Evidence map›Paper›PMID 25489032›Full record

ArticleHealth affairs (Project Hope)2014

North Carolina physician-based preventive oral health services improve access and use among young Medicaid enrollees.

Ashley M Kranz, Jessica Lee, Kimon Divaris, A Diane Baker, William Vann

Open access · greenAbstract read
In one paragraph

Article in Health affairs (Project Hope), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.3field-weighted citation impact, top 13% of its field
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

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.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 21 citations in OpenAlex.

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  9. Delivery of Preventive Oral Health Services by Rurality: A Cross-Sectional Analysis.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Ashley M KranzAshley M. Kranz (akranz@unc.edu) is an adjunct assistant professor of pediatric dentistry at the University of North Carolina-Chapel Hill School of Dentistry, and a Health Systems Integration Program fellow at the Health and Human Services Agency, County of San Diego, in California.
Jessica LeeJessica Lee is a distinguished professor and chair in pediatric dentistry at the University of North Carolina-Chapel Hill School of Dentistry.
Kimon DivarisKimon Divaris is an associate professor in pediatric dentistry at the University of North Carolina-Chapel Hill School of Dentistry.
A Diane BakerA. Diane Baker is a research associate at the University of North Carolina-Chapel Hill School of Dentistry.
William VannWilliam Vann Jr. is a research professor in pediatric dentistry at the University of North Carolina-Chapel Hill School of Dentistry.
University of North Carolina at Chapel Hill · USHealth and Human Services Agency · US

Funding

Examination of Oral Health Literacy in Public Health PracticeR01DE018045 · NIDCR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LEE, JESSICA Y · 2007 to 2014
$2.8M
Training Program for the Next Generation of Oral Health Researchers (NextGen)T90DE021986 · NIDCR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI EVERETT, ERIC T. · 2011 to 2017
$2.3M
NIDCR NIH HHS 5T90DE021986-03NIDCR NIH HHS R01 DE018045NIDCR NIH HHS R01DE018045NIDCR NIH HHS T90 DE021986
6 · The paper itself

Abstract

To combat disparities in oral health and access to dental care among infants and toddlers, most state Medicaid programs now reimburse physician-based preventive oral health services such as fluoride varnish applications. We used geospatial data to examine the distribution of dental and medical Medicaid providers of pediatric oral health services throughout North Carolina to determine if these services have improved access to care for Medicaid enrollees younger than age three. We then used claims data to examine the association between distance from these practices and use of dental services for a cohort of approximately 1,000 young children. Among one hundred counties, four counties had no physician-based preventive oral health services, and nine counties had no dental practice. While children who lived farther from the nearest dental practice were less likely to make dental visits, distance from physician-based preventive oral health services did not predict utilization. For young Medicaid enrollees, oral health services provided in medical offices can improve access and increase utilization.

Indexed as

Child, PreschoolDental Care for ChildrenHealth Services AccessibilityHumansInfantMedicaidNorth CarolinaOral HealthPreventive DentistryUnited StatesAccess To CareChildren’s HealthDisparitiesMedicaidOral Health Care

Identifiers

PMID25489032
PMCPMC4331078
OpenAlexW2029939426

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.