Oral Health Disparities in Publicly Insured Children

公共保险儿童的口腔健康差异

• 批准号: 6928076
• 负责人: TEGWYN H BRICKHOUSE
• 金额: $ 13.34万
• 依托单位: VIRGINIA COMMONWEALTH UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-15 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6928076
• 关键词: Medicare /Medicaid; adolescence (12-20); behavioral /social science research tag; child (0-11); clinical research; dental health services; health care service availability; health care service evaluation; health disparity; health services research tag; hospital utilization; human data; managed care; oral health

DESCRIPTION (provided by applicant): This application is for a NIH Career Award through the Faculty Transition Phase of the NIDCR Scholar Development and Faculty Transition Award. This application proposes a comprehensive interdisciplinary program of necessary training and mentorship to develop into an independent investigator. The applicant has an established record of commitment and interest in research and academic dentistry. Problem: There are significant disparities in access to dental care in this country, particularly for low-income children and those with special health care needs. Purpose: This project investigates disparities in access to dental care and pediatric performance measures of oral health care provided to children (1-18 years) enrolled in public insurance programs that currently exist in North Carolina and Virginia. Methods: North Carolina's (NC) public insurance dental plans (Medicaid/SCHIP) are administered as fee-for-service programs, while Virginia's (VA) publicly insured children are enrolled in both managed care organizations and fee-for-service dental programs. This project will examine the impact of health care organizational factors such as managed care versus fee-for-service programs and the difference in plan performance measures on pediatric oral health outcomes. Aims: The first study will describe the dynamics of enrollment and the access to dental services over a three-year period (2001-2003) of publicly insured children in both states. The second study will examine the performance of dental plans (utilization, effectiveness of prevention and quality) for children over this three-year period. The third study will examine the likelihood of hospital use versus the conventional dental setting for enrolled children 1-5 years of age. The fourth study is a feasibility project aimed at exploring the clinical implications of oral health case management in the medical arena. Benefit: This mix of quantitative techniques and a clinical study will be utilized to address the NIDCR Priority Research Area of eliminating oral health disparities.

描述（由申请人提供）：此申请是通过NIDCR学者发展和教师过渡奖的教师过渡阶段获得NIH职业奖的。该申请提出了一项全面的跨学科计划，包括必要的培训和指导，以发展为独立研究者。申请人在研究和学术牙科方面拥有既定的承诺和兴趣记录。问题：该国获得牙科护理的差异很大，尤其是对于低收入儿童和有特殊医疗保健需求的儿童。目的：该项目调查了提供给儿童（1-18岁）提供的口腔保健牙科护理和儿科绩效指标的差异，该保健（1-18岁）参加了目前在北卡罗来纳州和弗吉尼亚州目前存在的公共保险计划。方法：北卡罗来纳州（NC）公共保险牙科计划（医疗补助/SCHIP）被当作收费服务计划，而弗吉尼亚州（VA）公开保险的儿童都被纳入托管护理组织和服务费用的服务牙科计划。该项目将研究医疗保健组织因素的影响，例如托管护理与服务费计划，以及计划绩效指标对小儿口腔健康结果的差异。目的：第一项研究将描述两年中三年内公开保险儿童的入学动力和获得牙科服务的动态。第二项研究将研究这三年的儿童牙科计划（利用率，预防和质量的有效性）的表现。第三项研究将研究医院使用的可能性与1-5岁儿童的常规牙科环境。第四项研究是一个可行性项目，旨在探索医疗领域口腔健康病例管理的临床意义。好处：这种定量技术和临床研究的组合将用于解决消除口腔健康差异的NIDCR优先研究领域。