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Race and Payor Type for Child Visits with Public Health Dental Hygienist Practitioners

Ok, Sally (2021) Race and Payor Type for Child Visits with Public Health Dental Hygienist Practitioners. Master Essay, University of Pittsburgh.

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Abstract

Purpose. To examine whether growth in visits to Public Health Dental Hygiene Practitioners (PHDHPs) providing preventative dental services at a pediatric hospital clinic was predominantly among children receiving public insurance and children of minority background from 2013 to 2017.
Methods. Longitudinal descriptive data analysis from electronic health records for 6,856 children under age 18 years who visited PHDHPs co-located at a hospital clinic in Pittsburgh, PA, from 2013 to 2017. We compared visits between white versus non-white children and between children with public, private, and no or missing insurance by year.
Results. Visit volume doubled from 2013 (n=811) to 2017 (n=1868). The proportion of PHDHP visits with non-white children increased from 77% (n=625) in 2013 to 87% (n=1,472) in 2017 (P<.001). The proportion of PHDHP visits with children with public insurance increased from 72% (n=585) in 2013 to 82% (n=1,377) in 2017 (P<.001).
Conclusions. PHDHPs co-located at a pediatric hospital clinic saw a high proportion of visits from children of non-white race and with public insurance. Visits from children of minority race and with public insurance increased disproportionately as visit volume grew from 2013 to 2017, depicting a vehicle through which historically underserved children increasingly accessed preventive dental services. Thus, PHDHPs co-located at a pediatric hospital clinic have great public health importance due to their potential to decrease oral health disparities among disadvantaged children.


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Details

Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Ok, Sallysho26@pitt.edusho26
Contributors:
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairBurgette, Jacquelinejacqueline@pitt.edujacquelineUNSPECIFIED
Committee MemberFinegold, Daviddnf@pitt.edudnfUNSPECIFIED
Date: 10 May 2021
Date Type: Completion
Submission Date: 2 March 2021
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Number of Pages: 32
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Multidisciplinary MPH
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Uncontrolled Keywords: Public Health Dental Hygienist Practitioner; PHDHP; pediatric dentistry; dental public health; access to care
Date Deposited: 10 May 2021 21:57
Last Modified: 10 May 2021 21:57
URI: http://d-scholarship.pitt.edu/id/eprint/40525

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