Effectiveness of Compliance With Pediatric Preventive Care Guidelines Among Medicaid Beneficiaries

Hakim, Rosemarie B.; Bye, Barry V.

doi:10.1542/peds.108.1.90

Cited by 110 publications

(94 citation statements)

References 32 publications

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“…However, selected groups of very young children have been studied elsewhere. 16,18 Because of the limits of the NSAF, we do not know whether our dental care variable included acute and emergent care as well as preventive care, and we could not determine the effect of dental insurance on compliance with the recommendations. Our findings are also limited by any inaccuracies in parents' reports of their children's health and parents who did not distinguish between well-child visits and visits for sick or emergent care.…”

Section: Discussionmentioning

confidence: 99%

“…Age was grouped on the basis of the categories used in the AAP's recommendations for preventive care: early childhood (ages 3-4), middle childhood (ages 5-10), early adolescence (ages [11][12][13][14], and late adolescence (ages [15][16][17]. Data were not collected with enough detail to determine receipt of well-child and dental care among children younger than 3 years.…”

Section: Description Of Variablesmentioning

confidence: 99%

“…14,15 Receipt of care as outlined in these guidelines has been shown to decrease avoidable hospital stays for infants, regardless of race, poverty, or health status. 16 Receipt of recommended care is generally low and varies by race and ethnicity, insurance status, and income. In 1 upstate New York county, 46% of privately insured children were in compliance with the AAP recommendations compared with 35% of publicly insured children.…”

mentioning

confidence: 99%

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Factors That Influence Receipt of Recommended Preventive Pediatric Health and Dental Care

Yu¹,

Bellamy²,

Kogan³

et al. 2002

Pediatrics

130

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ABSTRACT.Objective. This study examined the factors that affect children's receipt of recommended wellchild and dental visits using nationally representative data.Methods. We analyzed the Child Public Use File of the 1999 National Survey of America's Families, including 35 938 children who were younger than 18 years. Bivariate and multivariate analyses were conducted to examine the relationship between dependent variables, including receipt of well-child visits as recommended by the American Academy of Pediatrics' periodicity schedule and dental visits as recommended by the American Academy of Pediatric Dentistry and Bright Futures, and independent variables, including health status and sociodemographic and economic indicators.Results. Overall, 23.4% of children did not receive the recommended well-child visits, whereas 46.8% did not receive the recommended number of dental visits. The factors that predict nonreceipt of care differed for wellchild and dental care and with child's age. Logistic regression reveals that children who were young (<10 years old), uninsured, non-Hispanic white, had a parent who was less than college educated, or in poor health were least likely to meet the recommendations for wellchild care. Children who did not meet the dental recommendation were more likely to be black, uninsured, from families with low incomes, have a parent who was less than college educated, and have postponed dental care in the last year. These risk factors increased with children's age.Conclusions. A substantial proportion of US children do not receive preventive care according to professionally recommended standards, particularly dental care. Publicly insured children experience higher rates of recommended well-child visits; however, much improvement is needed among public programs in providing recommended dental care, especially among adolescents and children in poor general health. Pediatrics 2002;110(6). URL: http://www.pediatrics.org/cgi/content/ full/110/6/e73; child, dental health services, multivariate analysis, preventive health services, professional organizations.

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Section: Discussionmentioning

confidence: 99%

Section: Description Of Variablesmentioning

confidence: 99%

mentioning

confidence: 99%

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Factors That Influence Receipt of Recommended Preventive Pediatric Health and Dental Care

Yu¹,

Bellamy²,

Kogan³

et al. 2002

Pediatrics

130

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“…reductions in dental costs later in life, and improved child health (Hakim and Bye 2001;Savage et al 2004). The American Academy of Pediatrics guidelines recommend that children ages 3-21 receive annual well-child visits and more frequent visits under age 3 (Hagan, Shaw, and Duncan 2008), while the American Academy of Pediatric Dentistry recommends semi-annual clinical oral examinations beginning at age 6-12 months (American Academy of Pediatric Dentistry 2009).…”

mentioning

confidence: 99%

The Effects of Medicaid and CHIP Policy Changes on Receipt of Preventive Care among Children

Kenney

Marton

Klein³

et al. 2010

Health Services Research

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Objective. To examine changes in children's receipt of well‐child and preventive dental care in Medicaid/Children's Health Insurance Program (CHIP) in two states that adopted policies aimed at promoting greater preventive care receipt. Data Sources. The 2004–2008 Medicaid/CHIP claims and enrollment data from Idaho and Kentucky. Study Design. Logistic and hazard pre–post regression models, controlling for age, gender, race/ethnicity, and eligibility category. Data Extraction Methods. Claims and enrollment data were de‐identified and merged. Principal Findings. Increased reimbursement had a small, positive association with well‐child care in Idaho, but no consistent effects were found in Kentucky. A premium forgiveness program in Idaho was associated with a substantial increase (between 20 and 113 percent) in receipt of any well‐child care and quicker receipt of well‐child care following enrollment. In Kentucky, children saw modest increases in receipt of preventive dental care and received such care more quickly following increased dental reimbursement, while the move to managed care in Idaho was associated with a small increase in receipt of preventive dental care. Conclusions. Policy changes such as reimbursement increases, incentives, and delivery system changes can lead to increases in preventive care use among children in Medicaid and CHIP, but reported preventive care receipt still falls short of recommended levels.

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“…37 In fact, adherence to the academy's recommendation on well-child visits during the first 2 years of life is correlated with a decrease in avoidable hospitalizations among poor and near-poor children regardless of race, level of poverty, or health status. 38 The insurer for each client visit and its date were noted. In addition, a variable denoting whether the visit took place after 1996 was created.…”

Section: Instrumentationmentioning

confidence: 99%

The Impact of Insurance Lapse among Low-Income Children

Zlotnick

Soman

2004

Journal of Urban Health: Bulletin of the New York Academy of Me

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Effectiveness of Compliance With Pediatric Preventive Care Guidelines Among Medicaid Beneficiaries

Cited by 110 publications

References 32 publications

Factors That Influence Receipt of Recommended Preventive Pediatric Health and Dental Care

Factors That Influence Receipt of Recommended Preventive Pediatric Health and Dental Care

The Effects of Medicaid and CHIP Policy Changes on Receipt of Preventive Care among Children

The Impact of Insurance Lapse among Low-Income Children

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