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:
    10673452
  • 负责人:
  • 金额:
    $ 41.69万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2022
  • 资助国家:
    美国
  • 起止时间:
    2022-09-15 至 2025-05-31
  • 项目状态:
    未结题

项目摘要

Project Summary Low rates of dental visits among populations that experience health disparities contribute to the substantial disparities observed in children’s oral health—with worse oral health observed among children in low-income households and Black and Hispanic children. To increase use of preventive oral health services, the US Preventive Services Task Force recommends that medical providers apply fluoride varnish to the teeth of all children aged 5 years and younger. Private health plans and all state Medicaid programs cover this primary pediatric preventive service without cost-sharing. Existing evidence indicates that delivery of fluoride varnish in medical offices increases utilization and reduces decay. Despite these benefits, few children receive it. Our parent grant (NIDCR R01-HS027994-02), funded from 08/14/20 to 05/31/24, aims to identify child, provider, practice, community-, and policy-level factors affecting delivery of fluoride varnish in medical offices in Massachusetts. In response to Notice of Special Interest: Administrative Supplements to Support Research on Preventive Interventions with Populations that Experience Health Disparities (NOT-OD-22-159), we propose to enhance the existing aims of our parent grant by examining racial and ethnic disparities in receipt of fluoride varnish. We will enhance Aim 1 to describe rates of children receiving fluoride varnish in medical settings by race/ethnicity and to determine whether differences by race/ethnicity result from where a child receives care versus children from different racial/ethnic groups receiving different care from the same provider. We will also enhance Aim 3 to examine the association between measures of structural racism (i.e., racialized economic segregation and residential segregation) and rates of children receiving fluoride varnish in medical settings. Our research team is well-suited to complete this work without 12 months because we have existing programs that can be used for the analysis of the Massachusetts Medicaid data (Aim 1) and because the dataset for Aim 3 has already been obtained and cleaned. This proposal will allow our highly successful interdisciplinary team to expand our work by examining if there is inequitable access to a primary preventive service that reduces dental caries across racial/ethnic groups and across communities impacted by racism. These are issues that we would otherwise not have the resources to address. This innovative and timely supplement has the potential to inform where to prioritize additional resources to increase receipt of preventive oral health services.
项目摘要 在经历健康差异的人群中,牙科就诊率低导致了严重的 在儿童口腔健康方面观察到的差异-在低收入儿童中观察到的口腔健康较差 黑人和西班牙裔儿童。为了增加预防性口腔保健服务的使用, 预防服务工作组建议,医疗提供者适用于所有的牙齿氟化物清漆 5岁及以下儿童。私人健康计划和所有州医疗补助计划都覆盖了这一主要领域。 无需分担费用的儿科预防服务。现有的证据表明, 医务室提高了利用率并减少了腐烂。尽管有这些好处,但很少有儿童能享受到。 父母补助金(NIDCR R 01-HS 027994 -02),从20年8月14日至24年5月31日资助,旨在确定儿童,提供者, 实践,社区和政策层面的因素影响了在医疗办公室提供氟化物清漆, 马萨诸塞州。回应特别关注通知:支持研究的行政补充 对经历健康差异的人群进行预防性干预(NOT-OD-22-159),我们建议 通过审查接受氟化物的种族和民族差异,加强我们父母补助金的现有目标 清漆我们将加强目标1,以描述儿童在医疗环境中接受氟化物保护漆的比率, 种族/族裔的差异,并确定种族/族裔的差异是否因儿童接受照料的地点而产生 与来自不同种族/族裔群体的儿童从同一提供者获得不同的照顾相比。我们还将 加强目标3,审查结构性种族主义措施(即,种族化经济 隔离和居住隔离)以及儿童在医疗环境中接受氟化物保护漆的比例。 我们的研究团队非常适合在没有12个月的情况下完成这项工作,因为我们有现有的计划 可用于分析马萨诸塞州医疗补助数据(Aim 1),因为Aim的数据集 3已被获取并清理。这项提议将使我们非常成功的跨学科团队 扩大我们的工作,审查是否存在获得初级预防服务的不公平现象, 不同种族/族裔群体和受种族主义影响的社区的龋齿情况。这些问题 否则我们就没有资源来解决这个问题。这一创新和及时的补充, 潜在的信息,以优先增加资源,以增加预防性口腔保健服务的接收。

项目成果

期刊论文数量(11)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Pediatric oral health services in Medicaid managed care and fee for service.
医疗补助管理护理中的儿科口腔健康服务和服务费。
  • DOI:
    10.37765/ajmc.2023.89319
  • 发表时间:
    2023
  • 期刊:
  • 影响因子:
    0
  • 作者:
    Chen,AnnieYu-An;Opper,IsaacM;Dick,AndrewW;Stein,BradleyD;Kranz,AshleyM
  • 通讯作者:
    Kranz,AshleyM
Variation in Current Guidelines for Fluoride Varnish Application for Young Children in Medical Settings in the United States.
  • DOI:
    10.3389/fpubh.2022.785296
  • 发表时间:
    2022
  • 期刊:
  • 影响因子:
    5.2
  • 作者:
    Goff SL;Gahlon G;Geissler KH;Dick AW;Kranz AM
  • 通讯作者:
    Kranz AM
Dental Fluoride Varnish Application During Medical Visits Among Children Who Are Privately Insured.
  • DOI:
    10.1001/jamanetworkopen.2021.22953
  • 发表时间:
    2021-08-02
  • 期刊:
  • 影响因子:
    13.8
  • 作者:
    Geissler KH;Dick AW;Goff SL;Whaley C;Kranz AM
  • 通讯作者:
    Kranz AM
Racial/Ethnic Differences in Receipt of Dental Cleanings During Pregnancy.
  • DOI:
    10.1016/j.whi.2022.06.008
  • 发表时间:
    2022-11
  • 期刊:
  • 影响因子:
    3.2
  • 作者:
    Kranz, Ashley M.;Estrada-Darley, Ingrid
  • 通讯作者:
    Estrada-Darley, Ingrid
2020 trends in dental office visits during the COVID-19 pandemic.
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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:
    $ 41.69万
  • 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:
    $ 41.69万
  • 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:
    $ 41.69万
  • 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:
    $ 41.69万
  • 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:
    $ 41.69万
  • 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:
    $ 41.69万
  • 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:
    10413137
  • 财政年份:
    2020
  • 资助金额:
    $ 41.69万
  • 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:
    $ 41.69万
  • 项目类别:

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