Measuring quality of dental care during pregnancy
Copyright © 2024 American Dental Association. Published by Elsevier Inc. All rights reserved..
BACKGROUND: The authors aimed to develop and validate 2 Dental Quality Alliance measures of dental care access during pregnancy (Utilization of Services During Pregnancy, Oral Evaluation During Pregnancy) using claims and enrollment data and to report performance on these measures for a sample of Medicaid and Children's Health Insurance Program beneficiaries.
METHODS: The authors used Transformed Medicaid Statistical Information System enrollment and claims data for 7,767,806 people enrolled in 5 state Medicaid programs and Children's Health Insurance Programs during 2018. The authors used split-half reliability testing to assess measure reliability. The authors calculated 95% CIs to assess statistically significant variation in performance between programs.
RESULTS: The intraclass correlation coefficient used to assess agreement between the split samples was 0.992 (95% CI, 0.941 to 0.999; P < .0001) for Utilization of Services During Pregnancy and 0.983 (95% CI, 0.879 to 0.998; P < .0001) for Oral Evaluation During Pregnancy. Performance scores ranged from 20% through 34% of beneficiaries receiving any dental service during pregnancy (Utilization of Services During Pregnancy) and from 14% through 23% of beneficiaries receiving a periodic or comprehensive oral evaluation during pregnancy (Oral Evaluation During Pregnancy), with statistically significant differences between programs.
CONCLUSIONS: The measures reliably assessed access to dental services and can distinguish performance between programs.
PRACTICAL IMPLICATIONS: These measures can be used to advance population health by means of supporting national efforts to improve access to dental care during pregnancy.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:155 |
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| Enthalten in: |
Journal of the American Dental Association (1939) - 155(2024), 2 vom: 26. Feb., Seite 167-176 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Herndon, Jill Boylston [VerfasserIn] |
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| Links: |
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| Themen: |
Access to care |
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| Anmerkungen: |
Date Completed 14.02.2024 Date Revised 29.02.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.adaj.2023.10.010 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
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| 500 | |a Date Revised 29.02.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2024 American Dental Association. Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a BACKGROUND: The authors aimed to develop and validate 2 Dental Quality Alliance measures of dental care access during pregnancy (Utilization of Services During Pregnancy, Oral Evaluation During Pregnancy) using claims and enrollment data and to report performance on these measures for a sample of Medicaid and Children's Health Insurance Program beneficiaries | ||
| 520 | |a METHODS: The authors used Transformed Medicaid Statistical Information System enrollment and claims data for 7,767,806 people enrolled in 5 state Medicaid programs and Children's Health Insurance Programs during 2018. The authors used split-half reliability testing to assess measure reliability. The authors calculated 95% CIs to assess statistically significant variation in performance between programs | ||
| 520 | |a RESULTS: The intraclass correlation coefficient used to assess agreement between the split samples was 0.992 (95% CI, 0.941 to 0.999; P < .0001) for Utilization of Services During Pregnancy and 0.983 (95% CI, 0.879 to 0.998; P < .0001) for Oral Evaluation During Pregnancy. Performance scores ranged from 20% through 34% of beneficiaries receiving any dental service during pregnancy (Utilization of Services During Pregnancy) and from 14% through 23% of beneficiaries receiving a periodic or comprehensive oral evaluation during pregnancy (Oral Evaluation During Pregnancy), with statistically significant differences between programs | ||
| 520 | |a CONCLUSIONS: The measures reliably assessed access to dental services and can distinguish performance between programs | ||
| 520 | |a PRACTICAL IMPLICATIONS: These measures can be used to advance population health by means of supporting national efforts to improve access to dental care during pregnancy | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Dental care | |
| 650 | 4 | |a access to care | |
| 650 | 4 | |a maternal and infant health | |
| 650 | 4 | |a oral health | |
| 650 | 4 | |a pregnancy | |
| 650 | 4 | |a quality of care | |
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| 700 | 1 | |a Amundson, Craig |e verfasserin |4 aut | |
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