Evidence map›Paper›PMID 36221807›Full record

ArticleJournal of public health dentistry2023

The impact of dentists' availability in delivering dental care in Florida Elementary Schools.

Simin Ma, Nicoleta Serban, Amin Dehghanian, Scott L Tomar

Abstract read
In one paragraph

Article in Journal of public health dentistry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

4 authors.

Simin MaSchool of Industrial & Systems Engineering, Georgia Institute of Technology, Atlanta, Georgia, USA.
Nicoleta SerbanSchool of Industrial & Systems Engineering, Georgia Institute of Technology, Atlanta, Georgia, USA.ORCID 0000-0002-5813-7435
Amin DehghanianSchool of Industrial & Systems Engineering, Georgia Institute of Technology, Atlanta, Georgia, USA.
Scott L TomarDepartment of Prevention and Public Health Sciences, College of Dentistry, University of Illinois, Chicago, Illinois, USA.ORCID 0000-0002-3108-1945

Funding

Access to Preventive Dental Care for Children in the United StatesR01DE028283 · NIDCR · GEORGIA INSTITUTE OF TECHNOLOGY · PI SERBAN, NICOLETA · 2018 to 2021
$1.5M
NIDCR NIH HHS R01 DE028283
6 · The paper itself

Abstract

objectiveThis study evaluates the dentists' availability to deliver preventive dental care to children in schools and the impact of school-based programs on access.

methodsThe study population included Florida elementary-school children, differentiated by dental insurance (Medicaid, CHIP, private, or none). We considered the implementation of school-based programs using optimization modeling to (re)allocate the dentists' caseload to schools to meet demand for preventive care under resource constraints. We considered multiple settings for school-based program implementation: (i) school prioritization; and (ii) dentists' participation in public insurance. Statistical inference was used to identify communities to improve access and reduce disparities.

resultsSchool-based programs reduced unmet demand (3%-12%), being more efficient if prioritizing schools in communities targeted to improve access. The access improvement varied by insurance status and geography. Uninsured urban children benefited most from school-based programs, with 15%-75% unmet need reduction. The percentage of urban communities targeted to improve access decreased by 12% against no-school program. Such percentage remained large for suburban (15%-100%) and rural (50%-100%) communities. Disparity in access for public-insured vs. private-insured children persisted under school-based programs (32%-84% identified communities).

conclusionSchool-based programs improve dental care access; the improvement was however different by insurance status, with uninsured children benefiting the most. Accounting to the dentists' availability in prioritizing schools resulted in effective resource allocation to school-based programs. Access disparities between public and private-insured children did not improve; school-based programs shifted resources from public-insured to uninsured. School-based programs are effective in addressing access barriers to those children experiencing them most.

Indexed as

Health Services AccessibilityHealth WorkforceMedicaidChildDental CareDentistsFloridaHumansUnited Statescommunity dentistrydental public healthhealth-care accesspediatric dentistryschool-based programs

Identifiers

PMID36221807
PMCPMC10006351

What OpenQuestion holds

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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.