Evidence map›Paper›PMID 23763420›Full record

ArticleAmerican journal of public health2013

Adoption and implementation of policies to support preventive dentistry initiatives for physicians: a national survey of Medicaid programs.

Lattice D Sams, R Gary Rozier, Rebecca S Wilder, Rocio B Quinonez

Abstract read
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Article in American journal of public health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
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22citing papers in PubMed, 1 pooled it
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1 · What the graph read from 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.

2 · The registry

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3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Lattice D SamsDepartment of Dental Ecology, University of North Carolina at Chapel Hill School of Dentistry, 3240 Old Dental Building, Chapel Hill, NC 27599-7450, USA. samsl@dentistry.unc.edu
R Gary Rozier
Rebecca S Wilder
Rocio B Quinonez

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe determined the number of state Medicaid programs adopting initiatives to support preventive dental services provision by nondental health care professionals, their perceived attributes, and implementation barriers.

methodsWe used Qualtrics to conduct a cross-sectional survey in 2008 of Medicaid dental program managers to determine organizational stage of adoption classified according to the Transtheoretical Model of Behavior Change with 3-year follow-up. We assessed perceptions of the influence of 18 initiative attributes on the decision to adopt, drawn from Roger's diffusion of innovations theory. Stage and date of adoption are presented descriptively. Attributes and barriers were analyzed by stage of adoption by using analyses of variance or χ(2) statistics.

resultsBy 2011, 42 states had adopted a policy. Only 9 states included a comprehensive set of preventive services, the most common being fluoride varnish. Adoption was affected by perceived initiative simplicity and its compatibility with other Medicaid programs. Administrative barriers were the most common among the 15 studied.

conclusionsState Medicaid policies to reimburse nondental providers for preventive dental services are becoming widespread. Interventions are needed to ensure oral health services delivery at the practice level.

Indexed as

MedicaidChildChild, PreschoolChi-Square DistributionCross-Sectional StudiesDental Care for ChildrenDental CariesDiffusion of InnovationFemaleFluorides, TopicalHumansMalePractice Patterns, Physicians'Preventive DentistrySurveys and QuestionnairesUnited StatesFluorides, Topical

Identifiers

PMID23763420
PMCPMC4007883

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.