Changes in emergency department dental visits after Medicaid expansion
| العنوان: | Changes in emergency department dental visits after Medicaid expansion |
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| المؤلفون: | Benjamin D. Sommers, Ichiro Kawachi, Hawazin W. Elani |
| المصدر: | Health Serv Res |
| بيانات النشر: | Wiley, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Adult, Male, Insurance, Dental, medicine.medical_specialty, Insurance Coverage, Young Adult, 03 medical and health sciences, 0302 clinical medicine, stomatognathic system, Health insurance, Humans, Medicine, 030212 general & internal medicine, health care economics and organizations, Effects of Medicaid Expansion, Retrospective Studies, Medicaid, business.industry, Patient Protection and Affordable Care Act, 030503 health policy & services, Health Policy, Emergency department, Middle Aged, Dental care, United States, stomatognathic diseases, Tooth Diseases, Family medicine, Female, Medicaid coverage, Emergency Service, Hospital, 0305 other medical science, business |
| الوصف: | Objectives To estimate the effect of Medicaid expansion under the Affordable Care Act (ACA) on the frequency and payment source for Emergency Department (ED) visits for dental care. Study design Retrospective, quasi-experimental study. Data sources/study setting We used the State Emergency Department Database to compare changes in ED visit rates and payment source for dental conditions among patients from 33 states. These states represent four distinct policy environments, based on whether they expanded Medicaid and whether their Medicaid programs provide dental benefits. We first assessed the number of ED dental visits before (2012) and after (2014) the ACA. Then, we used differences-in-differences regression to estimate changes in insurance for dental visits by nonelderly adults. Principal findings Our sample contained 375 944 dental ED visits. In states that expanded Medicaid and offered dental coverage, dental ED visits decreased by 14.1 percent (from 19 443 to 16 709, for a net difference of 2734). By contrast, in the remaining three state groups, dental ED visits rose. Meanwhile, the expansion significantly increased Medicaid coverage and decreased the rate of self-pay for ED dental visits. Conclusions Medicaid expansion, combined with adult dental coverage in Medicaid, was associated with a reduction in ED utilization for dental visits. |
| تدمد: | 1475-6773 0017-9124 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f2973c55f2f1baf5be3cbdfdb2ba4764 https://doi.org/10.1111/1475-6773.13261 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....f2973c55f2f1baf5be3cbdfdb2ba4764 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14756773 00179124 |
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