James D Bader
Biographic Data
| ID | 7098374 |
|---|---|
| NAME | James D Bader |
| GIVEN NAMES | James D |
| FAMILY NAME | Bader |
| SIGNATURE | BADER J D |
| AFFILIATIONS | University of North Carolina at Chapel Hill |
| VERIFIED | No |
| TOTAL WORKS | 22 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 22 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1974 |
| LATEST PUBLICATION YEAR | 2013 |
| H-INDEX | 0 |
Visual–tactile versus radiographic caries detection agreement in caries‐active adults
There is poor agreement between VTE and RE to detect caries in posterior teeth of caries-active adults. However, an RE performed within 7 months of a VTE adds caries diagnostic yield in a clinical trial, especially on proximal surfaces
Dental care plan assessment using the CAHPS Dental Plan Survey
The results reported here reflect differences among dental insurance carriers, rather than among the many different dental plans offered by those carriers. Nevertheless, the CAHPS instrument scores reflected differences among patients' experiences (composite scores) and ratings (rating scores) across carriers, suggesting both that the instrument should be a useful tool for assessing patient-reported outcomes, and that comparisons of these outcome…
Examiner training and reliability in two randomized clinical trials of adult dental caries
The methods and results for the initial examiner training and standardization sessions for two large clinical trials are reported. Recommendations for others planning examiner training and standardization sessions are offered
Four “lessons learned” while implementing a multi-site caries prevention trial
As the number of dental-related randomized clinical trials (RCTs) increases, there is a need for literature to help investigators inexperienced in conducting RCTs design and implement studies. This commentary describes four "lessons learned" or considerations important in the planning and initial implementation of RCTs in dentistry that, to our knowledge, have not been discussed in the general dental literature describing trial techniques. These …
Patient‐Level and Practice‐Level Characteristics Associated with Receipt of Preventive Dental Services
One preventive procedure was common; the other was uncommon. However, practices did not effectively target high-risk patients for either procedure. Instead, both services were typically received by persons with the least need for them. These findings are consistent with the conclusion that practitioners greatly influenced the delivery of fluoride services, with substantial contributions also made by patient-level predisposing and enabling factors…
Validation of a Simple Approach to Caries Risk Assessment
The results of this study provide the first large-scale, generalizable evidence for the validity of dentists' subjective assessment of caries risk
Development of Effectiveness of Care and Use of Services Measures for Dental Care Plans
These standardized measures for dental care plan performance are available for immediate use. However, because the measures depend on diagnostic information (periodontal probing data and diagnoses associated with restorative treatments) in the administrative data set, their adoption will require changes in most plans' data systems and data collection policies
A Primer on Outcomes in Dentistry
Expectations for evidence of "value" on the part of dental care purchasers and growth in the evidence-based dentistry movement are beginning to demonstrate the narrow and incomplete nature of dentistry's knowledge of the outcomes of dental conditions and treatment. In this paper a classification scheme for dental outcomes is described that illustrates the broad range of outcomes information important to patients, health care providers, purchasers…
Dentist Reliability in Classifying Disease Risk and Reason for Treatment
Dentists can attain reasonable levels of reliability using simple classification protocols with little formal training, although misclassification may be problematic for specific administrative or research-related purposes
Evaluation of Audit‐based Performance Measures for Dental Care Plans
The audit-based proxy measures represent a complex but feasible approach to the calculation of performance measures for those programs lacking robust administrative data systems. However, until charts contain more complete diagnostic information (i.e., periodontal charting and diagnostic codes or reason-for-treatment codes), accurate determination of these aspects of clinical performance will be difficult
Descriptive Models of Restorative Treatment Decisions
Models of dentists' restorative treatment decision making based on clinical and nonclinical data can determine the probability of treatment for individual teeth with reasonable accuracy. Hence, the approach holds promise for developing measures of normative treatment need. However, the models are not accurate predictors of dichotomous decisions by individual dentists regarding treatment interventions. Both differences in the subject samples used …
Cost Implications of Differences in Dentists' Restorative Treatment Decisions
These findings suggest that inconsistencies in both dentists' decisions to intervene and dentists' selection of treatment can have a profound effect on cost. Further, focusing utilization review on "outlier dentists" is likely to be much less productive in containing costs and improving quality than comprehensive attempts to improve consistency across the profession
Urban/Rural Differences in Prosthetic Dental Service Rates
There have been few reports of relative rates of provision of dental health services in rural and urban settings, a comparative measure of access to care in these populations. One part of a statewide survey of active North Carolina general dentists (n=959, response rate=47%) was designed to quantify provision of prosthetic services. To determine contrasting rural and urban rates, responses were analyzed according to dentists’self‐report of practi…
Factors Associated with Job and Career Satisfaction Among Dental Hygienists
Information concerning dental hygienists' job and career satisfaction is dated and incomplete. Because satisfaction may be important in retention of dental hygienists, a survey of all active dental hygienists in private practices in North Carolina was performed to ascertain dimensions and levels of job and career satisfaction, as well as factors associated with these constructs. Of 2,099 eligible hygienists, 51 percent responded to a survey instr…
Examiner Agreement Between Hygienists and Dentists for Caries Prevalence Examinations
Dentists have been used as examiners in caries prevalence examinations almost exclusively. Only rarely have dental hygienists been reported as examiners in these types of studies. This article describes the degree of agreement for prevalence data (DMFT, dmft) and specific caries prediction information collected by hygienist-screeners and dentist-examiners. A total of 5,233 first- and fifth-grade children were screened by hygienist-screeners using…
Estimates of the Effects of a Statewide Sealant Initiative on Dentists' Knowledge and Attitudes
The effects of a statewide initiative promoting the use of dental sealants were evaluated by assessing dentists' knowledge and attitudes before the initiative and 18 months later. Immediate changes also were determined for participants in continuing education (CE) sessions, a principal component of the initiative. Results of these assessments indicate that minor improvements in knowledge and attitudes occurred, that the effects were stronger but …
Recent Dental Caries and Treatment Patterns in US Children
This report presents dental caries and treatment patterns found in a longitudinal study of US children between 1978 and 1982 who were geographically dispersed across several fluoridated and nonfluoridated sites. The analyses include first- and fifth-grade children examined annually for four years in the National Preventive Dentistry Demonstration Program and who did not receive effective preventive procedures. The results indicate that in associa…
Effect of Secular Decline in Caries on the Evaluation of Preventive Dentistry Demonstrations
Studies of dental preventive interventions often do not incorporate a concurrent, longitudinal control group in their study design. The existence of a secular decline in dental caries during the conduct of these studies may result in an overstatement of the effectiveness of the preventive intervention. Results of a recent large caries preventive study are analyzed using both a concurrent, longitudinal control group and an historical comparison gr…
Production and Economic Contributions of Dental Hygienists
Dental hygienists' contribution to total gross billings and production, measured in standard production minutes, was studied in 13 private practices that employed hygienists. Hygienists' treatment accounted for one fourth of total production and one eighth of all gross billings. These results, together with analyses of the use of available time, the range of procedures performed by hygienists, and the rate of return for these procedures, illustra…
Measurement of Effects of a State Dental Practice Act on Potential Delegation and Production in General Dental Private Practice
Detailed treatment information was obtained on every procedure performed for all patients seen during a two-year period in 14 private dental practices in Kentucky. This information permitted the investigation of the effect of Kentucky's State Dental Practice Act on the amount of production that could have been legally delegated in the 14 practices. The development of a new measure called the Standard Production Minute (SPM) allowed for the examin…
Aspects of Planning and Evaluation of Children's Dental Care in Appalachia
The dental public health literature contains almost no information on caries experience and treatment needs of Appalachian children, and little information concerning resource requirements for children's dental care programs in general. Data from three dental treatment programs in Appalachia are summarized for purposes of planning and evaluation of similar programs. Age specific caries and service experiences are presented, and evaluation criteri…
Book Reviewed I
Katz, Simon, McDonald, J.L., and Stookey, G.K. Preventive dentistry in action. Upper Montclair, N.J., D.C.P. Publishing, c1972. viii+ 324 p. $25.00
No prominent works on this page.
Book Reviewed I
Katz, Simon, McDonald, J.L., and Stookey, G.K. Preventive dentistry in action. Upper Montclair, N.J., D.C.P. Publishing, c1972. viii+ 324 p. $25.00
Aspects of Planning and Evaluation of Children's Dental Care in Appalachia
The dental public health literature contains almost no information on caries experience and treatment needs of Appalachian children, and little information concerning resource requirements for children's dental care programs in general. Data from three dental treatment programs in Appalachia are summarized for purposes of planning and evaluation of similar programs. Age specific caries and service experiences are presented, and evaluation criteri…
Measurement of Effects of a State Dental Practice Act on Potential Delegation and Production in General Dental Private Practice
Detailed treatment information was obtained on every procedure performed for all patients seen during a two-year period in 14 private dental practices in Kentucky. This information permitted the investigation of the effect of Kentucky's State Dental Practice Act on the amount of production that could have been legally delegated in the 14 practices. The development of a new measure called the Standard Production Minute (SPM) allowed for the examin…
Production and Economic Contributions of Dental Hygienists
Dental hygienists' contribution to total gross billings and production, measured in standard production minutes, was studied in 13 private practices that employed hygienists. Hygienists' treatment accounted for one fourth of total production and one eighth of all gross billings. These results, together with analyses of the use of available time, the range of procedures performed by hygienists, and the rate of return for these procedures, illustra…
Effect of Secular Decline in Caries on the Evaluation of Preventive Dentistry Demonstrations
Studies of dental preventive interventions often do not incorporate a concurrent, longitudinal control group in their study design. The existence of a secular decline in dental caries during the conduct of these studies may result in an overstatement of the effectiveness of the preventive intervention. Results of a recent large caries preventive study are analyzed using both a concurrent, longitudinal control group and an historical comparison gr…
Recent Dental Caries and Treatment Patterns in US Children
This report presents dental caries and treatment patterns found in a longitudinal study of US children between 1978 and 1982 who were geographically dispersed across several fluoridated and nonfluoridated sites. The analyses include first- and fifth-grade children examined annually for four years in the National Preventive Dentistry Demonstration Program and who did not receive effective preventive procedures. The results indicate that in associa…
Estimates of the Effects of a Statewide Sealant Initiative on Dentists' Knowledge and Attitudes
The effects of a statewide initiative promoting the use of dental sealants were evaluated by assessing dentists' knowledge and attitudes before the initiative and 18 months later. Immediate changes also were determined for participants in continuing education (CE) sessions, a principal component of the initiative. Results of these assessments indicate that minor improvements in knowledge and attitudes occurred, that the effects were stronger but …
Examiner Agreement Between Hygienists and Dentists for Caries Prevalence Examinations
Dentists have been used as examiners in caries prevalence examinations almost exclusively. Only rarely have dental hygienists been reported as examiners in these types of studies. This article describes the degree of agreement for prevalence data (DMFT, dmft) and specific caries prediction information collected by hygienist-screeners and dentist-examiners. A total of 5,233 first- and fifth-grade children were screened by hygienist-screeners using…
Factors Associated with Job and Career Satisfaction Among Dental Hygienists
Information concerning dental hygienists' job and career satisfaction is dated and incomplete. Because satisfaction may be important in retention of dental hygienists, a survey of all active dental hygienists in private practices in North Carolina was performed to ascertain dimensions and levels of job and career satisfaction, as well as factors associated with these constructs. Of 2,099 eligible hygienists, 51 percent responded to a survey instr…
Urban/Rural Differences in Prosthetic Dental Service Rates
There have been few reports of relative rates of provision of dental health services in rural and urban settings, a comparative measure of access to care in these populations. One part of a statewide survey of active North Carolina general dentists (n=959, response rate=47%) was designed to quantify provision of prosthetic services. To determine contrasting rural and urban rates, responses were analyzed according to dentists’self‐report of practi…
Cost Implications of Differences in Dentists' Restorative Treatment Decisions
These findings suggest that inconsistencies in both dentists' decisions to intervene and dentists' selection of treatment can have a profound effect on cost. Further, focusing utilization review on "outlier dentists" is likely to be much less productive in containing costs and improving quality than comprehensive attempts to improve consistency across the profession
Descriptive Models of Restorative Treatment Decisions
Models of dentists' restorative treatment decision making based on clinical and nonclinical data can determine the probability of treatment for individual teeth with reasonable accuracy. Hence, the approach holds promise for developing measures of normative treatment need. However, the models are not accurate predictors of dichotomous decisions by individual dentists regarding treatment interventions. Both differences in the subject samples used …
Development of Effectiveness of Care and Use of Services Measures for Dental Care Plans
These standardized measures for dental care plan performance are available for immediate use. However, because the measures depend on diagnostic information (periodontal probing data and diagnoses associated with restorative treatments) in the administrative data set, their adoption will require changes in most plans' data systems and data collection policies
A Primer on Outcomes in Dentistry
Expectations for evidence of "value" on the part of dental care purchasers and growth in the evidence-based dentistry movement are beginning to demonstrate the narrow and incomplete nature of dentistry's knowledge of the outcomes of dental conditions and treatment. In this paper a classification scheme for dental outcomes is described that illustrates the broad range of outcomes information important to patients, health care providers, purchasers…
Dentist Reliability in Classifying Disease Risk and Reason for Treatment
Dentists can attain reasonable levels of reliability using simple classification protocols with little formal training, although misclassification may be problematic for specific administrative or research-related purposes
Evaluation of Audit‐based Performance Measures for Dental Care Plans
The audit-based proxy measures represent a complex but feasible approach to the calculation of performance measures for those programs lacking robust administrative data systems. However, until charts contain more complete diagnostic information (i.e., periodontal charting and diagnostic codes or reason-for-treatment codes), accurate determination of these aspects of clinical performance will be difficult
Validation of a Simple Approach to Caries Risk Assessment
The results of this study provide the first large-scale, generalizable evidence for the validity of dentists' subjective assessment of caries risk
Patient‐Level and Practice‐Level Characteristics Associated with Receipt of Preventive Dental Services
One preventive procedure was common; the other was uncommon. However, practices did not effectively target high-risk patients for either procedure. Instead, both services were typically received by persons with the least need for them. These findings are consistent with the conclusion that practitioners greatly influenced the delivery of fluoride services, with substantial contributions also made by patient-level predisposing and enabling factors…
Four “lessons learned” while implementing a multi-site caries prevention trial
As the number of dental-related randomized clinical trials (RCTs) increases, there is a need for literature to help investigators inexperienced in conducting RCTs design and implement studies. This commentary describes four "lessons learned" or considerations important in the planning and initial implementation of RCTs in dentistry that, to our knowledge, have not been discussed in the general dental literature describing trial techniques. These …
Examiner training and reliability in two randomized clinical trials of adult dental caries
The methods and results for the initial examiner training and standardization sessions for two large clinical trials are reported. Recommendations for others planning examiner training and standardization sessions are offered
Dental care plan assessment using the CAHPS Dental Plan Survey
The results reported here reflect differences among dental insurance carriers, rather than among the many different dental plans offered by those carriers. Nevertheless, the CAHPS instrument scores reflected differences among patients' experiences (composite scores) and ratings (rating scores) across carriers, suggesting both that the instrument should be a useful tool for assessing patient-reported outcomes, and that comparisons of these outcome…
Visual–tactile versus radiographic caries detection agreement in caries‐active adults
There is poor agreement between VTE and RE to detect caries in posterior teeth of caries-active adults. However, an RE performed within 7 months of a VTE adds caries diagnostic yield in a clinical trial, especially on proximal surfaces
Medicine (21 works) · Dentistry (14 works) · Dental Health and Care Utilization (13 works) · Family medicine (9 works) · Dental care (6 works) · Business (5 works) · Cohen's kappa (5 works) · Computer Science (5 works) · Dental Research and COVID-19 (5 works) · Healthcare Policy and Management (5 works)