How a North Carolina program boosted preventive oral health services for low-income children
Open accessAbstract
Dental caries (tooth decay), the most common chronic disease affecting young children, is exacerbated by limited access to preventive dental services for low-income children. To address this problem, North Carolina implemented a program to reimburse physicians for up to six preventive oral health visits for Medicaid-enrolled children younger than age three. Analysis of physician and dentist Medicaid claims from the period 2000-2006 shows that the program greatly increased preventive oral health services. By 2006 approximately 30 percent of well-child visits for children ages six months up to three years included these services. However, additional strategies are needed to ensure preventive oral health care for more low-income children.
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Studies from the 2000-2006 implementation period show that the IMB program increases access to preventive oral health services.
“Studies from the implementation period, 2000 – 2006, demonstrate that the IMB program increases access to POHS.15”
From Access to preventive services after the integration of oral health care into early childhood education and medical care (2018) · cites this paper as [15]
By 2006, the rate of preventive oral health visits in medical offices was 40 per 100 enrollees, nearly four times the dentist visit rate of 11 per 100 enrollees.
“By 2006 the rate of POHS visits in medical offices was 40 per 100 enrollees, almost four times larger than the rate of dentist visits at 11 per 100 enrollees.15”
From Access to preventive services after the integration of oral health care into early childhood education and medical care (2018) · cites this paper as [15]
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- Authors
- Rozier, R. G., Stearns, S. C., Pahel, B. T., Quinonez, R. B., & Park, J.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Rocio B. Quinonez is a clinical associate professor in the Departments of Pediatric Dentistry and Pediatrics at the University of North Carolina at Chapel Hill.
- American Board of Internal Medicine (US)
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- Published
- 2010-12
- Volume
- 29
- Issue
- 12
- Pages
- 2278-2285
- ISSN
- 0278-2715 (ISSN-L)
- 1544-5208
- PMC
- PMC5702492
- OpenAlex
- W2122018537
- Cited by
- 63
- References
- 17
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 6 · 2022: 3 · 2021: 2 · 2020: 1 · 2019: 3 · 2018: 5 · 2017: 4 · 2016: 4 · 2015: 5 · 2014: 14 · 2013: 4 · 2012: 6
- FWCI
- 5.20
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Health Affairs (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
- UNC Libraries
- Funders
- National Institute of Dental and Craniofacial Research (R01DE013949, R03DE017350)
- Topics
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Keywords
- dental caries, low-income children, Medicaid, physician reimbursement, well-child visits, early childhood oral health, access to dental care, North Carolina
- MeSH terms
- Child, Preschool, Dental Caries, Female, Humans, Infant, Male, Medicaid, North Carolina, Oral Health, Poverty, Regression Analysis, Reimbursement Mechanisms, United States, Program Evaluation, Databases, Factual
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