权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

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：
9312272
负责人：
BRADLEY D STEIN
金额：
$ 53万
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/9312272
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 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 Care Quality of life Race Reporting Research Risk Role Sampling Schools Services Statutes and Laws Time Time trend 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 service use high risk high risk population improved peer prevent programs racial and ethnic restorative treatment rural area rural residence 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.

项目概要儿童早期龋齿 (ECC)，通常称为蛀牙，是一种可预防的疾病，参加医疗补助计划的儿童和其他历史上处于不利地位的群体受到了不成比例的影响。接收早期预防性口腔健康服务 (POHS) 有助于预防 ECC，但经历过这种情况的人群大多数 ECC 的 POHS 使用率最低。为了改善这些弱势群体获得 POHS 的机会，近所有州的医疗补助计划都采用了涵盖以医生为基础的 POHS 的政策。尽管广泛传播在采取政策和政策有效性的证据方面，各国在基于医生的比率方面表现出差异 POHS 使用。该项目将探讨基于医生的 POHS 覆盖政策如何影响 POHS 使用参加医疗补助的婴儿和幼儿随时间、整体和历史的口腔健康结果服务不足和高风险人群。使用全国样本，我们将考虑报销率，培训要求以及为以医生为基础的 POHS 提供的服务的全面性，以便确定最能促进 POHS 的使用和口腔健康结果的政策类型。