Thesis
Utilization of preventive oral health care by Medicaid-enrolled senior adults during their transition from community-dwelling to nursing facility residence
University of Iowa
Master of Science (MS), University of Iowa
Autumn 2016
DOI: 10.17077/etd.fdiu56qx
Abstract
<p>OBJECTIVE: To establish baseline data of dental utilization and determine the predictors of receipt of dental procedures by Medicaid-enrolled senior adults who reside in Iowa nursing facilities.</p>
<p>METHODS: This was a longitudinal retrospective analysis of Iowa Medicaid claims data for SFY 2007-2014 of senior adults who were 68 years or older upon entry to a nursing facility and continuously enrolled (eligible 58 out of 60 months) in Medicaid for three years prior to and at least two years after admission.</p>
<p>RESULTS: Controlling for the subject and nursing facility level variables, the strongest predictor of dental utilization after entry was the receipt of a dental procedure before entry (p< 0.001). Subjects residing in a facility located in an urban area (p< 0.002) or in two regions of Iowa (p=0.035, p=0.019, respectively) also had increased odds of receiving a dental procedure.</p>
<p>CONCLUSION: Our results show that approximately 50% of the subjects never received a dental procedure in the 5-year study period. The strongest predictor of receipt of dental procedures in the 2 years after entry was the receipt of dental procedures in the 3 years before entry. It is important for Medicaid-enrolled senior adults to establish a dental home while community-dwelling.</p>
Details
- Title: Subtitle
- Utilization of preventive oral health care by Medicaid-enrolled senior adults during their transition from community-dwelling to nursing facility residence
- Creators
- Mary C. Kelly Grief - University of Iowa
- Contributors
- Daniel J. Caplan (Advisor)Elizabeth Momany (Committee Member)Marsha Cunningham-Ford (Committee Member)Leonardo Marchini (Committee Member)Howard Cowen (Committee Member)Mercedes Bern-Klug (Committee Member)
- Resource Type
- Thesis
- Degree Awarded
- Master of Science (MS), University of Iowa
- Degree in
- Dental Public Health
- Date degree season
- Autumn 2016
- DOI
- 10.17077/etd.fdiu56qx
- Publisher
- University of Iowa
- Number of pages
- xii, 87 pages
- Copyright
- Copyright © 2016 Mary C. Kelly Grief
- Language
- English
- Description illustrations
- color illustrations, color map
- Description bibliographic
- Includes bibliographical references (pages 80-87).
- Public Abstract (ETD)
Although there is a consensus among authors that oral health among institutionalized elderly patients are worse when compared to their community-dwelling peers, there are no published data for utilization of dental services by senior adults during their transition from community-dwelling to nursing facilities.
Many oral health programs are focusing on increasing access to oral health care for senior adults, however there is a lack of baseline utilization data for analysis of these programs. An objective of this study is to determine predictors of oral health care and establish baseline data for Medicaid-enrolled senior adults.
The present study shows that over half of Iowa Medicaid-enrolled senior adults never received an oral exam or oral hygiene procedure in 5 years while transitioning from community-dwelling to nursing facility residence.
- Academic Unit
- Preventive and Community Dentistry
- Record Identifier
- 9983776778102771
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