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Document Type
DNP - University Access Only
Award Date
2018
Degree Name
Doctor of Nursing Practice (DNP)
Department
Graduate Nursing
First Advisor
Nicole Gibson
Keywords
fluoride, varnish, Medicaid, children
Abstract
Cavities are the most common and preventable chronic condition among children (Centers for Disease Control and Prevention [CDC], n.d.). Less than half of dentists accept Medicaid insured children due to poor reimbursement rates (Nicoll, Phillips, Shaefer, & Simoncic, 2016). In recognition of this gap in care, Medicaid now reimburses primary care providers (PCPs) for fluoride varnish application (Moyer, 2014). The Doctor of Nursing Practice (DNP) project implemented PCP fluoride varnish application and parental education in a rural primary care clinic. Eligible participants were children, five years of age or younger, with Medicaid and at least one primary tooth presenting for a well-child check. The desired outcome was an increase in PCP Medicaid claim submissions for preventive dental health services. Evaluation of prior access to preventive dental care was analyzed with a questionnaire. The purpose of this DNP project was to evaluate the effectiveness of a PCP dental health intervention on access to preventive dental care among children with Medicaid. Results lacked statistical significance, but clinical significance resulted from introducing fluoride varnish services to the clinic and providing eight children with their first preventive dental care exposure.
Library of Congress Subject Headings
Children -- Dental care.
Medicaid beneficiaries -- Services for.
Preventive health services.
Fluoride varnishes.
Description
Includes bibliographical references
Format
application/pdf
Number of Pages
108
Publisher
South Dakota State University
Rights
In Copyright - Educational Use Permitted
http://rightsstatements.org/vocab/InC-EDU/1.0/
Recommended Citation
Hamiel, Kelsi, "Preventive Dental Health among Medicaid Children" (2018). Doctor of Nursing Practice (DNP) Practice Innovation Projects. 104.
https://openprairie.sdstate.edu/con_dnp/104