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Public dental expenditures and dental visits among children in the U.S., 1996-2004.

Identifieur interne : 000369 ( Main/Exploration ); précédent : 000368; suivant : 000370

Public dental expenditures and dental visits among children in the U.S., 1996-2004.

Auteurs : Thomas P. Wall [États-Unis] ; L Jackson Brown

Source :

RBID : pubmed:18828419

Descripteurs français

English descriptors

Abstract

OBJECTIVES

Congress created the State Children's Health Insurance Program (SCHIP) in 1997 as an expansion of the Medicaid program to provide health insurance to children whose family income is above the Medicaid eligibility standards-generally up to 200% of the federal poverty level (FPL). This article examines changes in the utilization of dental services during a period of increasing public funding of dental services.

METHODS

Public dental expenditure estimates came from the Centers for Medicare & Medicaid Services (CMS), and a breakdown of these expenditures by patient age and income level was based on the Medical Expenditure Panel Survey (MEPS).

RESULTS

According to CMS, funding for dental SCHIP and dental SCHIP expansion grew from $0 prior to 1998 to $517 million in 2004. According to the MEPS, between 1996 and 2004 there was an increase in the number and percent of children 2 to 20 years of age who reported a dental visit during the past year. These increases were most notable among children in the 100% to 200% FPL category. Approximately 900,000 more children in this income group visited a dentist in 2003-2004 than in 1996-1997. Children in this income group reported an increase in the amount of mean dental charges paid for by Medicaid and a real increase in mean dental charges per patient from $217 to $310.

CONCLUSIONS

Recent increases in the public funding of dental services targeted to children in the 100% to 200% FPL category were related to increased utilization of dental services among these children from 1996 to 2004.


DOI: 10.1177/003335490812300514
PubMed: 18828419
PubMed Central: PMC2496937


Affiliations:


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Le document en format XML

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<term>Child (MeSH)</term>
<term>Child, Preschool (MeSH)</term>
<term>Dental Care for Children (economics)</term>
<term>Dental Care for Children (statistics & numerical data)</term>
<term>Eligibility Determination (MeSH)</term>
<term>Health Expenditures (statistics & numerical data)</term>
<term>Humans (MeSH)</term>
<term>Insurance, Dental (statistics & numerical data)</term>
<term>Medicaid (statistics & numerical data)</term>
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<term>Public Health Dentistry (MeSH)</term>
<term>State Health Plans (MeSH)</term>
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<term>Adolescent (MeSH)</term>
<term>Adulte (MeSH)</term>
<term>Aide sociale aux familles avec enfants à charge (statistiques et données numériques)</term>
<term>Assurance dentaire (statistiques et données numériques)</term>
<term>Dépenses de santé (statistiques et données numériques)</term>
<term>Détermination de l'admissibilité (MeSH)</term>
<term>Enfant (MeSH)</term>
<term>Enfant d'âge préscolaire (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Medicaid (USA) (statistiques et données numériques)</term>
<term>Odontologie en santé publique (MeSH)</term>
<term>Pauvreté (MeSH)</term>
<term>Plans de santé de l'État (MeSH)</term>
<term>Soins dentaires pour enfants (statistiques et données numériques)</term>
<term>Soins dentaires pour enfants (économie)</term>
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<term>Dental Care for Children</term>
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<term>Aid to Families with Dependent Children</term>
<term>Dental Care for Children</term>
<term>Health Expenditures</term>
<term>Insurance, Dental</term>
<term>Medicaid</term>
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<term>Aide sociale aux familles avec enfants à charge</term>
<term>Assurance dentaire</term>
<term>Dépenses de santé</term>
<term>Medicaid (USA)</term>
<term>Soins dentaires pour enfants</term>
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<term>Soins dentaires pour enfants</term>
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<term>Adolescent</term>
<term>Adult</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Eligibility Determination</term>
<term>Humans</term>
<term>Poverty</term>
<term>Public Health Dentistry</term>
<term>State Health Plans</term>
<term>Uncompensated Care</term>
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<term>Enfant d'âge préscolaire</term>
<term>Humains</term>
<term>Odontologie en santé publique</term>
<term>Pauvreté</term>
<term>Plans de santé de l'État</term>
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<p>
<b>OBJECTIVES</b>
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<p>Congress created the State Children's Health Insurance Program (SCHIP) in 1997 as an expansion of the Medicaid program to provide health insurance to children whose family income is above the Medicaid eligibility standards-generally up to 200% of the federal poverty level (FPL). This article examines changes in the utilization of dental services during a period of increasing public funding of dental services.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>Public dental expenditure estimates came from the Centers for Medicare & Medicaid Services (CMS), and a breakdown of these expenditures by patient age and income level was based on the Medical Expenditure Panel Survey (MEPS).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>According to CMS, funding for dental SCHIP and dental SCHIP expansion grew from $0 prior to 1998 to $517 million in 2004. According to the MEPS, between 1996 and 2004 there was an increase in the number and percent of children 2 to 20 years of age who reported a dental visit during the past year. These increases were most notable among children in the 100% to 200% FPL category. Approximately 900,000 more children in this income group visited a dentist in 2003-2004 than in 1996-1997. Children in this income group reported an increase in the amount of mean dental charges paid for by Medicaid and a real increase in mean dental charges per patient from $217 to $310.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>Recent increases in the public funding of dental services targeted to children in the 100% to 200% FPL category were related to increased utilization of dental services among these children from 1996 to 2004.</p>
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<Citation>J Am Dent Assoc. 2005 Apr;136(4):517-23</Citation>
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<ArticleId IdType="pubmed">15884323</ArticleId>
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<Citation>Pediatrics. 2006 Oct;118(4):1676-82</Citation>
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<ArticleId IdType="pubmed">17015561</ArticleId>
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<Reference>
<Citation>Pediatr Dent. 2005 Jan-Feb;27(1):47-53</Citation>
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