Evidence map›Paper›PMID 30565656›Full record

ArticleHealth services research2019

Changes in pediatric dental coverage and visits following the implementation of the affordable care act.

Ashley M Kranz, Andrew W Dick

Abstract read
In one paragraph

Article in Health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

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

  1. The Impact of the Affordable Care Act on Dental Care: An Integrative Literature Review.International journal of environmental research and public health · 2021
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Disparities in Access to Oral Health Care.Annual review of public health · 2020
    Review
  8. 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

2 authors.

Ashley M KranzRAND Corporation, Arlington, Virginia.ORCID 0000-0003-0507-7800
Andrew W DickRAND Corporation, Boston, Massachusetts.

Funding

Maternal and Child Health Bureau R40MC29442
6 · The paper itself

Abstract

objectiveTo determine the impact of the inclusion of pediatric dental care in the Affordable Care Act's (ACA) core package of essential health benefits on dental coverage and utilization. DATA SOURCES: Children aged 1-18 years included in the nationally representative 2010-2015 National Health Interview Survey (NHIS). STUDY

designWe used regression-adjusted difference-in-differences to examine changes in rates of dental coverage and visits pre- and post-ACA for children likely to be affected by the ACA (have a parent working for a small employer) to a comparison group of children who were unlikely to be affected (have a parent in a firm with ≥50 employees). Models adjusted for relevant health and sociodemographic measures. DATA COLLECTION: NHIS is an annual household survey conducted by the National Center for Health Statistics. PRINCIPAL

findingsComparing pre- and post-ACA periods, private dental insurance increased by 4.6 percentage points more (P = 0.013) and annual dental visits were unchanged (2.7 percentage points, P = 0.071) among children likely to be affected by the ACA compared to children unlikely to be affected by the ACA.

conclusionInclusion of pediatric dental care as an ACA essential health benefit increased dental insurance coverage, but not dental visits among children likely to be affected by this policy.

Indexed as

AdolescentChildChild, PreschoolDental CareFemaleHealth Services AccessibilityHealth StatusHumansInfantInsurance CoverageInsurance, DentalMalePatient Acceptance of Health CarePatient Protection and Affordable Care ActSocioeconomic FactorsUnited Statesaffordable care actdental caredental insurance

Identifiers

PMID30565656
PMCPMC6407347

What OpenQuestion holds

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Registered trials

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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.