Evidence map›Paper›PMID 27957734›Full record

ArticleHealth services research2018

Impact of Wisconsin Medicaid Policy Change on Dental Sealant Utilization.

Christopher Okunseri, Elaye Okunseri, Raul I Garcia, Cesar Gonzalez, Alexis Visotcky, Aniko Szabo

Open access · greenAbstract read
In one paragraph

Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 28% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
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

6 authors at 3 institutions in 1 country.

Christopher OkunseriDepartment of Clinical Services, Marquette University School of Dentistry, Milwaukee, WI.
Elaye OkunseriDepartment of Clinical Services, Marquette University School of Dentistry, Milwaukee, WI.
Raul I GarciaDepartment of Health Policy and Health Services Research, Henry M. Goldman School of Dental Medicine, Boston University, Boston, MA.
Cesar GonzalezDepartment of Developmental Sciences, Marquette University School of Dentistry, Milwaukee, WI.
Alexis VisotckyDivision of Biostatistics, Institute for Health and Society, Medical College of Wisconsin, Milwaukee, WI.
Aniko SzaboDivision of Biostatistics, Institute for Health and Society, Medical College of Wisconsin, Milwaukee, WI.
Marquette University · USMedical College of Wisconsin · USBoston University · US

Funding

Dental Sealant Placements on Children's Teeth: Assessing Medicaid Policy ChangeR03DE024494 · NIDCR · MARQUETTE UNIVERSITY · PI OKUNSERI, CHRISTOPHER · 2014 to 2015
$315k
NIDCR NIH HHS R03 DE024494
6 · The paper itself

Abstract

backgroundIn September 2006, Wisconsin Medicaid changed its policy to allow nondentists to become certified Medicaid providers and to bill for sealants in public health settings.

objectiveThis study examined changes in patterns of dental sealant utilization in first molars of Wisconsin Medicaid enrollees associated with a policy change. DATA SOURCE: The Electronic Data Systems of Medicaid Evaluation and Decision Support for Wisconsin from 2001 to 2009. STUDY

designRetrospective claims data analysis of Wisconsin Dental Medicaid for children aged 6-16 years. PRINCIPAL

findingsA total of 479,847 children followed up for 1,441,300 person-years with 64,546 visits were analyzed. The rate of visits for sealants by dentists increased significantly from 3 percent per year prepolicy to 11 percent per year postpolicy, and that of nondentists increased from 18 percent per year to 20 percent after the policy change, but this was not significant. Non-Hispanic blacks had the lowest visit rates for sealant application by dentists and nondentists pre- and postpolicy periods.

conclusionsThe Wisconsin Medicaid policy change was associated with increased rates of visits for dental sealant placement by dentists. The rate of visits with sealant placements by nondentists increased at the same rate pre- and postpolicy change.

Indexed as

AdolescentChildDentistsFemaleHealth Services AccessibilityHealth Services ResearchHumansInsurance Claim ReviewMaleMedicaidPit and Fissure SealantsPublic Health PracticeRacial GroupsRetrospective StudiesUnited StatesWisconsinPit and Fissure Sealantsaccess to caredental sealantMedicaid-enrolled childrenpolicy change

Identifiers

PMID27957734
PMCPMC5785323
OpenAlexW2563415380

What OpenQuestion holds

Textmetadata
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.