Impact of the COVID‐19 pandemic on pediatric Medicaid dental claims in Arizona DOI
Katherine Mommaerts, Indrakshi Roy, Denise Helm

et al.

Journal of Public Health Dentistry, Journal Year: 2023, Volume and Issue: 83(3), P. 239 - 246

Published: April 12, 2023

Abstract Objectives To examine the role COVID‐19 had on access to dental services among children in Arizona by comparing paid pediatric claims made before and during pandemic. Methods In a retrospective descriptive study, we examined Medicaid for patients from March through December 2019 outbreak 2020. Using data obtained Centers Health Information Research at State University (ASU), analyzed (Arizona Care Cost Containment System [AHCCCS]) reimbursed services. Results During pandemic, preventive aged birth 21 years decreased 2020 compared same time period 2019. Pediatric utilized fewer less credentialed providers Further, rural counties statistically significant preventive, minor restorative, major endodontic urban counties. also who were $10,000 or more per year than Conclusions has detrimental impact service utilization. While provided restorative dropped years. This reveals potential negative impacts oral health. Further research should direct indirect pandemic utilization health general population.

Language: Английский

Effects of the COVID-19 pandemic on children’s oral health and oral health care use DOI Creative Commons
Wei Lyu, George L. Wehby

The Journal of the American Dental Association, Journal Year: 2022, Volume and Issue: 153(8), P. 787 - 796.e2

Published: Feb. 25, 2022

The COVID-19 pandemic led to early restrictions on access oral health care and social distancing requirements. authors examined the effects of children's in United States.Using nationally representative data from National Survey Children's Health, compared several measures use during 2020 with 1 year earlier. Logistic (multinomial or binary) regression models were estimated, adjusting for child household covariates state fixed effects. Similar comparisons estimated 2019 relative 2018 evaluate prepandemic trends.Children 16% (relative risk ratio, 0.84; 95% CI, 0.75 0.93) less likely have excellent dental as perceived by parents 75% 1.75; 1.14 2.67) more poor than 2019. In addition, children had higher bleeding gingivae (odds 1.46; 1.16 1.85). likelihood having a visit past 12 months was 27% 0.73; 0.65 0.82) lower 2020, including preventive visits. differences between observed across demographic socioeconomic subgroups. There no such 2018.There widespread decline status pandemic.Prompt policies campaigns are needed counter increase timely services.

Language: Английский

Citations

40
Dental service utilization and the COVID-19 pandemic, a micro-data analysis DOI Creative Commons
Amir Akbari, Mohammad Reza Khami, Amine Beymouri

et al.

BMC Oral Health, Journal Year: 2024, Volume and Issue: 24(1)

Published: Jan. 4, 2024

Abstract Background Global crises and disease pandemics, such as COVID-19, negatively affect dental care utilization by several factors, infection anxiety, disrupted supply chains, economic contraction, household income reduction. Exploring the pattern of this effect can help policy makers to be prepared for future crises. The present study aimed investigate financial impact COVID‐19 disruptions on service utilization. Methods Data number services offered in Dental School Clinics Tehran University Medical Sciences was collected over a period two years, before after initial COVID-19 outbreak Iran. Dentistry operates clinics; one with competitive fees subsidies. Regression analyses were performed determine pandemic divided treatment groups these clinics. adjusted seasonal patterns capacity Results There significant drop both clinics across all post-COVID (on average, 77 (39.44%) fewer per day). majority procedure loss happened Private clinic. Adjusting capacity, regression results documented 54% 12% Subsidized following pandemic, respectively. Difference-in-difference analysis that clinic 40% more treatments than period. Conclusions Pandemic –reduction could have long-term ramifications oral health population, policymakers need provide supportive packages affected segments economy reverse trend.

Language: Английский

Citations

7
Pandemic-driven shift: increase in silver diamine fluoride utilization among Medicaid-enrolled children during the COVID-19 public health emergency DOI Creative Commons
Beau D. Meyer, Carla Shoff,

Natalia I. Chalmers

et al.

Frontiers in Public Health, Journal Year: 2025, Volume and Issue: 13

Published: March 25, 2025

Introduction Untreated dental caries remains a significant public health issue, particularly among children and adolescents from low-income families, where disparities persist. The COVID-19 emergency (PHE) changed care practices, leading to an increased focus on minimally aerosolizing treatments such as silver diamine fluoride (SDF). This study aimed describe the temporal changes in SDF utilization Medicaid-enrolled across United States before during first half of PHE. Additionally, examined impact demographics state-level policies utilization. Methods We conducted multiyear cross-sectional using enrollment claims data Transformed Medicaid Statistical Information System (T-MSIS) for 2019, 2020, 2021. population included Children’s Health Insurance Program (CHIP) beneficiaries aged <21 years. analyzed rates compared them with other services, stratifying by age, sex, race/ethnicity, rurality. Multilevel logistic regression models were used identify predictors Results approximately 39 million each year. per 1,000 enrollees 9.10 2019 16.81 2021, most increases observed 0–6 years, those living rural areas, American Indian/Alaskan Native children. reimbursement policy was predictor, states being 10.5 times more likely receive treatment. Conclusion PHE significantly impacted children, highlighting importance policies. findings can be develop targeted approaches clinicians improve access treatment address oral disparities.

Language: Английский

Citations

0
Impact of the COVID-19 pandemic on oral health care use in the United States through December 2021 DOI Creative Commons

Joseph Dill,

Margherita Fontana,

Jim Bader

et al.

The Journal of the American Dental Association, Journal Year: 2023, Volume and Issue: 154(10), P. 937 - 947.e3

Published: Aug. 30, 2023

The purpose of this study was to assess the effects COVID-19 pandemic on oral health care provided from July 2020 through December 2021 using national claims data.Deidentified quarterly 2017 were analyzed (2017-2019 prepandemic data). Data sorted into multiple treatment categories. Analyses compared with postpandemic procedure volumes and stratified according age groups (0-5 years, 6-18 19-64 ≥ 65 years).For children aged 0 5 use sealants topical fluorides other than varnish considerably lower in 2021, as direct operative palliative procedures 2021. Only silver diamine fluoride, prefabricated crowns, surgery increased significantly (P < .05) some quarters. For 6 18 diagnostic, operative, periodontic, surgery, most only crowns indirect more 3 adults 19 64 diagnostic preventive quarters, gingival endodontic, occlusal guards scaling root planing years older, osseous quarters; all quarters.The associated changes provision that persisted for 1 year.Reductions across younger may have implications longer-term pandemic.

Language: Английский

Citations

6
Trends in dental visits during the state of emergency for COVID-19 in Japan: a retrospective observational study DOI Creative Commons
Asuka Takeda, Jun Tomio, Hideki Fukuda

et al.

BMJ Open, Journal Year: 2022, Volume and Issue: 12(9), P. e064666 - e064666

Published: Sept. 1, 2022

Objectives To determine national medium-term trends in dental visits during three COVID-19 emergency declaration periods Japan and to analyse how these varied according prefectural measures incidence. Design setting A retrospective observational study of Japan’s claims from January 2017 December 2021. Data sources a monthly report by the Health Insurance Claims Review Reimbursement Services (HICRRS) Japan. HICRRS handles employer-based health insurance. analysis We determined number nationwide 2021 percentage change based on difference alert level between 2020–2021 corresponding 2019. Results were analysed using descriptive statistics, multiple regression model, graphical figures, narrative synthesis. Outcome The main outcome was also assessed level. data set included total 736 946 088 claims. Until end 2021, greatest decrease April 2020, which 22.3% lower than that As indicated coefficient decreased 5.01% (95% CI −8.27 –1.74) depending prefectures designated as being under special precautions other prefectures. Conclusions greater first state emergency, ie, April–May precautions. Further efforts promote appropriate at different levels are necessary.

Language: Английский

Citations

9
Trends in dental insurance claims in the United States in the context of the COVID‐19 pandemic: A 3‐year perspective (2019–2022) DOI
Gerardo Maupomé, Allison C. Scully, Juan F. Yepes

et al.

Journal of Public Health Dentistry, Journal Year: 2023, Volume and Issue: 83(2), P. 147 - 154

Published: March 7, 2023

Abstract Objectives We showed in a previous analysis the patterns of disruption for private dental insurance claims United States caused by SARS‐CoV‐2 pandemic 2020. The present report examines trends during 2020 and 2021, that is, contrasting perspectives 2019 with acute phase 2020, 2021. Methods Private paid from data warehouse were obtained, encompassing 5% random sample records between January December 2021 child adult insureds who filed claim 2019, classified into one four categories based on likelihood being associated urgent/emergency care. Results precipitous reduction care March–June recovered to almost pre‐pandemic levels fall However, downward decline started late continued through Differential impacts categories—in terms urgency care—were evident closely resembling Conclusions Dental first year contrasted A trend demand/availability changes set perhaps linked perceptions overall economic situation. Such has overall, even after considering seasonal acceleration Delta, Omicron, other variants.

Language: Английский

Citations

5
Changes in the Frequency of Dental Clinic Visits, Expenses, and Treatment Type during the COVID-19 Pandemic in Japan DOI Creative Commons
Ichizo Morita, Shigemitsu Sakuma,

Kanae Kondo

et al.

COVID, Journal Year: 2024, Volume and Issue: 4(8), P. 1139 - 1146

Published: July 29, 2024

Few studies have reported nationwide changes in dental visit patterns during the COVID-19 pandemic. This study aimed to clarify impact of pandemic on type treatment Japan based trends frequency clinic visits per month and expenses or day. An interrupted time-series analysis was performed examine data from national database before after first declaration a state emergency. Between March April 2020, monthly patient (MDEPP) increased by approximately JPY 950 (JPY) (p < 0.001) patients aged ≤64 years ≥65 years. Dental (DEPT) 300–400 both age groups. After slope regression line for DEPT significantly those = 0.024). The number treatments (NTPM) However, decreasing trend NTPM stronger 0.001). MDEPP, DEPT, showed an increasing emergency compared observed previous year. proportion with relatively severe disease may because mild refrained undergoing examinations. These results suggest

Language: Английский

Citations

0
Impact of the COVID‐19 pandemic on pediatric Medicaid dental claims in Arizona DOI
Katherine Mommaerts, Indrakshi Roy, Denise Helm

et al.

Journal of Public Health Dentistry, Journal Year: 2023, Volume and Issue: 83(3), P. 239 - 246

Published: April 12, 2023

Abstract Objectives To examine the role COVID‐19 had on access to dental services among children in Arizona by comparing paid pediatric claims made before and during pandemic. Methods In a retrospective descriptive study, we examined Medicaid for patients from March through December 2019 outbreak 2020. Using data obtained Centers Health Information Research at State University (ASU), analyzed (Arizona Care Cost Containment System [AHCCCS]) reimbursed services. Results During pandemic, preventive aged birth 21 years decreased 2020 compared same time period 2019. Pediatric utilized fewer less credentialed providers Further, rural counties statistically significant preventive, minor restorative, major endodontic urban counties. also who were $10,000 or more per year than Conclusions has detrimental impact service utilization. While provided restorative dropped years. This reveals potential negative impacts oral health. Further research should direct indirect pandemic utilization health general population.

Language: Английский

Citations

1