ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2019
Delivery of Preventive Oral Health Services by Rurality: A Cross-Sectional Analysis.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Oral Health Interventions to Improve Access in Rural Areas of High-Income Countries: A Mixed Methods Systematic Review.Community dentistry and oral epidemiology · 2026Pooled it
- Evaluating the Effect of National Background Check Program on Nursing Home Deficiency Citations.Health services research · 2026Article
- Barriers and Facilitators to Delivery of Fluoride Varnish Application in Pediatric Well-Child Visits: A Post-Implementation Analysis.Global implementation research and applications · 2025Article
- Clinician characteristics associated with fluoride varnish applications during well-child visits.The American journal of managed care · 2024Observational
- Association Between Insurance Type and Fluoride Varnish Application During Well-Child Visits in Massachusetts.Academic pediatrics · 2023Article
- The effect of nursing home closure on local employment in the United States.Health services research · 2023Article
- Pediatric oral health services in Medicaid managed care and fee for service.The American journal of managed care · 2023Observational
- 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
- Oral Health in America: Implications for dental practice.Journal of the American Dental Association (1939) · 2022Review
- Delivery of fluoride varnish during pediatric medical visits by rurality.Journal of public health dentistry · 2022Observational
- Impact of state-level training requirements for medical providers on receipt of preventive oral health services for young children enrolled in Medicaid.Journal of public health dentistry · 2022Article
- Dental Fluoride Varnish Application During Medical Visits Among Children Who Are Privately Insured.JAMA network open · 2021Article
- Racial/Ethnic Differences in Receipt of Oral Health Services in Medical and Dental Offices: Impact of Medicaid Policies on Young Children.Pediatric dentistry · 2021Article
- Do Oral Health Services in Medical Offices Replace Pediatric Dental Visits?Journal of dental research · 2020Article
- Impact of a Medicaid policy on preventive oral health services for children with intellectual disabilities, developmental disabilities, or both.Journal of the American Dental Association (1939) · 2020Article
- Dental care utilization: examining the associations between health services deficits and not having a dental visit in past 12 months.BMC public health · 2019Article
- Integrating Fluoride Varnish Delivery in Primary Care: Insights from a Workflow and Cost Analysis.Academic pediatricsArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
purposeIntegrating oral health care into primary care has been promoted as a strategy to increase delivery of preventive oral health services (POHS) to young children, particularly in rural areas where few dentists practice. Using a multistate sample of Medicaid claims, we examined a child's odds of receiving POHS in a medical office by county rurality.
methodsWe used 2012-2014 Medicaid Analytic extract claims data for 6,275,456 children younger than 6 years in 39 states that allowed Medicaid payment for POHS in medical offices. We used county-level characteristics from the Area Health Resources Files, including a 3-level measure of county rurality. We used logistic regression to estimate a child's odds of receiving POHS in a medical office by county rurality, while controlling for other patient and county characteristics.
findingsPOHS in medical offices were received by 7.8% of children. Rates of POHS in medical offices were higher in metropolitan (metro) counties (8.4%) than nonmetro adjacent to metro (5.8%) and nonmetro not adjacent to metro (4.3%). In adjusted analysis, children living in nonmetro not adjacent to metro (OR = 0.79, 95% CI: 0.64-0.99) and adjacent to metro counties (OR = 0.70, 95% CI: 0.59-0.82) were significantly less likely to receive POHS in medical offices than children living in metro counties.
conclusionsIn this study of POHS in medical offices among young Medicaid-enrolled children, we found POHS rates were lowest in nonmetro counties. Given barriers to dental care in rural areas, states should take additional steps beyond allowing Medicaid reimbursement to increase delivery of POHS in medical offices.
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Registered trials
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