Skip Navigation

Strengthen the Evidence for Maternal and Child Health Programs

Find Established Evidence


Displaying records 1 through 6 (6 total).

Binkley C, Garrett B, Johnson K. Increasing dental care utilization by Medicaid-eligible children: a dental care coordinator intervention. J Public Health Dent. 2010;70(1):76-84. Access Abstract

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): CAREGIVER, Home Visit (caregiver), Educational Material (caregiver), Oral Health Product, Patient Navigation (Assistance), PROVIDER/PRACTICE, Outreach (Provider), Education/Training (caregiver)
Intervention Description: The aim of this study was to determine the effect of a dental care coordinator intervention on increasing dental utilization by Medicaid-eligible children compared with a control group.
Conclusion: The dental care coordinator intervention significantly increased dental utilization compared with similar children who received routine Medicaid member services. Public health programs and communities endeavoring to reduce oral health disparities may want to consider incorporating a dental care coordinator along with other initiatives to increase dental utilization by disadvantaged children.
Study Design: RCT
Significant Findings: Yes
Setting: Jefferson County in Louisville, KY
Target Audience: Children aged 4-15 years who currently or for 2 years prior had Medicaid insurance but have not had Medicaid dental claims filed for the previous 2 years
Data Source: Medicaid claims
Sample Size: Intervention (n=68) Control (n=68)
Age Range: not specified

Grembowski D, Milgrom PM. Increasing access to dental care for Medicaid preschool children: the Access to Baby and Child Dentistry (ABCD) program. Public Health Rep. 2000;115(5):448-459. Access Abstract

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): CAREGIVER, Outreach (caregiver), PROVIDER/PRACTICE, POPULATION-BASED SYSTEMS, STATE, Medicaid Reform, Education/Training (caregiver), Provider Training/Education
Intervention Description: This study aimed to determine the Washington State's Access to Baby and Child Dent stry (ABCD) Program's effect on children's dental utilization and dental fear, and on parent satisfaction and knowledge.
Conclusion: The authors conclude that the ABCD Program was effective in increasing access for preschool children enrolled in Medicaid, reducing dental fear, and increasing parent satisfaction.
Study Design: QE: nonequivalent control group
Significant Findings: Yes
Setting: Spokane County in WA
Target Audience: Children aged 12-36 months enrolled in Medicaid as of August 31, 1997
Data Source: Parent survey
Sample Size: Intervention (n=228) Control (n=237)
Age Range: not specified

Beazoglou T, Douglass J, Myne-Joslin V, Baker P, Bailit H. Impact of fee increases on dental utilization rates for children living in Connecticut and enrolled in Medicaid. J Am Dent Assoc. 2015;146(1):52-60. Access Abstract

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): CAREGIVER, Outreach (caregiver), PROVIDER/PRACTICE, Outreach (Provider), POPULATION-BASED SYSTEMS, STATE, Medicaid Reform
Intervention Description: The authors obtained Medicaid eligibility, claims, and provider data before and after the fee increase, in 2006 and 2009 through 2012, respectively. Their analysis examined changes in utilization rates, service mix, expenditures, and dentists' participation. The authors qualitatively assessed the general impact of the recession on utilization rate changes.
Conclusion: The Medicaid fee increase, program improvements, and the recession had a dramatic impact on reducing disparities in children's access to dental care in Connecticut.
Study Design: QE: pretest-posttest
Significant Findings: No
Setting: Connecticut
Target Audience: Children continuously enrolled in Medicaid (Healthcare for UninSured Kids and Youth A program) for at least 11 months and 1 day within a calendar year
Data Source: Medicaid enrollment and encounter data
Sample Size: 2006 (n=161,130) 2009 (n=166,787) 2010 (n=204,550) 2011 (n=215,377) 2012 (n=214,680)
Age Range: not specified

Nietert PJ, Bradford WD, Kaste LM. The impact of an innovative reform to the South Carolina dental Medicaid system. Health Serv Res. 2005;40(4):1078-1091. Access Abstract

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): CAREGIVER, Patient Navigation (Assistance), PROVIDER/PRACTICE, Outreach (Provider), POPULATION-BASED SYSTEMS, STATE, Medicaid Reform
Intervention Description: To evaluate the effectiveness of an innovative reform in 2000 to the Dental Medicaid program in South Carolina.
Conclusion: The January 2000 dental Medicaid reform in South Carolina had marked impact on Medicaid enrollees' access to dental services.
Study Design: QE: pretest-posttest
Significant Findings: Yes
Setting: South Carolina
Target Audience: Children aged 2-21 years enrolled in Medicaid
Data Source: Medicaid claims
Sample Size: 1998 (n=377,690) 1999 (n=447,069) 2000 (n=504,642)
Age Range: not specified

Lipper J. Advancing Oral Health through the Women, Infants, and Children Program: A New Hampshire Pilot Project. (2016). Center for Health Care Strategies. Access Abstract

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Oral Health Education, Oral Health Supplies, PROVIDER/PRACTICE, Designated Clinic/Extended Hours, Quality Improvement/Practice-Wide Intervention
Intervention Description: The state of New Hampshire created a pilot project to integrate preventive oral health care for low-income women and children through local sites of the Women, Infants and Children (WIC) program. This profile details New Hampshire’s experiences and offers considerations for state agencies, federal policymakers, and other interested stakeholders to explore alternative channels for reaching low-income populations with oral health care and education.

Zivkovic, N., Aldossri, M., Gomaa, N., Farmer, J. W., Singhal, S., Quiñonez, C., & Ravaghi, V. (2020). Providing dental insurance can positively impact oral health outcomes in Ontario. BMC health services research, 20(1), 1-9. Access Abstract

NPM: 13-2: Oral Health in Childhood
Intervention Components (click on component to see a list of all articles that use that intervention): STATE, Public Insurance (State), HEALTH_CARE_PROVIDER_PRACTICE, Public Insurance (Health Care Provider/Practice)
Intervention Description: Researchers used data on individuals 12 years of age and older from the Canadian Health Survey to esitmate the marginal effects (ME) of having dental insurance including increased dental attendance.
Conclusion: Findings suggest that dental insurance is associated with improved dental visiting behaviours and oral health status outcomes. Policymakers could consider universal dental coverage as a means to support financially vulnerable populations and to reduce oral health disparities between the rich and the poor.
Significant Findings: Yes
Setting: Community
Target Audience: Children 12 years of age and older

   

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.