Preventive dental care among Medicaid-enrolled senior adults: from community to nursing facility residence
| Autor: | Howard J. Cowen, Leonardo Marchini, Marsha A. Cunningham-Ford, Mercedes Bern-Klug, Mary C Kelly, Daniel J. Caplan, Elizabeth T. Momany |
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| Rok vydání: | 2017 |
| Předmět: |
Receipt
medicine.medical_specialty business.industry Nursing facility Dental procedures Public Health Environmental and Occupational Health 030206 dentistry Oral health Dental care stomatognathic diseases 03 medical and health sciences 0302 clinical medicine Family medicine Emergency medicine Medicine Residence 030212 general & internal medicine business General Dentistry Dental Procedure Medicaid |
| Zdroj: | Journal of Public Health Dentistry. 78:86-92 |
| ISSN: | 0022-4006 |
| DOI: | 10.1111/jphd.12247 |
| Popis: | Objective The primary objective of this study was to determine whether the utilization rate of preventive oral health care services while senior adults were community-dwelling differed from the rate after those same senior adults were admitted to nursing facilities. A secondary objective was to evaluate other significant predictors of receipt of preventive oral health procedures after nursing facility entry. Methods Iowa Medicaid claims from 2007–2014 were accessed for adults who were 68+ years upon entry to a nursing facility and continuously enrolled in Medicaid for at least three years before and at least two years after admission (n = 874). Univariate, bivariate and multivariable analyses were conducted. Results During the five years that subjects were followed, 52.8% never received a dental exam and 75.9% never received a dental hygiene procedure. More Medicaid-enrolled senior adults received ≥1 preventive dental procedure in the two years while residing in a nursing facility compared to the three years before entry. In multivariable analyses, the strongest predictor of preventive oral health care utilization after entry was the receipt of preventive oral health services before entry (p |
| Databáze: | OpenAIRE |
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