Cost and Workflow Impact of a Primary Care Based Multi-Level Pediatric Oral Health Intervention.
Objectives: A recent trial demonstrated the effectiveness of a primary care-based multilevel intervention to increase dental attendance in 3- to 6-year-old Medicaid-insured children. We estimate the cost and workflow impact for real-world practices wishing to implement this intervention. Methods: In...
| Publicado en: | Journal of Primary Care & Community Health Vol. 16; pp. 1 - 8 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
10/22/2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188945614&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188945614 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 21501319 AZBE jtl: Journal of Primary Care & Community Health issn: 21501319 maglogo: Y pubinfo: dt: 10/22/2025 vid: 16 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 188945614 188945614 188945614 10.1177/21501319251369991 188945614 ppf: 1 ppct: 7 formats: tig: atl: Cost and Workflow Impact of a Primary Care Based Multi-Level Pediatric Oral Health Intervention. aug: au: Rose, Johnie Selvaraj, David Ronis, Sarah D. Curtan, Shelley Bales, Gloria C. Nelson, Suchitra affil: Case Western Reserve University School of Medicine, Cleveland, OH, USA sug: subj: Medicaid Economics Insurance, Health Economics Primary Health Care Pediatric Dentistry Oral Health Private Practice Management Costs and Cost Analysis Evaluation Workflow Evaluation Human Funding Source Male Female Child, Preschool Secondary Analysis Inferential Statistics Health Care Costs Salaries and Fringe Benefits Electronic Health Records Implementation Science Child, Preschool: 2-5 years Male Female ab: Objectives: A recent trial demonstrated the effectiveness of a primary care-based multilevel intervention to increase dental attendance in 3- to 6-year-old Medicaid-insured children. We estimate the cost and workflow impact for real-world practices wishing to implement this intervention. Methods: Intervention practices from the trial integrated oral health (OH) questions into their electronic medical records (EMR). Providers received theory-based training on delivering OH education and provided "prescriptions" for dental visits and a list of Medicaid-accepting dentists. EMR enhancement and training costs were estimated by applying nationally-representative, role-specific hourly labor costs to reported time spent by study participants performing each activity. Study staff timed the OH portion of 2 to 3 randomly selected encounters per provider. Results: Twenty-eight providers from 9 intervention pediatric practices participated. The percentage of Medicaid patients in these practices ranged from 22% to 86%. Practices corresponding in size to the smallest, median, and largest in the intervention group can expect first-year implementation costs of $579.79, $863.86, and $1482.15, respectively, with subsequent annual maintenance costs of $167.11, $451.18, and $1069.47. Encounter time for the intervention averaged 38 s longer than for standard care (control group). Conclusions: Implementation of this effective pediatric OH intervention appears to entail modest costs and lengthen encounters minimally. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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