apos s Role Physicians Policies Population Poverty Prevalence Preventive Preventive service Primary Health Care Provider Quality of life Race Reporting Research Risk Role Rural Sampling Schools Services Statutes and Laws Time Toddler Tooth structure Training Variant Visit Vulnerable Populations Work aged base cost disadvantaged population disparity reduction early childhood ethnic minority population experience health care disparity health care quality health service use high risk improved peer prevent programs racial and ethnic residence restorative treatment rural area trend uptake

项目摘要

Project Summary Early childhood caries (ECC), commonly referred to as tooth decay, is a preventable disease that disproportionally affects children enrolled in Medicaid and other historically disadvantaged groups. Receiving preventive oral health services (POHS) at an early age helps to prevent ECC, yet populations experiencing the most ECC have the lowest use of POHS. To improve access to POHS for these vulnerable populations, nearly all state Medicaid programs have adopted policies covering physician-based POHS. Despite widespread adoption of policies and evidence of policy effectiveness, states exhibit variation in rates of physician-based POHS use. This project will explore how physician-based POHS coverage policies have affected POHS use and oral health outcomes of Medicaid-enrolled infants and toddlers over time, overall, and among historically underserved and high-risk populations. Using a national sample, we will consider the reimbursement rate, training requirement, and comprehensiveness of services provided for physician-based POHS in order to identify the types of policies that best promote use of POHS and oral health outcomes.

项目总结