Economic Evaluation of School-Based Caries Prevention Programs

学校防龋项目的经济评价

基本信息

批准号：
10468094
负责人：
Shulamite S Huang
金额：
$ 16.85万
依托单位：
NEW YORK UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-09-01 至 2024-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10468094
关键词：
Accounting Address Affect Applications Grants Award Behavior Therapy Caries prevention Caring Child Clinical Research Clinical Sciences Clinical Trials Complex Data Data Collection Data Linkages Data Sources Decision Making Dental Dental Care Dental Care Delivery Dental General Practice Dental caries Dentistry Dentists Department chair Economic Policy Enrollment Epidemiology Evaluation Face Foundations Future Goals Gold Health Health Care Costs Health Promotion Health Services Research Healthcare Individual Intervention K-Series Research Career Programs Link Medicaid Medical Mentors Modeling Mouth Diseases National Institute of Dental and Craniofacial Research New York Oral Oral health Outcome Parents Participant Population Postdoctoral Fellow Pragmatic clinical trial Prevention Prevention program Privatization Public Health Quantitative Evaluations Reduce health disparities Reporting Research Research Design Research Methodology Research Personnel Research Support Risk School-Age Population Schools Selection Bias Site Social Sciences Strategic Planning Structure Students Training Universities Variant Work analytical method barrier to care base beneficiary budget impact care burden care systems career career development college comparison group cost cost effective cost effectiveness cost-effectiveness evaluation data standards design economic evaluation experience health care cost/financing health care delivery health economics health equity health inequalities high risk high risk population improved income disparities insight large datasets mathematical model medical schools mid-career faculty novel outreach payment population health prevent professor programs public health research research clinical testing systematic review trial comparing

项目摘要

Abstract The primary goal of this project is to improve oral health care delivery and reduce health inequities by conducting robust economic evaluations to support decision-making by policymakers and stakeholders. To achieve this goal, the proposed study has three primary objectives, which are to evaluate how variation in program design of school-based caries prevention programs (SCPPs) and prior use of dental care impacts (1) oral health outcomes, (2) use and spending within Medicaid, and (3) the overall cost-effectiveness and budget impact of SCPPs. This will be done using a novel data linkage between oral health outcomes data from a pragmatic clinical trial of two multi-site SCPPs and New York Medicaid claims data. Prior systematic reviews of SCPPs have found significant variation in SCPP program design and implementation. As a result, the proposed study is critical to identify cost-effective SCPP program designs in real-world settings. In support of this research, Dr. Shulamite S. Huang is applying for a K-25 award. Dr. Huang, a health economist specializing in the study of the dental market at New York University College of Dentistry, is establishing herself as a young investigator in economic evaluations of dental interventions and oral health services research. This award will allow Dr. Huang to integrate her background and experience in health economics and policy evaluation with additional training in clinical research methods and evaluation of clinical interventions, and work towards reducing health disparities and improving health care delivery and quality. In Aim 1, Dr. Huang will determine the impact of SCPPs on oral health outcomes, after accounting for prior dental care use. As part of this aim, Dr. Huang will link oral health outcomes data from a pragmatic clinical trial comparing two different SCPP program designs to New York Medicaid/CHIP claims data at the individual level. In Aim 2, Dr. Huang will evaluate the impact of SCPPs on utilization and spending on care for dental conditions for children enrolled in Medicaid/CHIP. In Aim 3, Dr. Huang will evaluate the cost-effectiveness and budget impact of different SCPP program designs relative to a no-SCPP scenario. This research will launch Dr. Huang’s career in oral health services research, which aims to combine mathematical modeling with large dataset analyses to study the impact of changes in dental care delivery and payment on large populations. This work will be in the form of an R01 grant application prior to the completion of the K-award. Dr. Huang has assembled a mentoring team comprised of a primary mentor, Dr. Heather Gold, an expert in population health research and economic evaluations of clinical & behavioral interventions and Associate Professor at NYU Langone Health and School of Medicine; and one co-mentor, Dr. Richard Niederman, a dentist and Professor and Chair of the Department of Epidemiology and Health Promotion at NYU College of Dentistry, who conducts the SCPP pragmatic clinical trial providing data for this study.

摘要该项目的主要目的是改善口腔保健提供并减少健康不平等进行强大的经济评估，以支持决策者和利益相关者的决策。到实现这一目标，拟议的研究具有三个主要目标，以评估基于学校的龋齿预防计划（SCPP）的计划设计和事先使用牙科护理影响（1）口腔健康结果，（2）在医疗补助中使用和支出，以及（3）总体成本效益和预算 SCPP的影响。这将使用来自口服健康结果的新数据链接来完成。两个多站点SCPP和纽约医疗补助索赔数据的务实临床试验。先前的系统评价 SCPP发现SCPP计划设计和实施方面有显着差异。结果，拟议的研究对于在现实世界中确定具有成本效益的SCPP计划设计至关重要。为了支持这项研究，Shulamite S. Huang博士申请了K-25奖。黄博士，健康专门研究纽约大学牙科学院牙科市场的经济学家，在牙科干预和口腔健康方面的经济评估中成为年轻的研究者服务研究。该奖项将使黄博士能够整合她在健康方面的背景和经验经济学和政策评估以及临床研究方法的其他培训和临床评估干预措施，并致力于减少健康分配并改善医疗保健提供和质量。在AIM 1中，黄博士将确定SCPP对口腔健康结果的影响先前的牙科护理使用。作为此目标的一部分，黄博士将从务实的临床上将口腔健康结果数据联系起来试验将两种不同的SCPP计划设计与纽约医疗补助/筹码索赔数据进行比较等级。在AIM 2中，黄博士将评估SCPP对利用和支出对牙科的护理的影响参加医疗补助/筹码的儿童条件。在AIM 3中，黄博士将评估成本效益和相对于NO-SCPP方案，不同SCPP计划设计的预算影响。这项研究将启动博士。黄在口腔卫生服务研究中的职业，旨在将数学建模与大型建模相结合数据集分析以研究牙科护理交付和付款变化对大量人群的影响。这项工作将以R01赠款申请的形式，然后在K-award完成之前。 Huang博士组建了一个心理团队，完成了一个主要的心理，Heather Gold博士临床和行为干预措施的人口健康研究和经济评估专家 NYU Langone Health和医学院的副教授；还有一位副主持人理查德博士尼德曼（Niederman）纽约大学牙科学院进行了SCPP实用临床试验，为这项研究提供了数据。