ArticleJournal of primary care & community health
Cost and Workflow Impact of a Primary Care Based Multi-Level Pediatric Oral Health Intervention.
Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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.
Who cites it
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Authors and funding
6 authors.
Funding
Abstract
objectivesA recent trial demonstrated the effectiveness of a primary care-based multilevel intervention to increase dental attendance in 3- to 6-year-old Medicaid-insured children. We estimate the cost and workflow impact for real-world practices wishing to implement this intervention.
methodsIntervention practices from the trial integrated oral health (OH) questions into their electronic medical records (EMR). Providers received theory-based training on delivering OH education and provided "prescriptions" for dental visits and a list of Medicaid-accepting dentists. EMR enhancement and training costs were estimated by applying nationally-representative, role-specific hourly labor costs to reported time spent by study participants performing each activity. Study staff timed the OH portion of 2 to 3 randomly selected encounters per provider.
resultsTwenty-eight providers from 9 intervention pediatric practices participated. The percentage of Medicaid patients in these practices ranged from 22% to 86%. Practices corresponding in size to the smallest, median, and largest in the intervention group can expect first-year implementation costs of $579.79, $863.86, and $1482.15, respectively, with subsequent annual maintenance costs of $167.11, $451.18, and $1069.47. Encounter time for the intervention averaged 38 s longer than for standard care (control group).
conclusionsImplementation of this effective pediatric OH intervention appears to entail modest costs and lengthen encounters minimally.
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Registered trials
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.