Susan C McKernan
Biographic Data
| ID | 6680133 |
|---|---|
| NAME | Susan C McKernan |
| GIVEN NAMES | Susan C |
| FAMILY NAME | McKernan |
| SIGNATURE | MCKERNAN S C |
| AFFILIATIONS | University of Iowa Public Policy Center Iowa City IA USA |
| ORCID | 0000-0002-6193-0557 |
| VERIFIED | Yes |
| TOTAL WORKS | 18 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 18 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1990 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
Multilevel Determinants of Adolescent Dental Care Access: A Scoping Review Using a Health Disparities Framework
This scoping review examined barriers and facilitators influencing dental care access among adolescents (ages 10-19) using a multilevel health disparities framework to capture behavioral, social, and structural determinants. Following the Arksey and O'Malley framework and Joanna Briggs Institute methodology, 6 databases and gray literature were searched for English-language studies (2011-present) on dental care access among adolescents. Data were…
Using intervention mapping to develop training for US dental providers to recommend the HPV vaccine
Perceived Social Status and Oral Health Among Medicaid Insured Adults in Iowa
Purpose: Perceived social status (PSS), a measure of social status, reflects cumulative lifetime effects of an individual's relative social status based on resources and lived experiences. PSS is hypothesized to better capture social status compared to traditional measures of socioeconomic status (SES) (i.e., education, occupation, and income). Although recognized as a predictor of health-related morbidity and mortality, limited research has expl…
Perceived social status, socioeconomic status, and preventive dental utilization among a low‐income Medicaid adult population
PSS demonstrated a small positive association with dental utilization. Results support the relative importance of PSS, in addition to SES measures, as PSS may capture aspects of social class that SES measures do not. Results suggest the need for future research to consider the effects of PSS on oral health outcomes and behaviors
Engaging new partners in human papillomavirus (HPV) vaccine promotion: Considerations for training private practice dental professionals in HPV vaccine promotion
Knowledge was identified as a key barrier to providing a strong recommendation for HPV vaccination and convenience was the most important factor to consider for any future CE. Our team is in the process of designing a CE course based on this information to help dental professionals effectively engage in HPV vaccine promotion in their practices
Dentist attitudes toward an annual benefit maximum in Iowa's adult Medicaid program
Utilizing an ABM, particularly one set at $1000 for a Medicaid program, elicits mixed attitudes among dentists. Future research should evaluate the impact of Medicaid ABMs on long term dentist participation and patient's ability to receive needed care
American Board of Dental Public Health diplomate survey, 2021: Competency domains and practice
Current diplomates are concentrated in academia. If this trend continues, it may be necessary to restructure the competencies, so training and skills acquisition remain timely and relevant. The specialty may also need to encourage future generations to consider non-academic positions so Dental Public Health remains an impactful component of the public health care system
Randomized experiment on the effect of incentives and mailing strategy on response rates in a mail survey of dentists
This study demonstrated the effectiveness of a $2 incentive to increase response rate in a mail survey of dentists. Given the background trend of declining survey participation rates, researchers should consider use of monetary incentives and explore new strategies to increase participation among dentists and other health care providers
Who provides open‐ended comments? Assessing item nonresponse bias in Medicaid surveys of members and dentists
Members and dentists with direct experiences with the Medicaid dental program were more likely to provide open-ended survey comments, whereas we found inconsistent results between members and dentists with regard to the impact of demographic characteristics, survey mode, and attitude toward the plan
Periodontal treatment needs in the Medicaid patient population: A retrospective study in a US dental school
Objectives The aim of this study was to use electronic health records (EHRs) from a US dental school clinic to retrospectively investigate associations between periodontal treatment needs and insurance type in a newly insured adult Medicaid population. We hypothesized that newly insured Medicaid patients, covered by the Iowa Dental Wellness Plan (DWP), would display greater need for treatment than patients with other sources of financing. Methods…
Evaluation of enrollee satisfaction with Iowa's Dental Wellness Plan for the Medicaid expansion population
Satisfaction with a new model of dental insurance was influenced by whether enrollees had a regular source of care and their perceived ability to return for regular checkups in order to earn covered benefits
Travel burden and dentist bypass among dentally insured children
Travel burden was greater among Medicaid-enrolled children. Lower rates of bypass, in conjunction with lower rates of dental utilization in this population, may indicate a distance threshold beyond which dental care becomes unattainable
Predicting dentists’ decisions: A choice‐based conjoint analysis of Medicaid participation
This study revealed trade-offs that dentists make when deciding to participate in Medicaid. Findings indicate that states can potentially improve Medicaid participation without changing reimbursement rates by making improvements in claims processing and care coordination to reduce missed appointments
Potential utilization of expanded function dental auxiliaries to place restoratives
Many dentists are willing to delegate reversible restorative procedures. Increasing scope of practice for auxiliaries may increase capacity of the existing dental workforce and improve access for newly insured populations. Expanding scope of practice for dental auxiliaries offers a viable mechanism to rapidly increase states' dental capacity in response to rising demands for dental care, including newly insured Medicaid populations
Geographic variation of dental utilization among low income children
General Dentist Characteristics Associated With Rural Practice Location
PURPOSE: To examine whether there is a difference in the likelihood that a general dentist practices in a rural location based on individual characteristics, including dental school attended, birth state, practice arrangement, sex, and age. METHODS: All private practice, general dentists in Iowa were included in this study. Data were extracted from the year 2010 version of the Iowa Dentist Tracking System, which monitors practice patterns of acti…
Geographic accessibility and utilization of orthodontic services among M edicaid children and adolescents
Rural residency and increased travel distances do not appear to act as barriers to orthodontic care for this population. The wide variability of utilization rates seen across service areas may be related to workforce supply in the form of orthodontists who accept Medicaid-insured patients. Referrals to orthodontists from primary care dentists may improve access to specialty care for Medicaid enrollees
The Macmillan Anthology of Australian Literature
The Macmillan Anthology of Australian Literature is a significant publication, destined to become a lasting pleasure and reference for many years to come. It comprises over 200 selected writings of gr
No prominent works on this page.
The Macmillan Anthology of Australian Literature
The Macmillan Anthology of Australian Literature is a significant publication, destined to become a lasting pleasure and reference for many years to come. It comprises over 200 selected writings of gr
General Dentist Characteristics Associated With Rural Practice Location
PURPOSE: To examine whether there is a difference in the likelihood that a general dentist practices in a rural location based on individual characteristics, including dental school attended, birth state, practice arrangement, sex, and age. METHODS: All private practice, general dentists in Iowa were included in this study. Data were extracted from the year 2010 version of the Iowa Dentist Tracking System, which monitors practice patterns of acti…
Geographic accessibility and utilization of orthodontic services among M edicaid children and adolescents
Rural residency and increased travel distances do not appear to act as barriers to orthodontic care for this population. The wide variability of utilization rates seen across service areas may be related to workforce supply in the form of orthodontists who accept Medicaid-insured patients. Referrals to orthodontists from primary care dentists may improve access to specialty care for Medicaid enrollees
Predicting dentists’ decisions: A choice‐based conjoint analysis of Medicaid participation
This study revealed trade-offs that dentists make when deciding to participate in Medicaid. Findings indicate that states can potentially improve Medicaid participation without changing reimbursement rates by making improvements in claims processing and care coordination to reduce missed appointments
Potential utilization of expanded function dental auxiliaries to place restoratives
Many dentists are willing to delegate reversible restorative procedures. Increasing scope of practice for auxiliaries may increase capacity of the existing dental workforce and improve access for newly insured populations. Expanding scope of practice for dental auxiliaries offers a viable mechanism to rapidly increase states' dental capacity in response to rising demands for dental care, including newly insured Medicaid populations
Geographic variation of dental utilization among low income children
Travel burden and dentist bypass among dentally insured children
Travel burden was greater among Medicaid-enrolled children. Lower rates of bypass, in conjunction with lower rates of dental utilization in this population, may indicate a distance threshold beyond which dental care becomes unattainable
Evaluation of enrollee satisfaction with Iowa's Dental Wellness Plan for the Medicaid expansion population
Satisfaction with a new model of dental insurance was influenced by whether enrollees had a regular source of care and their perceived ability to return for regular checkups in order to earn covered benefits
Periodontal treatment needs in the Medicaid patient population: A retrospective study in a US dental school
Objectives The aim of this study was to use electronic health records (EHRs) from a US dental school clinic to retrospectively investigate associations between periodontal treatment needs and insurance type in a newly insured adult Medicaid population. We hypothesized that newly insured Medicaid patients, covered by the Iowa Dental Wellness Plan (DWP), would display greater need for treatment than patients with other sources of financing. Methods…
Who provides open‐ended comments? Assessing item nonresponse bias in Medicaid surveys of members and dentists
Members and dentists with direct experiences with the Medicaid dental program were more likely to provide open-ended survey comments, whereas we found inconsistent results between members and dentists with regard to the impact of demographic characteristics, survey mode, and attitude toward the plan
Dentist attitudes toward an annual benefit maximum in Iowa's adult Medicaid program
Utilizing an ABM, particularly one set at $1000 for a Medicaid program, elicits mixed attitudes among dentists. Future research should evaluate the impact of Medicaid ABMs on long term dentist participation and patient's ability to receive needed care
American Board of Dental Public Health diplomate survey, 2021: Competency domains and practice
Current diplomates are concentrated in academia. If this trend continues, it may be necessary to restructure the competencies, so training and skills acquisition remain timely and relevant. The specialty may also need to encourage future generations to consider non-academic positions so Dental Public Health remains an impactful component of the public health care system
Randomized experiment on the effect of incentives and mailing strategy on response rates in a mail survey of dentists
This study demonstrated the effectiveness of a $2 incentive to increase response rate in a mail survey of dentists. Given the background trend of declining survey participation rates, researchers should consider use of monetary incentives and explore new strategies to increase participation among dentists and other health care providers
Perceived social status, socioeconomic status, and preventive dental utilization among a low‐income Medicaid adult population
PSS demonstrated a small positive association with dental utilization. Results support the relative importance of PSS, in addition to SES measures, as PSS may capture aspects of social class that SES measures do not. Results suggest the need for future research to consider the effects of PSS on oral health outcomes and behaviors
Engaging new partners in human papillomavirus (HPV) vaccine promotion: Considerations for training private practice dental professionals in HPV vaccine promotion
Knowledge was identified as a key barrier to providing a strong recommendation for HPV vaccination and convenience was the most important factor to consider for any future CE. Our team is in the process of designing a CE course based on this information to help dental professionals effectively engage in HPV vaccine promotion in their practices
Perceived Social Status and Oral Health Among Medicaid Insured Adults in Iowa
Purpose: Perceived social status (PSS), a measure of social status, reflects cumulative lifetime effects of an individual's relative social status based on resources and lived experiences. PSS is hypothesized to better capture social status compared to traditional measures of socioeconomic status (SES) (i.e., education, occupation, and income). Although recognized as a predictor of health-related morbidity and mortality, limited research has expl…
Using intervention mapping to develop training for US dental providers to recommend the HPV vaccine
Multilevel Determinants of Adolescent Dental Care Access: A Scoping Review Using a Health Disparities Framework
This scoping review examined barriers and facilitators influencing dental care access among adolescents (ages 10-19) using a multilevel health disparities framework to capture behavioral, social, and structural determinants. Following the Arksey and O'Malley framework and Joanna Briggs Institute methodology, 6 databases and gray literature were searched for English-language studies (2011-present) on dental care access among adolescents. Data were…
Medicine (15 works) · Family medicine (14 works) · Health care (13 works) · Dental Health and Care Utilization (10 works) · Medicaid (10 works) · Environmental health (9 works) · Population (8 works) · Psychology (7 works) · Dental care (6 works) · Healthcare Policy and Management (6 works)