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Comparing Medical and Dental Providers of Oral Health Services on Early Dental Caries Experience

Bibliographic Data

ID11020534
AuthorsAshley M Kranz (0000-0003-0507-7800, Ashley M. Kranz, R. Gary Rozier, and Sally C. Stearns are with the Department of Health Policy and Management, University of North Carolina (UNC) Gillings School of Global Public Health, Chapel Hill. John S. Preisser is with the Department of Biostatistics, UNC Gillings School of Global Public Health. Morris Weinberger is with the Department of Health Policy and Management, UNC Gillings School of Global Public Health, and the Center for Health Services Research in Primary Care, VA Medical Center, Durham,...), R Gary Rozier (Ashley M. Kranz, R. Gary Rozier, and Sally C. Stearns are with the Department of Health Policy and Management, University of North Carolina (UNC) Gillings School of Global Public Health, Chapel Hill. John S. Preisser is with the Department of Biostatistics, UNC Gillings School of Global Public Health. Morris Weinberger is with the Department of Health Policy and Management, UNC Gillings School of Global Public Health, and the Center for Health Services Research in Primary Care, VA Medical Center, Durham,...), John S Preisser (0000-0002-7869-2057, Ashley M. Kranz, R. Gary Rozier, and Sally C. Stearns are with the Department of Health Policy and Management, University of North Carolina (UNC) Gillings School of Global Public Health, Chapel Hill. John S. Preisser is with the Department of Biostatistics, UNC Gillings School of Global Public Health. Morris Weinberger is with the Department of Health Policy and Management, UNC Gillings School of Global Public Health, and the Center for Health Services Research in Primary Care, VA Medical Center, Durham,...), Sally C Stearn (0000-0002-1129-0838, Department of Health), Sally C Stearns (Ashley M. Kranz, R. Gary Rozier, and Sally C. Stearns are with the Department of Health Policy and Management, University of North Carolina (UNC) Gillings School of Global Public Health, Chapel Hill. John S. Preisser is with the Department of Biostatistics, UNC Gillings School of Global Public Health. Morris Weinberger is with the Department of Health Policy and Management, UNC Gillings School of Global Public Health, and the Center for Health Services Research in Primary Care, VA Medical Center, Durham,...), Morris Weinberger (Ashley M. Kranz, R. Gary Rozier, and Sally C. Stearns are with the Department of Health Policy and Management, University of North Carolina (UNC) Gillings School of Global Public Health, Chapel Hill. John S. Preisser is with the Department of Biostatistics, UNC Gillings School of Global Public Health. Morris Weinberger is with the Department of Health Policy and Management, UNC Gillings School of Global Public Health, and the Center for Health Services Research in Primary Care, VA Medical Center, Durham,...), Jessica Y Lee (0000-0002-2374-3881, Ashley M. Kranz, R. Gary Rozier, and Sally C. Stearns are with the Department of Health Policy and Management, University of North Carolina (UNC) Gillings School of Global Public Health, Chapel Hill. John S. Preisser is with the Department of Biostatistics, UNC Gillings School of Global Public Health. Morris Weinberger is with the Department of Health Policy and Management, UNC Gillings School of Global Public Health, and the Center for Health Services Research in Primary Care, VA Medical Center, Durham,...)
Year2014
Volume104
Issue7
Pagese92-e99
Publication date2014-07-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2014.301972
PMID24832418
PMCIDPMC4056232
OpenAlexW2118501398
LanguageEN
Citations received2
References cited25

Objectives. Most state Medicaid programs reimburse nondental primary care providers (PCPs) for providing preventive oral health services to young children. We examined the association between who (PCP, dentist, or both) provides these services to Medicaid enrollees before age 3 years and oral health at age 5 years. Methods. We linked North Carolina Medicaid claims (1999–2006) to oral health surveillance data (2005–2006). Regression models estimated oral health status (number of decayed, missing, and filled primary teeth) and untreated disease (proportion of untreated decayed teeth), with adjustment for relevant characteristics and by using inverse-probability-of-treatment weights to address confounding. Results. We analyzed data for 5235 children with 2 or more oral health visits from a PCP, dentist, or both. Children with multiple PCP or dentist visits had a similar number of overall mean decayed, missing, and filled primary teeth in kindergarten, whereas children with only PCP visits had a higher proportion of untreated decayed teeth. Conclusions. The setting and provider type did not influence the effectiveness of preventive oral health services on children’s overall oral health. However, children having only PCP visits may encounter barriers to obtaining dental treatment

Confounding · Dental care · Environmental health · Family medicine · Health care · Medicaid · Oral health · Dental Health and Care Utilization · Dentistry · Food Security and Health in Diverse Populations · Medicine · Oral and Maxillofacial Pathology · Oral microbiology and periodontitis research

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Unique citing works2
Citations per year0,18
Citation span2015 - 2015 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2

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