An Alternative Method for Financing Care for the Non‐Institutionalized Geriatric Dental Patient
Identifieur interne : 00CF69 ( Main/Exploration ); précédent : 00CF68; suivant : 00CF70An Alternative Method for Financing Care for the Non‐Institutionalized Geriatric Dental Patient
Auteurs : Marvin Marcus [États-Unis] ; Max H. Schoen [États-Unis] ; Steve May [États-Unis]Source :
- Gerodontology [ 0734-0664 ] ; 1984-12.
Descripteurs français
- Wicri :
- topic : Statistique de la santé, Santé publique.
English descriptors
- KwdEn :
- Average patient, Capitation, Capitation rate, Dental, Dental benefit, Dental care, Dental group, Dental insurance, Dental profession, Dhew publication, Eligible month, Emergency care, Financial barriers, First year, Geriatric, Geriatric patient, Geriatric population, Hanes, Hanes study, Hanes survey, Health care financing review, Health statistics, Higher scores, Initial care, Maintenance care, Medicare, National health survey, Operative crown, Patient year, Prosthetics misc, Provider, Provider time, Public health, Removable, Removable appliances, Second patient year, Second practice, Second year experience, Study practice, Ultracare, Ultracare patients, Ultracare program.
- Teeft :
- Average patient, Capitation, Capitation rate, Dental, Dental benefit, Dental care, Dental group, Dental insurance, Dental profession, Dhew publication, Eligible month, Emergency care, Financial barriers, First year, Geriatric, Geriatric patient, Geriatric population, Hanes, Hanes study, Hanes survey, Health care financing review, Health statistics, Higher scores, Initial care, Maintenance care, Medicare, National health survey, Operative crown, Patient year, Prosthetics misc, Provider, Provider time, Public health, Removable, Removable appliances, Second patient year, Second practice, Second year experience, Study practice, Ultracare, Ultracare patients, Ultracare program.
Abstract
Developing dental benefit programs for the expanding ambulatory geriatric population represents an important challenge for dentistry. This paper describes Blue Cross of California's experience in developing and providing a dental benefit as part of a HMO. supplement to the Medicare program. A study of a randomly selected sample of 133 Ultra Care enrollees was conducted in a small California city. A dental record review was performed on those individuals who accessed dental care. Patterns of utilization, distribution of planned and rendered treatment, and level of care achieved are presented. The experience of those patients compared to another sample of Ultra Care patients in a California city of comparable size, had similar care patterns. The major difference between the two patient populations was the tendency of one practice to repair existing prosthetic appliances, while the other practice tended to replace the existing appliances. The method of determining a capitation rate for these geriatric enrollees, using this data, is presented.
Url:
DOI: 10.1111/j.1741-2358.1984.tb00045.x
Affiliations:
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- to stream Main, to step Curation: 00CF69
Le document en format XML
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<term>Dental benefit</term>
<term>Dental care</term>
<term>Dental group</term>
<term>Dental insurance</term>
<term>Dental profession</term>
<term>Dhew publication</term>
<term>Eligible month</term>
<term>Emergency care</term>
<term>Financial barriers</term>
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<term>Geriatric</term>
<term>Geriatric patient</term>
<term>Geriatric population</term>
<term>Hanes</term>
<term>Hanes study</term>
<term>Hanes survey</term>
<term>Health care financing review</term>
<term>Health statistics</term>
<term>Higher scores</term>
<term>Initial care</term>
<term>Maintenance care</term>
<term>Medicare</term>
<term>National health survey</term>
<term>Operative crown</term>
<term>Patient year</term>
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<term>Second patient year</term>
<term>Second practice</term>
<term>Second year experience</term>
<term>Study practice</term>
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<term>Dental care</term>
<term>Dental group</term>
<term>Dental insurance</term>
<term>Dental profession</term>
<term>Dhew publication</term>
<term>Eligible month</term>
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<term>Financial barriers</term>
<term>First year</term>
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<term>Geriatric patient</term>
<term>Geriatric population</term>
<term>Hanes</term>
<term>Hanes study</term>
<term>Hanes survey</term>
<term>Health care financing review</term>
<term>Health statistics</term>
<term>Higher scores</term>
<term>Initial care</term>
<term>Maintenance care</term>
<term>Medicare</term>
<term>National health survey</term>
<term>Operative crown</term>
<term>Patient year</term>
<term>Prosthetics misc</term>
<term>Provider</term>
<term>Provider time</term>
<term>Public health</term>
<term>Removable</term>
<term>Removable appliances</term>
<term>Second patient year</term>
<term>Second practice</term>
<term>Second year experience</term>
<term>Study practice</term>
<term>Ultracare</term>
<term>Ultracare patients</term>
<term>Ultracare program</term>
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<front><div type="abstract" xml:lang="en">Developing dental benefit programs for the expanding ambulatory geriatric population represents an important challenge for dentistry. This paper describes Blue Cross of California's experience in developing and providing a dental benefit as part of a HMO. supplement to the Medicare program. A study of a randomly selected sample of 133 Ultra Care enrollees was conducted in a small California city. A dental record review was performed on those individuals who accessed dental care. Patterns of utilization, distribution of planned and rendered treatment, and level of care achieved are presented. The experience of those patients compared to another sample of Ultra Care patients in a California city of comparable size, had similar care patterns. The major difference between the two patient populations was the tendency of one practice to repair existing prosthetic appliances, while the other practice tended to replace the existing appliances. The method of determining a capitation rate for these geriatric enrollees, using this data, is presented.</div>
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<name sortKey="Schoen, Max H" sort="Schoen, Max H" uniqKey="Schoen M" first="Max H." last="Schoen">Max H. Schoen</name>
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