Comparing Oral Health Care Utilization Estimates in the United States Across Three Nationally Representative Surveys

Macek, Mark D.; Manski, Richard J.; Vargas, Clemencia M.; Moeller, John F.

doi:10.1111/1475-6773.034

Cited by 58 publications

(50 citation statements)

References 7 publications

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“…A similar result holds for respondents with incomes of $35,000/ year or more. These results are consistent with other research showing that people with higher incomes and/or education use more medical care (Stuart and Grana 1998;Macek et al 2002). Attribute preferences also were associated with plan choices.…”

Section: Prescription Drug Benefitsupporting

confidence: 91%

Demand for a Medicare Prescription Drug Benefit: Exploring Consumer Preferences under a Managed Competition Framework

Cline¹,

Mott²

2003

INQUIRY

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Several proposals for adding a prescription drug benefit to the Medicare program rely on consumer choice and market forces to promote efficiency. However, little information exists regarding: 1) the extent of price sensitivity for such plans among Medicare beneficiaries, or 2) the extent to which drug-only insurance plans using various cost-control mechanisms might experience adverse selection. Using data from a survey of elderly Wisconsin residents regarding their likely choices from a menu of hypothetical drug plans, we show that respondents are likely to be price sensitive with respect to both premiums and out-of-pocket costs but that selection problems may arise in these markets. Outside intervention may be necessary to ensure the feasibility of a market-based approach to a Medicare drug benefit.

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Section: Prescription Drug Benefitsupporting

confidence: 91%

Demand for a Medicare Prescription Drug Benefit: Exploring Consumer Preferences under a Managed Competition Framework

Cline¹,

Mott²

2003

INQUIRY

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“…In fact, it has been shown that the National Health Interview Survey, which like the BRFSS asks survey respondents whether they have seen a dentist in the past twelve months, has been shown to overestimate dental care use in comparison to the Medical Expenditure Panel Survey. 49 Because any recall or social desirability bias is constant over time, we would not expect our policy estimates to misrepresent the impact of health reform on dental care use in Massachusetts.…”

mentioning

confidence: 99%

Health Reform In Massachusetts Increased Adult Dental Care Use, Particularly Among The Poor

Nasseh

Vujicic

2013

Health Affairs

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“…Because the variables for this study are based on self-report, the types of measurement error of concern in this study are social desirability bias and recall bias. When describing behaviors through self-report, respondents may indicate they have engaged in a behavior that is desirable when they have not, which is known as social desirability bias (Macek et al 2002, Podsakoff et al 2003. In the context of this study, a parent might report her child received a visit that was not actually received.…”

Section: Retain Null Chapter V Discussion and Conclusionmentioning

confidence: 99%

“…However, the chances of over-reporting in the MEPS-HC are diminished by the fact that respondents know their medical providers may be contacted for information in the MEPS-Medical Provider Component. Furthermore, the MEPS-HC only requires respondents to report whether their children had a visit over a period of months rather than over the past year, which reduces the pressure a parent feels to report the child had a visit that is only recommended to occur annually (Macek et al 2002). The reporting of an annual dental visit in MEPS-HC was less susceptible to social desirability bias than the National Health Interview Survey, which asks respondents about visits over the past year (Macek et al 2002).…”

Section: Retain Null Chapter V Discussion and Conclusionmentioning

confidence: 99%

“…Furthermore, the MEPS-HC only requires respondents to report whether their children had a visit over a period of months rather than over the past year, which reduces the pressure a parent feels to report the child had a visit that is only recommended to occur annually (Macek et al 2002). The reporting of an annual dental visit in MEPS-HC was less susceptible to social desirability bias than the National Health Interview Survey, which asks respondents about visits over the past year (Macek et al 2002). The use of MEPS-HC does not eliminate the potential for social desirability bias with regard to well-child visits in this study, but the chances are less than the study by Davidoff and colleagues that used the National Survey of America's Families, which questions respondents about well-child visits over the past 12 months (Davidoff et al 2003).…”

Section: Retain Null Chapter V Discussion and Conclusionmentioning

confidence: 99%

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Impact of Parental Health Coverage on Insured Children's Utilization of Health Care Services

2011

Research in Social and Administrative Pharmacy

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years or less who were insured through the same source(s) for the entire year and had a primary parent who was either insured or uninsured the entire year. The dependent variable for the entire sample was whether or not the child had at least one well-child visit during the year. The dependent variables for the subsample of children with asthma were (1) whether or not the child had at least one asthma-related physician visit and (2) whether or not the child had at least two asthma-related physician visits. The independent variables were the same for the three analyses and were selected to represent the Social Cognitive Theory determinants. These included parent (insurance, sex, worry, education, language, employment, health use, health, risk aversion, and self care expectation), child (source of coverage, age, health, race, and oldest child), and 2 household (Metropolitan Statistical Area, region, number of children, number of parents, and income) variables. Probit and bivariate probit models were estimated for each dependent variable.The percentage of children with insured parents that had a well-child visit during the year was significantly higher than the percentage of children with uninsured parents that had a well-child visit (50.6% vs. 42.8%, respectively). However, multivariate analyses revealed no significant relationship between parental insurance and well-child visits. The percentages of children with insured and uninsured parents that had an asthma-related physician visit were 29.6% and 32.6%, respectively. The percentages that had at least two asthma-related visits were 14.9% and 14.6%, respectively. No significant relationship was found between parental insurance and asthma-related physician visits. The region of the United States where the child lived and whether the child's parent was employed were associated with each type of utilization. Other determinants were also associated with children's utilization, but these varied with the type of utilization. In conclusion, insured children with insured parents are no more likely to have a well-child or asthma-related physician visit during the year than insured children with uninsured parents.Abstract Approved: ________________________________________ Thesis Supervisor ________________________________________

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Comparing Oral Health Care Utilization Estimates in the United States Across Three Nationally Representative Surveys

Abstract: Objective. To compare estimates of dental visits among adults using three national surveys.

Cited by 58 publications

References 7 publications

Demand for a Medicare Prescription Drug Benefit: Exploring Consumer Preferences under a Managed Competition Framework

Demand for a Medicare Prescription Drug Benefit: Exploring Consumer Preferences under a Managed Competition Framework

Health Reform In Massachusetts Increased Adult Dental Care Use, Particularly Among The Poor

Impact of Parental Health Coverage on Insured Children's Utilization of Health Care Services

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