Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/43488
Citations | ||
Scopus | Web of Science® | Altmetric |
---|---|---|
?
|
?
|
Type: | Journal article |
Title: | Training pediatric health care providers in prevention of dental decay: Results from a randomized controlled trial |
Author: | Slade, G. Rozier, R. Zeldin, L. Margolis, P. |
Citation: | BMC Health Services Research, 2007; 7(1):WWW 1-WWW 10 |
Publisher: | BioMed Central Ltd. |
Issue Date: | 2007 |
ISSN: | 1472-6963 1472-6963 |
Statement of Responsibility: | Gary D Slade, R Gary Rozier, Leslie P Zeldin, and Peter A Margolis |
Abstract: | Background: Physicians report willingness to provide preventive dental care, but optimal methods for their training and support in such procedures are not known. This study aimed to evaluate the effect of three forms of continuing medical education (CME) on provision of preventive dental services to Medicaid-enrolled children by medical personnel in primary care physician offices. Methods: Practice-based, randomized controlled trial. Setting: 1,400 pediatric and family physician practices in North Carolina providing care to an estimated 240,000 Medicaid-eligible children aged 0–3 years. Interventions: Group A practices (n = 39) received didactic training and course materials in oral health screening, referral, counseling and application of fluoride varnish. Group B practices (n = 41) received the same as Group A and were offered weekly conference calls providing advice and support. Group C practices (n = 41) received the same as Group B and were offered in-office visit providing hands-on advice and support. In all groups, physicians were reimbursed $38–$43 per preventive dental visit. Outcome measures were computed from reimbursement claims submitted to NC Division of Medical Assistance. Primary outcome measure: rate of preventive dental services provision per 100 well-child visits. Secondary outcome measure: % of practices providing 20 or more preventive dental visits. Results: 121 practices were randomized, and 107 provided data for analysis. Only one half of Group B and C practices took part in conference calls or in-office visits. Using intention-to-treat analysis, rates of preventive dental visits did not differ significantly among CME groups: GroupA = 9.4, GroupB = 12.9 and GroupC = 8.5 (P = 0.32). Twenty or more preventive dental visits were provided by 38–49% of practices in the three study groups (P = 0.64). Conclusion: A relatively high proportion of medical practices appear capable of adopting these preventive dental services within a one year period regardless of the methods used to train primary health care providers. |
Keywords: | Humans Dental Caries Program Evaluation Dental Care for Children Preventive Dentistry Attitude of Health Personnel Pediatric Dentistry Family Practice Pediatrics Education, Medical, Continuing Child, Preschool Infant Infant, Newborn Medicaid North Carolina Surveys and Questionnaires |
Rights: | © 2007 Slade et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
DOI: | 10.1186/1472-6963-7-176 |
Published version: | http://dx.doi.org/10.1186/1472-6963-7-176 |
Appears in Collections: | Aurora harvest 6 Business School publications |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
hdl_43488.pdf | Published version | 472.34 kB | Adobe PDF | View/Open |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.