Evaluating the Impact of Dental-Medical Integration among Medicare Beneficiaries: A Population-Based Approach

评估牙科医疗一体化对医疗保险受益人的影响:基于人群的方法

基本信息

  • 批准号:
    9805716
  • 负责人:
  • 金额:
    $ 19.75万
  • 依托单位:
  • 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:
    2019-07-01 至 2021-06-30
  • 项目状态:
    已结题

项目摘要

PROJECT SUMMARY/ABSTRACT: Oral health is associated with many common systemic diseases. Medicare age-eligible patients (i.e., adults age 65+ years) represent a population at high risk for both types of disease, as well as a high prevalence of unmet social and economic needs (e.g., food insecurity or social isolation) which may contribute to poor health outcomes. As the population ages and a larger proportion of patients require dental services and chronic disease prevention and management, a clinically integrated model that coordinates care across clinical functions (e.g., dental and medical), activities, and sites may maximize the value of health services for older patients. The dental setting is an ideal location in which to conduct medical care interventions, such as chronic disease screening, by collaborating with other health care professionals. The Kaiser Permanente Northwest (KPNW) health plan and Permanente Dental Associates implemented a novel program that integrated dental and medical care, the Dental-Medical Integration Program (DMIP), in 2018. The DMIP provides enhanced preventive and disease management services with the goal of closing critical evidence-based medical care gaps to improve longer term health outcomes. The DMIP presents an ideal opportunity to evaluate a natural experiment, which will be conducted using a retrospective cohort design of Medicare patients age ≥65 who received dental care between 7/1/2018-12/31/2019 and had 1 or more medical care gaps at time of their visit. The proposed specific aims are: Aim 1. Evaluate the association between dental-medical integration and closure of evidence- based medical care gaps among Medicare patients aged ≥65 years; Aim 2. Characterize the frequency and type of unmet social and economic needs among Medicare patients aged ≥65 years seen for dental care in DMIP clinics and assess whether having social or economic needs are associated with closure of evidence-based medical care gaps. This study will provide valuable information on the relationship between DMIP and medical care gap closure and improve our understanding of the extent to which unmet social and economic needs affect this relationship. Study findings may serve as initial evidence of the benefit of a comprehensive population-based approach to identifying and resolving medical care gaps in the dental setting. Moreover, results will have policy significance, addressing prior calls by stakeholder groups including the National Academy of Medicine, Cigna, and Aetna, for further investment in more robust dental-medical integration programs across the U.S. to expand access to recommended treatments and promote better overall health. Ultimately, this study will inform the development of hypotheses and research questions about the effect of DMIP on long-term health outcomes to be tested in a future R01.
项目总结/摘要:口腔健康与许多常见的全身性疾病相关。 符合医疗保险年龄的患者(即,年龄在65岁以上的成年人)代表了两种类型的高风险人群 以及未得到满足的社会和经济需求(例如,粮食不安全或社会 隔离),这可能会导致不良的健康结果。随着人口老龄化, 患者需要牙科服务和慢性病预防和管理, 跨临床功能协调护理的模型(例如,牙科和医疗)、活动和场所可以 最大限度地提高老年患者的医疗服务价值。牙科环境是一个理想的位置, 通过与其他卫生机构合作,开展医疗保健干预措施,如慢性病筛查, 护理专业人员。Kaiser Permanente Northwest(KPNW)健康计划和Permanente Dental 合伙人实施了一个新的计划,整合牙科和医疗保健,牙科医疗 融合计划(DMIP),2018年。DMIP提供了更好的预防和疾病管理 目标是缩小关键的循证医疗保健差距,以改善长期健康 结果。DMIP提供了一个理想的机会来评估一个自然实验, 使用年龄≥65岁的接受牙科护理的Medicare患者的回顾性队列设计, 2018年7月1日至2019年12月31日,在访视时有1个或多个医疗护理缺口。拟议的具体目标 目标:1。评估牙科医疗整合与证据关闭之间的关联- 年龄≥65岁的医疗保险患者中基于医疗保健的差距;目标2。表征 年龄≥65岁的Medicare患者中未满足的社会和经济需求的频率和类型 在DMIP诊所进行牙科护理,并评估是否有社会或经济需求, 与循证医疗差距的弥合有关。这项研究将提供有价值的 关于DMIP和医疗保健差距缩小之间关系的信息,并提高我们的理解 未得到满足的社会和经济需求对这种关系的影响程度。研究结果可作为 有初步证据表明,采取基于人口的全面办法, 牙科医疗保健缺口。此外,结果将具有政策意义, 包括美国国家医学院、哥伦比亚大学和安泰保险公司在内的利益相关者团体, 在美国各地更强大的牙科医疗一体化计划,以扩大获得建议 治疗和促进更好的整体健康。最终,这项研究将为发展提供信息, 关于DMIP对长期健康结果影响的假设和研究问题, 未来的R 01

项目成果

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Matthew P Banegas其他文献

Matthew P Banegas的其他文献

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{{ truncateString('Matthew P Banegas', 18)}}的其他基金

CAFE Supplement 1 - Insurance Supplement
CAFE 补充1 - 保险补充
  • 批准号:
    10431200
  • 财政年份:
    2019
  • 资助金额:
    $ 19.75万
  • 项目类别:
CAFÃÂÃÂ: clinic-based intervention to address financial hardship for people with cancer
CAFà:基于临床的干预措施,以解决癌症患者的经济困难
  • 批准号:
    9980813
  • 财政年份:
    2019
  • 资助金额:
    $ 19.75万
  • 项目类别:
CAFÃ: clinic-based intervention to address financial hardship for people with cancer
CAF™:以临床为基础的干预措施,解决癌症患者的经济困难
  • 批准号:
    10524129
  • 财政年份:
    2019
  • 资助金额:
    $ 19.75万
  • 项目类别:
Advancing Health Equity through Implementation Science: Phase II Administrative Supplement
通过实施科学促进健康公平:第二阶段行政补充
  • 批准号:
    10814629
  • 财政年份:
    2019
  • 资助金额:
    $ 19.75万
  • 项目类别:
Legacy Project - Diversity Supplement
遗留项目 - 多样性补充
  • 批准号:
    10377837
  • 财政年份:
    2019
  • 资助金额:
    $ 19.75万
  • 项目类别:
CAFÃ: clinic-based intervention to address financial hardship for people with cancer
CAF™:以临床为基础的干预措施,解决癌症患者的经济困难
  • 批准号:
    10683298
  • 财政年份:
    2019
  • 资助金额:
    $ 19.75万
  • 项目类别:
CAFÃÂÃÂ: clinic-based intervention to address financial hardship for people with cancer
CAFà:基于临床的干预措施,以解决癌症患者的经济困难
  • 批准号:
    10229590
  • 财政年份:
    2019
  • 资助金额:
    $ 19.75万
  • 项目类别:
CAFÃ: clinic-based intervention to address financial hardship for people with cancer
CAF™:以临床为基础的干预措施,解决癌症患者的经济困难
  • 批准号:
    10470756
  • 财政年份:
    2019
  • 资助金额:
    $ 19.75万
  • 项目类别:
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