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    Provision of Fluoride Varnish to Medicaid-Enrolled Children by Physicians: The Massachusetts Experience

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    Authors
    Isong, Inyang A.
    Silk, Hugh
    Rao, Sowmya R.
    Perrin, James M.
    Savageau, Judith A.
    Donelan, Karen
    UMass Chan Affiliations
    Center for Healh Policy and Research
    Department of Quantitative Health Sciences
    Department of Family Medicine and Community Health
    Document Type
    Journal Article
    Publication Date
    2011-01-01
    Keywords
    Fluorides, Topical
    Medicaid
    Dental Care for Children
    Preventive Dentistry
    Physicians, Primary Care
    Insurance, Health, Reimbursement
    Massachusetts
    Community Health and Preventive Medicine
    Dentistry
    Preventive Medicine
    Primary Care
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    Link to Full Text
    http://dx.doi.org/10.1111/j.1475-6773.2011.01289.x
    Abstract
    Objectives. To evaluate the impact of a 2008 Medicaid policy in Massachusetts (MA), regarding reimbursing physicians for providing fluoride varnish (FV) to eligible children in medical settings. Data Source. Survey of a sample of primary care physicians in MA. Study Design. Cross-sectional survey of a sample of physicians who provide care to MassHealth (MA Medicaid) enrolled-children. Dependent variables: history of completed preventive dental skills training, and FV provision. Independent variables: oral health knowledge, FV-attitudes, and physician and practice characteristics. Principal Findings. Overall, 19 percent of respondents had completed the training required to be eligible to bill for FV provision. Only 5 percent of physicians were providing FV. Most respondents (63 percent) were not familiar with the new policy, and only 25 percent felt that FV should be provided during well-child visits. Most physicians (60 percent) did not feel that the reimbursement rate of U.S.$26/application was sufficient; 17 percent said that they would not provide FV, regardless of payment. Most common barriers to FV provision were a lack of time and logistical challenges. Conclusions. Our findings suggest that simply reimbursing physicians for FV provision is insufficient to ensure provider participation. Success of this policy will likely require addressing several barriers identified.
    Source
    Isong, I. A., Silk, H., Rao, S. R., Perrin, J. M., Savageau, J. A. and Donelan, K. (2011), Provision of Fluoride Varnish to Medicaid-Enrolled Children by Physicians: The Massachusetts Experience. Health Services Research, 46: 1843–1862. doi: 10.1111/j.1475-6773.2011.01289.x
    DOI
    10.1111/j.1475-6773.2011.01289.x
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/30836
    PubMed ID
    21762142
    Related Resources
    Link to article in PubMed
    ae974a485f413a2113503eed53cd6c53
    10.1111/j.1475-6773.2011.01289.x
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