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Lee, Mary Alice; Horan, Stephen A.

doi:10.1023/a:1011397818512

Cited by 13 publications

(4 citation statements)

References 2 publications

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“…These findings are consistent with previous studies. 25,48 In the current study, however, children who used primary medical care were not more likely to use complex restorative care. Because the mechanisms are not well-understood, the relationship between medical and dental utilization warrants further investigation.…”

Section: Discussioncontrasting

confidence: 57%

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Impact of Chronic Condition Status and Severity on Dental Utilization for Iowa Medicaid-Enrolled Children

Donald¹,

Momany²,

Neff³

et al. 2011

Medical Care

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Background Although Medicaid-enrolled children with a chronic condition (CC) may be less likely to use dental care because of factors related to their CC, dental utilization for this population is poorly understood. Objective To assess the relationship between CC status and CC severity, respectively, on dental utilization for Iowa Medicaid-enrolled children. Research Design Retrospective cohort study of Iowa Medicaid data (January 1, 2003 to December 31, 2006). Subjects Medicaid-enrolled children aged 3 to 14 (N = 71,115) years. Measures The 3M Corporation Clinical Risk Grouping methods were used to assess CC status (no/yes) and CC severity (episodic/life-long/malignancy/complex). The outcome variable was any dental utilization in 2006. Secondary outcomes included use of diagnostic, preventive, routine restorative, or complex restorative dental care. Results After adjusting for model covariates, Iowa Medicaid-enrolled children with a CC were significantly more likely to use each type of dental care except routine restorative care (P = 0.86) than those without a CC, although the differences in the odds were small (4%–6%). Compared with Medicaid-enrolled children with an episodic CC, children with a life-long CC were less likely to use routine restorative care (P < 0.0001), children with a malignancy were more likely to use complex restorative care (P < 0.03), and children with a complex CC were less likely to use each type of dental care except complex restorative care (P = 0.97). Conclusions There were differences in dental utilization for Iowa Medicaid-enrolled children by CC status and CC severity. Children with complex CCs were the least likely to use dental care. Future research efforts should seek to understand why subgroups of Medicaid-enrolled children with a CC exhibit lower dental utilization.

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Section: Discussioncontrasting

confidence: 57%

“…21 Based on state Medicaid data, utilization for children ranged from 24.4% in New Hampshire to 54.7% in Iowa. 22–25 Collectively, these estimates suggest that large proportions of Medicaid-enrolled children do not use care even though dental care is an entitlement under the federal Early and Periodic Screening, Diagnosis, and Treatment Program.…”

mentioning

confidence: 99%

Impact of Chronic Condition Status and Severity on Dental Utilization for Iowa Medicaid-Enrolled Children

Donald¹,

Momany²,

Neff³

et al. 2011

Medical Care

View full text Add to dashboard Cite

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“…Many studies from different states such as Connecticut [28], Michigan [29], Alabama, and Georgia [30] share North Carolina the same result that Medicaid-enrolled children who utilize PDC receive less dental treatments, caries restorations, and comprehensive dental care than non-Medicaid children [31]. Furthermore, Washington State found that the majority of dental procedures performed on Medicaid-enrolled children among 3,244 different dental procedures are preventive and diagnostic procedures [32].…”

Section: Access and Utilization Of Dental Preventive Servicesmentioning

confidence: 99%

“…On the other side, Medicaid children in Connecticut complain about access to not only PDC, but to most dental care services [28]. The case is not much different in Georgia and Alabama where the majority of Medicaid children are less likely to receive PDC [30].…”

Section: Outcomementioning

confidence: 99%

Early Childhood Caries and the Impact of Current U.S. Medicaid Program: An Overview

Bugis

2012

International Journal of Dentistry

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Pediatric dental caries is the most common chronic disease among children. Above 40% of the U.S. children aged 2–11 years have dental caries; more than 50% of them come from low-income families. Under dental services of the Medicaid program, children enrolled in Medicaid must receive preventive dental services. However, only 1/5 of them utilize preventive dental services. The purpose of this overview is to measure the impact of Medicaid dental benefits on reducing oral health disparities among Medicaid-eligible children. This paper explains the importance of preventive dental care, children at high risk of dental caries, Medicaid dental benefits, utilization of dental preventive services by Medicaid-eligible children, dental utilization influencing factors, and outcome evaluation of Medicaid in preventing dental caries among children. In conclusion, despite the recent increase of children enrolled in Medicaid, utilizing preventive dental care is still a real challenge that faces Medicaid.

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Impact of Chronic Condition Status and Severity on the Time to First Dental Visit for Newly Medicaid-Enrolled Children in Iowa

Donald

Momany

Neff

et al. 2010

Health Services Research

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Objective To assess the extent to which chronic condition (CC) status and severity affected how soon children had a dental visit after enrolling in Medicaid. Data Source Enrollment and claims data (2003–2008) for newly Medicaid-enrolled children ages 3–14 in Iowa. Study Design 3M Clinical Risk Grouping methods were used to identify CC status (yes/no) and CC severity (less severe/more severe). Survival analysis was used to identify the factors associated with earlier first dental visits after initially enrolling in Medicaid. Principal Findings Children with a CC were 17% more likely to have earlier first dental visits after enrolling in Medicaid (P<0.0001). There was no significant difference by CC severity. Children who lived in a dental Health Professional Shortage Area or did not utilize primary medical care had significantly later first Medicaid dental visits whereas these factors failed to reach statistical significance for children with a CC. Conclusion While newly Medicaid-enrolled children with a CC were significantly more likely to have earlier first dental visits, we failed to detect a relationship between CC severity and the time to first Medicaid dental visit. The determinants of first Medicaid dental visits were heterogeneous across subgroups of newly Medicaid-enrolled children. Future studies should identify the socio-behavioral factors associated with CCs that are potential barriers to earlier first Medicaid dental visits for newly Medicaid-enrolled children.

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Untitled

Cited by 13 publications

References 2 publications

Impact of Chronic Condition Status and Severity on Dental Utilization for Iowa Medicaid-Enrolled Children

Impact of Chronic Condition Status and Severity on Dental Utilization for Iowa Medicaid-Enrolled Children

Early Childhood Caries and the Impact of Current U.S. Medicaid Program: An Overview

Impact of Chronic Condition Status and Severity on the Time to First Dental Visit for Newly Medicaid-Enrolled Children in Iowa

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