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dc.contributor.authorIsong, Inyang A.
dc.contributor.authorSilk, Hugh
dc.contributor.authorRao, Sowmya R.
dc.contributor.authorPerrin, James M.
dc.contributor.authorSavageau, Judith A.
dc.contributor.authorDonelan, Karen
dc.date2022-08-11T08:08:35.000
dc.date.accessioned2022-08-23T16:00:13Z
dc.date.available2022-08-23T16:00:13Z
dc.date.issued2011-01-01
dc.date.submitted2011-12-21
dc.identifier.citationIsong, 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
dc.identifier.doi10.1111/j.1475-6773.2011.01289.x
dc.identifier.pmid21762142
dc.identifier.urihttp://hdl.handle.net/20.500.14038/30836
dc.description.abstractObjectives. 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.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=21762142&dopt=Abstract">Link to article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1111/j.1475-6773.2011.01289.x
dc.subjectFluorides, Topical
dc.subjectMedicaid
dc.subjectDental Care for Children
dc.subjectPreventive Dentistry
dc.subjectPhysicians, Primary Care
dc.subjectInsurance, Health, Reimbursement
dc.subjectMassachusetts
dc.subjectCommunity Health and Preventive Medicine
dc.subjectDentistry
dc.subjectPreventive Medicine
dc.subjectPrimary Care
dc.titleProvision of Fluoride Varnish to Medicaid-Enrolled Children by Physicians: The Massachusetts Experience
dc.typeJournal Article
dc.source.journaltitleHealth Services Research
dc.source.volume46
dc.source.issue6pt1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/fmch_articles/165
dc.identifier.contextkey2416885
html.description.abstract<p><strong>Objectives. </strong> 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.</p> <p><strong>Data Source. </strong> Survey of a sample of primary care physicians in MA.</p> <p><strong>Study Design. </strong> 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.</p> <p><strong>Principal Findings. </strong> 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.</p> <p><strong>Conclusions. </strong> 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.</p>
dc.identifier.submissionpathfmch_articles/165
dc.contributor.departmentCenter for Healh Policy and Research
dc.contributor.departmentDepartment of Quantitative Health Sciences
dc.contributor.departmentDepartment of Family Medicine and Community Health
dc.source.pages1843-62


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