Dental Benefits: “Because Medicaid Has, How Do You Call It? A Limit”

Northridge, Mary E.

doi:10.2105/ajph.2016.303295

Cited by 5 publications

(2 citation statements)

References 2 publications

(3 reference statements)

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“…Affordability and lack of insurance coverage are key barriers highlighted from ten articles identified in the rapid review (Becerra & Nguyen, 2016; Bersell, 2017; Chávez et al, 2016; Davis & Plaspohl, 2017; Jang et al, 2017; Manski & Moeller, 2017; Naavaal et al, 2020; Nagro, 2016; Northridge, 2016; Orozco et al, 2019). While Medicaid provides dental coverage for both children and working adults, neither Medicare or Medicaid provide coverage for older adults other than emergency care (Bersell, 2017; Chávez et al, 2016; Naavaal et al, 2020; Nagro, 2016; Orozco et al, 2019).…”

Section: Resultsmentioning

confidence: 99%

Barriers and Opportunities to Support the Oral Health of Older Adults: A Rapid Review of Health Policy and Systems

Lazaro

Durben

Kline

2022

Int J Aging Hum Dev

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Tooth decay and gum disease are reversible, preventable, and impact approximately 68% of older adults nationwide. While the Affordable Care Act added provisions to health prevention services, it did not cover oral health prevention for adults and older adults. A rapid review process was utilized to identify literature documenting system and policy level barriers and opportunities to address oral health equity issues for older adults in the United States. Twenty-five articles met inclusion criteria for analysis. Findings revealed four barrier and three opportunity themes. Recommendations of analysis include expansion of oral health coverage under Medicare and Medicaid along with community-based and co-located medical and dental services. This will address access and utilization barriers and provide education for older adults, health providers, and the general population. Increasing oral health literacy and population awareness, and prioritizing oral health can be met by capitalizing on opportunities found in this rapid review.

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Section: Resultsmentioning

confidence: 99%

Barriers and Opportunities to Support the Oral Health of Older Adults: A Rapid Review of Health Policy and Systems

Lazaro

Durben

Kline

2022

Int J Aging Hum Dev

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“…It is the patient perspective on chairside screening that we focus on in this article, particularly that of racial/ethnic minority older adults (see also Northridge 2016; Northridge, Shedlin et al 2017; Northridge et al Forthcoming).…”

Section: Methodsmentioning

confidence: 99%

Acceptability of Chairside Screening for Racial/Ethnic Minority Older Adults: A Qualitative Study

Greenblatt

Estrada

Schrimshaw

et al. 2017

JDR Clinical & Translational Research

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An aging and more racially and ethnically diverse population, coupled with changes in the health care policy environment, is demanding that the dental profession both redirect and expand its focus. Challenges include providing comprehensive care for patients with complicated medical needs while improving access to care for underserved groups. The purpose of this study is to examine the acceptability of screening for hypertension and diabetes in the dental setting for African American, Puerto Rican, and Dominican older adults who attend senior centers in northern Manhattan, New York City. Focus groups were conducted with 194 racial/ethnic minority men and women aged 50 y and older living in northern Manhattan who participated in 1 of 24 focus group sessions about improving oral health for older adults. All groups were digitally audio-recorded and transcribed for analysis. Groups that were conducted in Spanish were transcribed first in Spanish and then translated into English. Analysis of the transcripts was conducted using thematic content analysis. Five themes were manifest in the data regarding the willingness of racial/ethnic minority older adults to receive hypertension and diabetes screening as part of routine dental visits: 1) chairside screening is acceptable, 2) screening is routine for older adults, 3) the interrelationship between oral and general health is appreciated, 4) chairside screening has perceived benefits, and 5) chairside screening may reduce dental anxiety. Reservations centered on 4 major themes: 1) dental fear may limit the acceptability of chairside screening, 2) there is a perceived lack of need for dental care and chairside screening, 3) screening is available elsewhere, and 4) mistrust of dental providers as primary care providers. This study provides novel evidence of the acceptability of screening for hypertension and diabetes in the dental setting among urban racial/ethnic minority senior center attendees. The results of this study may be used by oral health providers when deciding whether to conduct chairside screening for medical conditions such as hypertension and diabetes that could affect, or be affected by, the oral health of their patients. Patient experiences of care-along with clinical outcomes, avoidable hospital admissions, equity of services, and costs-are important outcomes to consider in meeting the needs of an aging and racially and ethnically diverse US population.

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34. Racial/Ethnic Minority Older Adults’ Perspectives on Proposed Medicaid Reforms’ Effects on Dental Care Access

Northridge¹,

Estrada²,

Schrimshaw³

et al. 2019

Oral Health in America: Removing the Stain of Disparity

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To examine how proposed Medicaid reform plans are experienced by racial/ethnic minority older adults and what the implications are for their ability to access dental care through Medicaid, from 2013 to 2015 we conducted focus groups in northern Manhattan, New York, New York, among African American, Dominican, and Puerto Rican adults aged 50 years and older.Participants reported problems with affording copayments for care, complicated health and social issues, the need for vision and dental care close to home, and confusion about and stigmatization with Medicaid coverage.Federal, state, and local public health agencies can help by clarifying and simplifying Medicaid plans and sustaining benefits that older adults need to live healthy and dignified lives.

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Dental Benefits: “Because Medicaid Has, How Do You Call It? A Limit”

Cited by 5 publications

References 2 publications

Barriers and Opportunities to Support the Oral Health of Older Adults: A Rapid Review of Health Policy and Systems

Barriers and Opportunities to Support the Oral Health of Older Adults: A Rapid Review of Health Policy and Systems

Acceptability of Chairside Screening for Racial/Ethnic Minority Older Adults: A Qualitative Study

34. Racial/Ethnic Minority Older Adults’ Perspectives on Proposed Medicaid Reforms’ Effects on Dental Care Access

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