Dental Home Linkage

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Conclusion: The utilization of assigned dental home linkage, which is considered to be a key factor in the attempt to reducing the risk of caries development in children by timely provision of services by health care professionals is extremely low in the DC-Medicaid cohort for Calendar year 2014. Out of 55 individuals who were seen by a physician, only 6 had a follow up visit with a dentist, which is far lower than expected, and we did not do any further analysis of this finding. It represents the need for special measures that need to be taken. A combined effort of spreading awareness among people, physicians and dentist through education, and further research by qualitative analysis to find the reasons for such low referral rate might be…show more content…
IT was good study population with fairly high number of subjects. The de-identified demographic information was available from a reputed source. It includes the subjects in the right age group to be targeted for preventive services. The analysis was conducted in order to present the information which was easy to comprehend using categorical/dichotomous outcomes and predictor variables. However, like many studies, this study has a few limitations. In this study, we got results which were far lower than expected, due to which we analyzed the proportion of the population who received fluoride applications instead of the mean number of fluoride applications. For dental home linkage since there was not enough data to analyze the ward-specific distribution of a mean number of days, we looked at the overall mean number of days for dental home linkage for those six referred patients. Also, for fluoride applications, we looked at the proportion of only fluoride varnishes applied by dentists, physicians, both and institution. We also looked at the proportions of only varnishes by provider type instead of the mean/the median number of varnish since we did not have information about unique providers which could give specific…show more content…
accept Medicaid and this might result in higher utilization in particular wards over others. We did not have information about parental marital status and other private insurance, which could be used for dental services and not reflect in Medicaid billing data. Also, there could be a potential bias due to delayed reporting of the data which might not be included in the dataset when we received it. Also, Centre for Medicaid Services (CMS) uses the information from these datasets and presents it by financial year whereas this analysis was done by calendar year, which may not match with the generally available information. Also, the composition of Medicaid population might not be a true representation of over-all population. People having private dental insurance might have a different utilization pattern for assigned dental home and preventive dental services. We also feel that the information of ward might not be an accurate representation of utilization since people may seek services from a provider in different wards than the one in which they reside. Having data about unique providers, along with unique patient might make a robust database to get more accurate information. Last but not the least, we restricted our definition preventive dental services to a combination of examination and fluoride application, which is not the same as followed by
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