EPSDT's Role in Improving Child Vision, Hearing, and Oral Health

2017 ◽  
Vol 45 (S1) ◽  
pp. 65-68
Author(s):  
Jane Perkins
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Services ◽  
Low Income ◽  
Children With Disabilities ◽  
Health Care Coverage ◽  
Low Income Children ◽  
Oral Health Services

The Medicaid Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit offers health care coverage specifically targeted to meet the needs to low-income children and children with disabilities. This article provides a brief overview of EPSDT and then discusses how states are working to bring vision, hearing, and oral health services to children through EPSDT.

scholarly journals How A North Carolina Program Boosted Preventive Oral Health Services For Low-Income Children

2010 ◽  
Vol 29 (12) ◽  
pp. 2278-2285 ◽  
Author(s):  
R. Gary Rozier ◽  
Sally C. Stearns ◽  
Bhavna T. Pahel ◽  
Rocio B. Quinonez ◽  
Jeongyoung Park
Keyword(s):  
North Carolina ◽  
Oral Health ◽  
Health Services ◽  
Low Income ◽  
Low Income Children ◽  
Oral Health Services

scholarly journals Reopening Oral Health Services during the COVID-19 Pandemic through a Knowledge Exchange Coalition

2021 ◽  
pp. 238008442110119
Author(s):  
M. McNally ◽  
L. Rock ◽  
M. Gillis ◽  
S. Bryan ◽  
C. Boyd ◽  
...  
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Services ◽  
Return To Work ◽  
Health Care Providers ◽  
Online Survey ◽  
Knowledge Exchange ◽  
Oral Health Care ◽  
Care Providers ◽  
Oral Health Services

Background: The COVID-19 novel coronavirus closed oral health care in Nova Scotia (NS) Canada in March 2020. Preparing for a phased reopening, a knowledge exchange coalition (representing government, academia, hospitals, oral health professions, and regulators) developed return-to-work (RTW) guidelines detailing the augmentation of standard practices to ensure safety for patients, oral health care providers (OHPs), and the community. Using online surveys, this study explored the influence of the RTW guidelines and related education on registered NS OHPs during a phased return to work. Methods: Dissemination of R2W guidelines included website or email communiques and interdisciplinary education webinars that coincided with 2 RTW phases approved by the government. Aligned with each phase, all registered dentists, dental hygienists, and dental assistants were invited to complete an online survey to gauge the influence of the coalition-sponsored education and RTW guidelines, confidence, preparedness, and personal protective equipment use before and after the pandemic. Results: Three coalition-sponsored multidisciplinary webinars hosted 3541 attendees prior to RTW. The response to survey 1 was 41% (881/2156) and to survey 2 was 26% (571/2177) of registrants. Survey 1 (82%) and survey 2 (89%) respondents “agreed/strongly agreed” that R2W guidelines were a primary source for guiding return to practice, and most were confident with education received and had the skills needed to effectively treat patients during the COVID-19 pandemic. Confidence and preparedness improved in survey 2. Gowns/lab coat use for aerosol-generating procedures increased from 26% to 93%, and the use of full face shields rose from 6% to 93% during the pandemic. Conclusions: A multistakeholder coalition was effective in establishing and communicating comprehensive guidelines and web-based education to ensure unified reintegration of oral health services in NS during a pandemic. This multiorganizational cooperation lay the foundation for responses to subsequent waves of COVID-19 and may serve as an example for collaboratively responding to future public health threats in other settings. Knowledge Transfer Statement: The return-to-work strategy that was developed, disseminated, and assessed through this COVID-19 knowledge exchange coalition will benefit oral health practitioners, professional regulators, government policy makers, and researchers in future pandemic planning.

scholarly journals Socio-demographic profile of child and adolescent users of oral health services in Victoria, Australia

2014 ◽  
Vol 30 (9) ◽  
pp. 1903-1911 ◽  
Author(s):  
J Rodrigo ◽  
Hanny Calache ◽  
Martin Whelan
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Services ◽  
Health Care Services ◽  
Social Inequalities ◽  
Secondary Analysis ◽  
Well Being ◽  
Oral Health Care ◽  
Sample Mean ◽  
Oral Health Services

The aim of this study was to investigate the socio-demographic characteristics of the eligible population of users of public oral health care services in the Australian state of Victoria, aged 17 years or younger. The study was conducted as a secondary analysis of data collected from July 2008 to June 2009 for 45,728 young clients of public oral health care. The sample mean age was 8.9 (SD: 3.5) years. The majority (82.7%) was between 6 and 17 years of age, and 50.3% were males. The majority (76.6%) was Australian-born and spoke English at home (89.1%). The overall mean DMFT was 1.0 (SD: 2.1) teeth, with a mean dmft of 3.16 (SD: 5.79) teeth. Data indicate that, among six year olds in the Significant Caries Index (SiC) category, the mean dmft was 6.82 teeth. Findings corroborate social inequalities in oral health outcome and provide suggestions for oral health services to develop strategies and priorities to reduce inequalities in health and well-being, and better coordinate and target services to local needs.

scholarly journals The Effect of Physician Oral Health Services on Dental Use and Expenditures under General Anesthesia

2019 ◽  
Vol 5 (2) ◽  
pp. 146-155 ◽  
Author(s):  
B.D. Meyer ◽  
R. Wang ◽  
M.J. Steiner ◽  
J.S. Preisser
Keyword(s):  
Health Care ◽  
Early Childhood ◽  
Oral Health ◽  
Health Services ◽  
General Anesthesia ◽  
Early Childhood Caries ◽  
Dental Treatment ◽  
Oral Health Care ◽  
Oral Health Services ◽  
The Impact

Background: Despite early evidence touting the effectiveness of physician-provided oral health services (POHS), recent evidence suggests these services might have little impact on caries-related outcomes in children. General anesthesia (GA) is often used to treat early childhood caries and may be considered the most extreme utilization outcome. We sought to assess the impact of POHS utilization on dental GA utilization and expenditures. Methods: We used the Medicaid claims of a birth cohort of children born in 2008 in North Carolina ( N = 32,558) to determine the impact of POHS on dental utilization and expenditures under GA for individual children. Children were followed until their eighth birthday. We analyzed the association of the number of prior POHS visits with visit-specific outcomes of dental treatment under GA using population-averaged models fit with generalized estimating equations with exchangeable working correlation structure. Results: Children with 2 or more previous POHS visits had reduced odds of GA (odds ratio [OR] = 0.93; confidence interval [CI], 0.87–0.99; P = 0.029) and expenditures ($114; CI,−$152.61 to −$75.19; P < 0.001) compared to those without physician-provided oral health visits, adjusting for age, sex, race/ethnicity, and geographic residence. Dental expenditures did not differ between POHS and non-POHS subjects at non-GA visits. Conclusions: POHS decreased the odds of having dental GA treatment and dental expenditures at GA visits. The role of physicians in oral health care can reduce the impact on the most severe outcome—treatment under general anesthesia. Knowledge Transfer Statement: The results of this study have important financial implications for state Medicaid programs and disease management programs trying to mitigate the costs of treating early childhood caries under general anesthesia. Children who receive physician oral health care are less likely to use and more likely to save money on general anesthesia to complete dental treatment.

scholarly journals Perception and belief in oral health among Karen ethnic group living along Thai-Myanmar border, Thailand

2020 ◽  
Author(s):  
Sai Wai Yan Myint Thu ◽  
Yaowaluk Ngeonwiwatkul ◽  
Pannamas Maneekan ◽  
Suparat Phuanukoonnon
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Services ◽  
Dental Health ◽  
Oral Health Care ◽  
Health Problems ◽  
Health Seeking ◽  
Oral Health Promotion ◽  
Health Seeking Behaviors ◽  
Oral Health Services

Abstract Background: Utilization of oral health services has been low among rural populations in Thailand, especially for minority ethnicity populations living along the borders. The aim of this study was to increase understanding of the determinants of the underutilization of oral health services among these populations.Methods: A qualitative study using in-depth interview and semi-structured interview was conducted among participants of Karen ethnicity living in Mae Tan Sub-district, Thasongyang District, Tak Province, Thailand. The interviews focused on exploring the participants’ perceptions of oral health problems, oral health and hygiene, and oral health-seeking behaviors. The verbatim-transcribed interviews were analyzed using thematic analysis.Results: A total of 101 participants (50 adults and 51 children) with a Karen ethnic background took part in the interviews. Most participants could not identify oral health problems and did not perceive dental disease as a problem unless there was severe pain that could not be relieved by painkillers. The Karen ethnic community worked as subsistence farmers, and their busy daily activities consisted of farming, going to the forest to hunt and gather, performing housework, and taking care of their children. Dental health was given a lower priority compared with general health. The perceived value of primary teeth was low, which was identified as an underlying factor resulting in delayed oral health care seeking among this population. The participants had relied on self-care throughout their lifetimes, using either traditional medicines or modern painkillers to relieve toothaches. Fear of dental procedures among children was also described as a barrier to seeking dental health care.Conclusions: This study found that the lifestyle and traditions of Karen people living in this area influence their oral health care and hygiene activities as well as their health-seeking behaviors. Further research should emphasize how to improve oral health promotion by providing necessary services and health education appropriately to Karen ethnic populations living along the Thai-Myanmar border.

Access to oral health services for urban low-income Latino children: social ecological influences

2011 ◽  
Vol 72 (1) ◽  
pp. 8-18 ◽  
Author(s):  
Sharon Telleen ◽  
Young O. Rhee Kim ◽  
Noel Chavez ◽  
Richard E. Barrett ◽  
William Hall ◽  
...  
Keyword(s):  
Oral Health ◽  
Health Services ◽  
Low Income ◽  
Latino Children ◽  
Social Ecological ◽  
Oral Health Services

scholarly journals A Survey About Dental Instruments at the Primary Health Care in Brazil

2018 ◽  
Vol 29 (5) ◽  
pp. 500-506
Author(s):  
Joyce Lopes ◽  
Andréa Clemente Palmier ◽  
Marcos Azeredo Furquim Werneck ◽  
Antônio Thomaz Gonzaga da Matta-Machado ◽  
Mauro Henrique Nogueira Guimarães de Abreu
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Oral Health ◽  
Health Services ◽  
Social Issues ◽  
Organizational Characteristics ◽  
Care Organization ◽  
Dental Instruments ◽  
Primary Health ◽  
Oral Health Services

Abstract This study describes the structure of oral health services in primary health care in Brazil and the instruments available for the provision of oral health care and to compare the number of instruments according to organizational characteristics of health services and among the macroregions. Of the 23,251 oral health teams (OHTs) in the Public Health System, 17,513 (75.3%) participated in this study. Trained researchers observed the structures of the health services and determined the presence of and whether a sufficient quantity of 36 dental instruments existed. The score of each oral health service was determined by the sum of the number of dental instruments present in sufficient quantity (0 to 36). Central tendency measures were compared along with the variability in these scores according to the organizational characteristics of the services and according to the Brazilian macroregion. No instrument was found to be present in all evaluated services. Basic, surgical and restorative instruments were the most frequently found. Periodontal, endodontic and prosthetic instruments exhibited the lowest percentages. The mean and median numbers of dental instruments were higher for teams that operated over more shifts, those with an oral health technician and those in the South and Southeast regions. The oral health services were equipped with basic, surgical and restorative instruments. Instruments designed for periodontal diagnosis, emergency care and denture rehabilitation were less frequently found in these services. The worst infrastructure conditions existed in the OHTs with the worst forms of care organization and in regions with greater social issues.

scholarly journals Improving Access and Provision of Preventive Oral Health Care for Very Young, Poor, and Low-Income Children Through a New Interdisciplinary Partnership

2015 ◽  
Vol 105 (S2) ◽  
pp. e23-e29 ◽  
Author(s):  
Diana L. Biordi ◽  
Marjet Heitzer ◽  
Eric Mundy ◽  
Marguerite DiMarco ◽  
Sherrey Thacker ◽  
...  
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Low Income ◽  
Oral Health Care ◽  
Low Income Children ◽  
Interdisciplinary Partnership

scholarly journals Non-financial barriers in oral health care: a qualitative study of patients receiving opioid maintenance treatment and professionals’ experiences

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Siv-Elin Leirvaag Carlsen ◽  
Katja Isaksen ◽  
Lars Thore Fadnes ◽  
Ole Jørgen Scheie Lygren ◽  
Anne Nordrehaug Åstrøm
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Qualitative Study ◽  
Health Services ◽  
Health Care Services ◽  
Maintenance Treatment ◽  
Oral Health Care ◽  
Opioid Maintenance Treatment ◽  
Care Services ◽  
Oral Health Services

Abstract Background People with substance use disorders often have poor oral health, which can negatively impact their quality of life. Since 2005, patients receiving opioid maintenance treatment (OMT) in Norway have been eligible for free oral health care services offered through public oral health clinics. Despite a large need for oral health services amongst patients in OMT, figures suggest that the use of these services is low amongst this patient group. It has been unclear which barriers that contribute to this. This qualitative study explores the underlying barriers to the use of oral health care services amongst patients in OMT, from the perspective of the patients as well as dental health care workers (DHW). Methods Through a combination of focus group interviews and individual interviews, data were collected from 63 participants; 30 patients in OMT and 33 DHW. Thematic analysis identified key themes for the use (or not) of oral health care services amongst patients in OMT. Results Both individual and structural barriers prevent OMT patients from using the free oral health care services offered to them. These barriers include struggling to attend appointments, anxiety and fear of dentists, discrepancies between patients’ expectations and the services offered and perceived stigma. OMT patients’ lack of information regarding their rights and access to oral health services was also a barrier, as was DHWs’ lack of knowledge and information of the OMT system and what they can offer patients. Conclusions OMT patients face several barriers in accessing and using oral health care services. However, through a number of relatively simple measures, it is possible that the use of oral health services amongst OMT patients can be increased.

scholarly journals Perception and belief in oral health among Karen ethnic group living along Thai-Myanmar border, Thailand

2020 ◽  
Author(s):  
Sai Wai Yan Myint Thu ◽  
Yaowaluk Ngeonwiwatkul ◽  
Pannamas Maneekan ◽  
Suparat Phuanukoonnon
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Services ◽  
Dental Health ◽  
Oral Health Care ◽  
Health Problems ◽  
Health Seeking ◽  
Oral Health Promotion ◽  
Health Seeking Behaviors ◽  
Oral Health Services

Abstract Background: Utilization of oral health services has been low among rural populations in Thailand, especially for minority ethnicity populations living along the borders. The aim of this study was to increase understanding of the determinants of the underutilization of oral health services among these populations.Methods: A qualitative study using in-depth interview and semi-structured interview was conducted among participants of Karen ethnicity living in Mae Tan Sub-district, Thasongyang District, Tak Province, Thailand. The interviews focused on exploring the participants’ perceptions of oral health problems, oral health and hygiene, and oral health-seeking behaviors. The verbatim-transcribed interviews were analyzed using thematic analysis.Results: A total of 101 participants (50 adults and 51 children) with a Karen ethnic background took part in the interviews. Most participants could not identify oral health problems and did not perceive dental disease as a problem unless there was severe pain that could not be relieved by painkillers. The Karen ethnic community worked as subsistence farmers, and their busy daily activities consisted of farming, going to the forest to hunt and gather, performing housework, and taking care of their children. Dental health was given a lower priority compared with general health. The perceived value of primary teeth was low, which was identified as an underlying factor resulting in delayed oral health care seeking among this population. The participants had relied on self-care throughout their lifetimes, using either traditional medicines or modern painkillers to relieve toothaches. Fear of dental procedures among children was also described as a barrier to seeking dental health care.Conclusions: This study found that the lifestyle and traditions of Karen people living in this area influence their oral health care and hygiene activities as well as their health-seeking behaviors. Further research should emphasize how to improve oral health promotion by providing necessary services and health education appropriately to Karen ethnic populations living along the Thai-Myanmar border.

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