A survey of cleft team patient experience in obtaining dental care.

Cleft Palate Craniofac J 2009 Jul 21;46(4):444-7. Epub 2009 Jan 21.

Washington University School of Medicine, St. Louis, Missouri 63110, USA.

Objective: To assess patient experiences in obtaining dental care in a team setting without an affiliated dental school.

Design And Participants: Three hundred seventy-four patients in the cleft team database met inclusion criteria of diagnosis of cleft lip and/or palate, and current age of 7 to 12 years. Demographic information and experiences in obtaining dental care were ascertained using a standardized series of questions. A callback protocol was employed to maximize response rate. Results were analyzed with t-tests using contingency tables.

Outcome Measures And Results: One hundred seventy-one parents/caregivers were interviewed of a possible 374 (response rate 45.7%). Mean age was 9.87 years. The insurance distribution was as follows: 113 private insurance (66.1%), 35 Medicaid (20.5%), and 23 had no insurance (13.5%). The dental checkup distribution was as follows: 145 regular dental checkups (84.8%) and 26 no regular checkups (15.2%). Patients with private insurance were more likely to obtain dental care than were patients with Medicaid (p = .002) or patients without insurance (p = .0027). Patients with Medicaid were more likely to report provider refusal of care than were patients with private insurance (p = .0001) or patients without insurance (p = .0001). Patients with private insurance were more likely to report satisfaction with their dental care than were patients with Medicaid (p = .0003).

Conclusions: We report an 84.8% regular checkup rate among our study population and a significantly different reported experience in obtaining care depending on insurance type. The reasons underlying the differences between privately insured patients and Medicaid patients appear multifactorial.

Download full-text PDF

Source
http://journals.sagepub.com/doi/10.1597/07-187.1
Publisher Site
http://dx.doi.org/10.1597/07-187.1DOI Listing
July 2009
17 Reads

Publication Analysis

Top Keywords

dental care
20
patients medicaid
16
private insurance
16
care patients
12
patients private
12
obtaining dental
12
patients
11
insurance
9
patients insurance
8
insurance 0001
8
experiences obtaining
8
0001 patients
8
dental
8
response rate
8
cleft team
8
experience obtaining
8
848% regular
8
care
7
medicaid
5
135% dental
4

References

(Supplied by CrossRef)

Al Agili D.E. et al.
J Am Dent Assoc. 2004

Casamassimo P.S. et al.
J Dent Educ. 2004

Eklund S.A. et al.
J Am Dent Assoc. 2003

Finger S.T. et al.
Spec Care Dentist. 1989

Lewis C. et al.
Pediatrics. 2005

Seale N.S. et al.
J Am Dent Assoc. 2003

U.S. Department of Health and Human Services. et al.
2000

Similar Publications