首次牙科就诊年龄：儿科医疗之家的益处

IF 1.8 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Journal of public health dentistry Pub Date : 2024-04-29 DOI:10.1111/jphd.12619

Natalie Bussard DDS, MS, MPH, Paul Casamassimo DDS, MS, Homa Amini DDS, MS, MPH, Jin Peng MD, MS, PhD, Andrew Wapner DO, MPH, Beau D. Meyer DDS, MPH

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引用次数: 0

摘要

这项回顾性队列研究比较了在儿科医疗之家接受氟化物清漆治疗的儿童在一岁牙科就诊和首次牙科就诊年龄方面的差异。方法研究使用了 "儿童伙伴"（Partners For Kids）的注册和索赔数据，该组织是一个儿科责任医疗组织，覆盖俄亥俄州 88 个县中 47 个县的医疗补助注册儿童。主要结果是一岁时接受过一次牙科就诊和首次牙科就诊时的平均年龄。结果在 17,675 名儿童中，2.8% 的儿童接受过一次牙科检查。首次牙科检查的平均年龄为 4.8 岁。从医疗之家接受氟化物清漆治疗的儿童（占研究人群的 12%）在首次牙科就诊时的年龄明显更小（4.1 岁对 4.9 岁，p < 0.001）。儿科医疗之家降低了首次牙科就诊的年龄。

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Age of first dental visits: A benefit of the pediatric medical home

Objective

This retrospective cohort study compared differences in age one dental visit use and age at first dental visit according to fluoride varnish receipt at the pediatric medical home.

Methods

Enrollment and claims data were used from Partners For Kids, a pediatric accountable care organization covering Medicaid-enrolled children living in 47 of 88 counties in Ohio. The main outcomes were having an age one dental visit and the mean age at first dental visit. Descriptive statistics and bivariate comparisons were applied.

Results

Among 17,675 children, 2.8% had an age one dental visit. The mean age at first dental visit was 4.8 years. Children who received fluoride varnish from their medical home (12% of study population) were significantly younger at their first dental visit (4.1 vs. 4.9 years, p < 0.001).

Conclusion

Despite longstanding recommendations for the age one dental visit, very few Medicaid-enrolled children in Ohio had one. The pediatric medical home lowered the age of first dental visit.

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来源期刊

Journal of public health dentistry 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.80

自引率

4.30%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Public Health Dentistry is devoted to the advancement of public health dentistry through the exploration of related research, practice, and policy developments. Three main types of articles are published: original research articles that provide a significant contribution to knowledge in the breadth of dental public health, including oral epidemiology, dental health services, the behavioral sciences, and the public health practice areas of assessment, policy development, and assurance; methods articles that report the development and testing of new approaches to research design, data collection and analysis, or the delivery of public health services; and review articles that synthesize previous research in the discipline and provide guidance to others conducting research as well as to policy makers, managers, and other dental public health practitioners.