scholarly journals The Effect of Medicaid Primary Care Provider Reimbursement on Access to Early Childhood Caries Preventive Services

2014 ◽  
Vol 50 (1) ◽  
pp. 136-160 ◽  
Author(s):  
Jill Boylston Herndon ◽  
Scott L. Tomar ◽  
Frank A. Catalanotto ◽  
W. Bruce Vogel ◽  
Elizabeth A. Shenkman
Author(s):  
Stephanie L. Mayne ◽  
Chloe Hannan ◽  
Jennifer Faerber ◽  
Rupreet Anand ◽  
Ella Labrusciano-Carris ◽  
...  

2010 ◽  
Vol 5 (3) ◽  
pp. 225-235 ◽  
Author(s):  
John P. Jasek

To assess the role of having a primary care provider (PCP) in men’s up-to-date receipt of recommended preventive services (colonoscopy, pneumococcal and seasonal influenza vaccination, cholesterol and blood pressure screenings), data from the 2005 and 2006 New York City Community Health Surveys ( N = 3,728 [2006], 2,810 [2005]) were analyzed. PCP prevalence and men’s uptake of each service, overall and by age, race/ethnicity, education, income, insurance status, marital status, and nativity, were evaluated. After controlling for insurance status and other factors, having a PCP significantly predicted receipt of each service (adjusted prevalence ratio from 1.12 [1.08, 1.16] to 1.72 [1.35, 2.22]) and total services. Colonoscopy and seasonal influenza and pneumococcal vaccination receipt were below 70% with or without a PCP. Efforts to increase the proportion of men having a PCP are needed to improve receipt of recommended services. Maximizing awareness and provision of low-use preventive services may be useful.


2017 ◽  
Vol 23 (2) ◽  
pp. 111-115 ◽  
Author(s):  
Alexandra Nicolae ◽  
Leo Levin ◽  
Peter D Wong ◽  
Malini G Dave ◽  
Jillian Taras ◽  
...  

2019 ◽  
Vol 6 ◽  
pp. 233339281982626 ◽  
Author(s):  
John C. Matulis ◽  
Jason J. Schilling ◽  
Frederick North

Background: If a patient presents for an acute care visit and sees their assigned primary care provider (PCP), they may be more likely to receive preventive and other services than a patient not seeing their assigned PCP. Methods: After exclusion of 2 visits with insufficient information, we reviewed 98 consecutive, outpatient internal medicine 15-minute acute care visits comparing patients seeing their assigned PCP with those seeing a non-PCP provider. The primary outcome, preventive service ordering, was measured in 2 ways: percentage of patient visits with any preventive service ordered and the total number of preventive services ordered as a proportion of all preventive service items due for each entire cohort. The secondary outcome of other work completed was assessed by comparing tests and consults ordered, and by counting the number of physical examination elements and discrete medical diagnoses documented. Results: The PCPs were significantly more likely than non-PCPs to order any preventive service 45% versus 17% ( P = .005; odds ratio [OR]: 4.16, 95% confidence interval [CI]: 1.45-12.0). The PCP cohort ordered a higher proportion of the total number of preventive services due compared with the non-PCP cohort (30% vs 11%; P = .002; OR: 3.4, CI: 1.5-7.7). The PCPs also addressed more medical diagnoses (2.3 vs 1.4; P = .008) and more frequently ordered tests outside the reason for that visit (40% vs 13%; P = .003; OR: 4.27, CI: 1.5-11.8). Conclusion: Patients seeing their assigned PCP in brief, acute visits have higher rates of preventive and other service ordering compared to those not seeing their assigned PCP.


1998 ◽  
Vol 43 ◽  
pp. 109-109
Author(s):  
Steven A Dowshen ◽  
Solomon H Katz ◽  
Alexander N Ortega ◽  
Denice CL Stewart ◽  
James Coleman ◽  
...  

2005 ◽  
Vol 16 (2) ◽  
pp. 244-247 ◽  
Author(s):  
Lois A. Wessel ◽  
Scott Wolpin ◽  
Jen Sheen ◽  
David Krol ◽  
Kathie Westpheling ◽  
...  

2019 ◽  
Vol 6 ◽  
pp. 2333794X1984592
Author(s):  
Jennifer K. Cheng ◽  
Abiola Faniyan ◽  
Jenny Chan Yuen ◽  
Tracy Myers ◽  
Michelle Fleck ◽  
...  

Objective. To describe changes in oral health behaviors following implementation of a nursing intervention targeting children at risk for early childhood caries at an urban 2-site primary care practice. Methods. Nurses used a proprietary Nursing Caries Assessment Tool (N-CAT) to identify behaviors associated with early childhood caries risk, then provided brief focused dental education, fluoride varnish applications, and dental referrals to children without a dental home. We used generalized estimating equation logistic regression models, adjusted for age at visit, to analyze changes in oral health behaviors over time including the following: (1) tooth brushing frequency, (2) use of fluoride toothpaste, and (3) adult help with brushing among children younger than 5 years of age who had at least 2 N-CATs documented during well care visits between April 2013 and June 2015. We also evaluated dietary habits including going to bed with a bottle or sippy cup and sugar-sweetened beverage consumption, as secondary study outcomes during the same time frame. Results. A total of 2097 children with a mean age of 15.8 (SD 7.6) months at the initial visit were included in the analysis; 51% were boys; 28% were black, 36% Hispanic/Latino, 5% white, 2% Asian, and 19% other; 75% were publicly insured. During the study period, significant ( P < .05) improvements were noted across the 3 oral health behaviors studied among children younger than 18 months. Conclusion. Nursing interventions show promise for promoting preventive dental care in primary care settings and deserve further study.


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