ArticleHealth services research2011
Provision of fluoride varnish to Medicaid-enrolled children by physicians: the Massachusetts experience.
Article in Health services research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors perceived by health professionals to be barriers or facilitators to caries prevention in children: a systematic review.BMC oral health · 2023Pooled it
- Barriers and Facilitators to Optimal Fluoride Varnish Application.Academic pediatrics · 2024Article
- A Time Study Analysis of Fluoride Varnish Application in Pediatric Well Visits to Address Health Disparities among Children.Journal of applied research on industrial engineering · 2024Article
- Medicaid Payment and Fluoride Varnish Application During Pediatric Medical Visits.Medical care research and review : MCRR · 2022Article
- Variation in prices for an evidence-based pediatric preventive service.Health services research · 2022Article
- Variation in Current Guidelines for Fluoride Varnish Application for Young Children in Medical Settings in the United States.Frontiers in public health · 2022Article
- Oral Health Stakeholders: A Time for Alignment and Action.The Milbank quarterly · 2021Article
- Improving oral health through dental fluoride varnish application in a primary care paediatric practice.BMJ open quality · 2019Article
- Oral Health Integration Into a Pediatric Practice and Coordination of Referrals to a Colocated Dental Home at a Federally Qualified Health Center.American journal of public health · 2017Article
- The effect of Medicaid primary care provider reimbursement on access to early childhood caries preventive services.Health services research · 2015Article
- Impact of an interprofessional oral health education program on health care professional and practice behaviors: a RE-AIM analysis.Pediatric health, medicine and therapeutics · 2015Article
- Adoption and implementation of policies to support preventive dentistry initiatives for physicians: a national survey of Medicaid programs.American journal of public health · 2013Article
- Relationship between medical well baby visits and first dental examinations for young children in Medicaid.American journal of public health · 2013Article
- Use of the Fluoride Varnish Billing Code in a Tertiary Care Center Setting.Journal of primary care & community healthArticle
- Oral health opinions and practices of pediatricians: updated results from a national survey.Academic pediatricsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectivesTo evaluate the impact of a 2008 Medicaid policy in Massachusetts (MA), regarding reimbursing physicians for providing fluoride varnish (FV) to eligible children in medical settings. DATA SOURCE: Survey of a sample of primary care physicians in MA. STUDY
designCross-sectional survey of a sample of physicians who provide care to MassHealth (MA Medicaid) enrolled-children. DEPENDENT VARIABLES: history of completed preventive dental skills training, and FV provision. INDEPENDENT VARIABLES: oral health knowledge, FV-attitudes, and physician and practice characteristics. PRINCIPAL
findingsOverall, 19 percent of respondents had completed the training required to be eligible to bill for FV provision. Only 5 percent of physicians were providing FV. Most respondents (63 percent) were not familiar with the new policy, and only 25 percent felt that FV should be provided during well-child visits. Most physicians (60 percent) did not feel that the reimbursement rate of U.S.$26/application was sufficient; 17 percent said that they would not provide FV, regardless of payment. Most common barriers to FV provision were a lack of time and logistical challenges.
conclusionsOur findings suggest that simply reimbursing physicians for FV provision is insufficient to ensure provider participation. Success of this policy will likely require addressing several barriers identified.
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Registered trials
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