Temporal association of implementation of the Arizona Health Care Cost Containment System (AHCCCS) with changes in dental‐related emergency department visits in Maricopa County from 2006 to 2012

Mohamed, Ahmed Abdalla; McCullough, Mac; Goodin, Kate; Roling, Kirsten; Glickman, Larry T.

doi:10.1111/jphd.12238

Cited by 5 publications

(7 citation statements)

References 23 publications

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“…Visits to the ED for other conditions, 21,58 and previous dental ED visits 54,59 were significantly associated with dental ED use. Regular dental care : Lack of regular dental care was associated with ED use for NTDCs 18,19,58,59,60 . Sen et al reported that among Medicaid‐enrolled children under age 3, preventive dental visits without sealant placement were associated with increased NTDC ED use 32 …”

Section: Resultsmentioning

confidence: 99%

“…Restriction of public dental benefits was associated with increased NTDC ED visits in California, 64 Illinois, 65 Maryland, 66 Oregon, 67 and Massachusetts, 68 but not in an Arizona county. 69 Expanding Medicaid dental coverage was associated with increased ED visits for NTDCs in Kentucky, 70 Minnesota, 71 New Jersey 72 and Oregon, 73 but was associated with decreased visits in Michigan. 74…”

Section: Effect Of Medicaid Expansion and Coverage Restrictionsmentioning

confidence: 97%

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Emergency department visits for nontraumatic dental conditions: a systematic literature review

Akinlotan

Ferdinand

2020

J Public Health Dent

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Objective: To summarize the literature on factors associated with emergency department (ED) use for nontraumatic dental conditions (NTDCs). Methods: Following a database search, empirical studies were included if they examined factors associated with ED visits for NTDCs. The factors identified in these studies were further categorized using the Andersen Behavioral Model. Where appropriate, odds ratios (ORs) predicting the likelihood of NTDC ED visits were extracted to obtain summary estimates using random effects models. Results: Sixty-three articles were included. Nontraumatic dental ED visits made up about 2.2 percent of all ED visits. Having public health insurance coverage such as Medicaid [OR = 2.17, 95 percent confidence interval (CI) = 1.79-2.64], and being uninsured (OR = 2.80, 95 percent CI = 2.39-3.39) were predictive of ED visits for NTDCs. Adults were more likely to use the ED for NTDCs compared to children and older adults. Rural adults had increased odds of ED use for NTDCs compared to urban adults (OR = 1.31, 95 percent CI = 1.12-1.52). Among younger children, regular dental care without sealant placement was associated with increased ED use for NTDCs. In the United States, both expansion and restriction of Medicaid dental coverage for adults were associated with increased ED visits for NTDCs. Conclusions: Policy makers and health care providers should address modifiable factors such as accessible dental care for the uninsured, and comprehensive dental coverage for those with public dental benefits. Targeted interventions should focus on young adults, children with special needs, and subpopulations with low socioeconomic status and chronic health conditions.

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Section: Resultsmentioning

confidence: 99%

Section: Effect Of Medicaid Expansion and Coverage Restrictionsmentioning

confidence: 97%

Emergency department visits for nontraumatic dental conditions: a systematic literature review

Akinlotan

Ferdinand

2020

J Public Health Dent

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“…One of the contributors to overall healthcare system costs in the United States is dental-related visits to emergency departments (ED) [1]. Across the United States, the number of emergency department (ED) visits continue to show a steady increase in dental related complaints which has become a growing public health concern for public health professionals, policymakers and community advocates [2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

“…The economic recession that took place in the United States between 2007 and 2013 shows a correlation to the increase in the number of individuals eligible for Medicaid and subsequent Medicaid spending. Faced with declining revenues, many states made significant cuts to Medicaid [1]. It has been widely recognized in recent studies that the provision of dental services in medical settings, including hospital emergency departments, tend to be more costly and less effective compared to services provided by primary dental practices or clinics [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

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Analysis of Adult Users of Emergency Departments Visits for Primary Dental Related Complaints in the United States in 2015AW

Walker¹

2021

J Dental Sci Res Rep

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Objectives: Using nationally representative data, the researchers examined the differences in dental care utilization in Hospital-Based Ambulatory Care Services working age adults associated by lack of insurance, and other co-variates. Methods: The researcher used data from the 2015 National Hospital Ambulatory Medical Care Survey (19-65 years age; N= 12,956 unweighted observations). Multiple logistic regression analysis was performed to determine the association with dental insurance coverage and other covariates. Results: In 2015, There were an estimated 83 million ED visits among working adults ages 19-64 in the United States. Dental related complaints accounted for between 0.1 and 0.5 percent of all visits, depending on patient characteristics. Dental visits were significantly more likely among patients with self-paying or with government insurance relative to the privately insured. Conclusion: Medicaid and Self pay adults had significant higher odds of making dental emergency visits. The limited scope of dental treatment in the ED, coupled with poor availability of safety-net dental resources, may result in dental exacerbations. The engagement of safety-net dental service accessibility is crucial to reducing dental ED visits and improving dental health, particularly among low-income, self-pay populations.

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Synthesizing 30-years of adult medicaid dental policy research: A scoping review to identify gaps and opportunities

Semprini¹,

Samuelson²

2023

Heliyon

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Temporal association of implementation of the Arizona Health Care Cost Containment System (AHCCCS) with changes in dental‐related emergency department visits in Maricopa County from 2006 to 2012

Cited by 5 publications

References 23 publications

Emergency department visits for nontraumatic dental conditions: a systematic literature review

Emergency department visits for nontraumatic dental conditions: a systematic literature review

Analysis of Adult Users of Emergency Departments Visits for Primary Dental Related Complaints in the United States in 2015AW

Synthesizing 30-years of adult medicaid dental policy research: A scoping review to identify gaps and opportunities

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