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Economic Evaluation of School-Based Caries Prevention Programs

学校防龋项目的经济评价

基本信息

批准号：
10676957
负责人：
Shulamite S Huang
金额：
$ 16.85万
依托单位：
NEW YORK UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-09-01 至 2024-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10676957
关键词：
Accounting Address Affect Applications Grants Award Behavior Therapy Caries prevention Caring Child Clinical Research Clinical Sciences Clinical Trials Complex Data Data Collection Data Linkages Data Sources Decision Making Dental Dental Care Dental Care Delivery Dental General Practice Dental caries Dentistry Dentists Department chair Disparity Enrollment Epidemiology Evaluation Foundations Future Goals Gold Health Health Promotion Health Services Research Healthcare Individual Intervention K-Series Research Career Programs Link Marketing Medicaid Medical Mentors Modeling Mouth Diseases National Institute of Dental and Craniofacial Research New York Oral health Outcome Parents Participant Policy Analysis Policy Maker Population Pragmatic clinical trial Prevention Prevention program Privatization Public Health Quantitative Evaluations Recommendation Reduce health disparities Reporting Research Research Design Research Methodology Research Personnel Research Support Risk School-Age Population Schools Selection Bias Site Social Sciences Strategic Planning Structure Students Training Universities Variant Work analytical method barrier to care beneficiary budget impact care burden care systems career career development college comparison group cost cost effective cost effectiveness cost-effectiveness evaluation data standards design economic evaluation experience health care delivery health economics health equity health inequalities high risk high risk population improved income disparities insight large datasets mathematical model medical schools mid-career faculty novel outreach payment population health prevent professor programs public health research research clinical testing systematic review trial comparing

项目摘要

Abstract The primary goal of this project is to improve oral health care delivery and reduce health inequities by conducting robust economic evaluations to support decision-making by policymakers and stakeholders. To achieve this goal, the proposed study has three primary objectives, which are to evaluate how variation in program design of school-based caries prevention programs (SCPPs) and prior use of dental care impacts (1) oral health outcomes, (2) use and spending within Medicaid, and (3) the overall cost-effectiveness and budget impact of SCPPs. This will be done using a novel data linkage between oral health outcomes data from a pragmatic clinical trial of two multi-site SCPPs and New York Medicaid claims data. Prior systematic reviews of SCPPs have found significant variation in SCPP program design and implementation. As a result, the proposed study is critical to identify cost-effective SCPP program designs in real-world settings. In support of this research, Dr. Shulamite S. Huang is applying for a K-25 award. Dr. Huang, a health economist specializing in the study of the dental market at New York University College of Dentistry, is establishing herself as a young investigator in economic evaluations of dental interventions and oral health services research. This award will allow Dr. Huang to integrate her background and experience in health economics and policy evaluation with additional training in clinical research methods and evaluation of clinical interventions, and work towards reducing health disparities and improving health care delivery and quality. In Aim 1, Dr. Huang will determine the impact of SCPPs on oral health outcomes, after accounting for prior dental care use. As part of this aim, Dr. Huang will link oral health outcomes data from a pragmatic clinical trial comparing two different SCPP program designs to New York Medicaid/CHIP claims data at the individual level. In Aim 2, Dr. Huang will evaluate the impact of SCPPs on utilization and spending on care for dental conditions for children enrolled in Medicaid/CHIP. In Aim 3, Dr. Huang will evaluate the cost-effectiveness and budget impact of different SCPP program designs relative to a no-SCPP scenario. This research will launch Dr. Huang’s career in oral health services research, which aims to combine mathematical modeling with large dataset analyses to study the impact of changes in dental care delivery and payment on large populations. This work will be in the form of an R01 grant application prior to the completion of the K-award. Dr. Huang has assembled a mentoring team comprised of a primary mentor, Dr. Heather Gold, an expert in population health research and economic evaluations of clinical & behavioral interventions and Associate Professor at NYU Langone Health and School of Medicine; and one co-mentor, Dr. Richard Niederman, a dentist and Professor and Chair of the Department of Epidemiology and Health Promotion at NYU College of Dentistry, who conducts the SCPP pragmatic clinical trial providing data for this study.

摘要该项目的主要目标是通过以下方式改善口腔保健服务并减少健康不平等：进行强有力的经济评估，以支持政策制定者和利益相关者的决策。到为了实现这一目标，拟议的研究有三个主要目标，即评估变化如何学校龋齿预防计划 (SCPP) 的计划设计和牙科护理影响的事先使用 (1) 口腔健康结果，(2) 医疗补助内的使用和支出，以及 (3) 总体成本效益和预算 SCPP 的影响。这将使用来自口腔健康结果数据之间的新颖数据链接来完成两个多站点 SCPP 和纽约医疗补助索赔数据的实用临床试验。之前的系统回顾 SCPP 发现 SCPP 项目设计和实施存在显着差异。结果，拟议的研究对于在现实环境中确定具有成本效益的 SCPP 项目设计至关重要。为了支持这项研究，Shulamite S. Huang 博士正在申请 K-25 奖项。黄医生，健康纽约大学牙科学院专门研究牙科市场的经济学家，将自己定位为牙科干预和口腔健康经济评估的年轻研究者服务研究。该奖项将使黄博士能够整合她在健康领域的背景和经验经济学和政策评估，以及临床研究方法和临床评估方面的额外培训干预措施，并努力减少健康差距并改善医疗保健的提供和质量。在目标 1 中，黄博士将在考虑了之后确定 SCPP 对口腔健康结果的影响之前的牙科护理使用。作为这一目标的一部分，黄博士将把来自实用临床的口腔健康结果数据联系起来将两种不同 SCPP 计划设计与纽约医疗补助/CHIP 个人索赔数据进行比较的试验等级。在目标 2 中，黄博士将评估 SCPP 对牙科护理利用率和支出的影响参加 Medicaid/CHIP 的儿童的条件。在目标3中，黄博士将评估成本效益和不同 SCPP 计划设计相对于无 SCPP 情景的预算影响。这项研究将推出博士。黄的职业生涯致力于口腔健康服务研究，旨在将数学建模与大型口腔健康服务研究相结合数据集分析以研究牙科护理服务和支付方式的变化对大量人口的影响。这项工作将在 K 奖完成之前以 R01 拨款申请的形式进行。黄博士组建了一个导师团队，由首席导师 Heather Gold 博士、人口健康研究以及临床和行为干预的经济评估专家纽约大学朗格健康与医学院副教授；和一位共同导师，理查德博士 Niederman，牙医、流行病学和健康促进系教授兼系主任纽约大学牙科学院开展 SCPP 实用临床试验，为本研究提供数据。