A survey of cleft team patient experience in obtaining dental care

Devra B. Becker, Frances Lee, Sean Hill, Richard Nissen, Donald Huebener, Sibyl Scheve, Shayna Gordon, Alex A. Kane

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)444-447
Number of pages4
JournalCleft Palate-Craniofacial Journal
Volume46
Issue number4
DOIs
StatePublished - Jul 2009

Fingerprint

Dental Care
Insurance
Medicaid
Tooth
Surveys and Questionnaires
Dental Schools
Cleft Lip
Cleft Palate
Caregivers
Patient Care
Parents
Demography
Outcome Assessment (Health Care)
Databases

Keywords

  • Cleft
  • Cleft lip and palate
  • Cleft palate
  • Dental care
  • Medicaid

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Oral Surgery

Cite this

Becker, D. B., Lee, F., Hill, S., Nissen, R., Huebener, D., Scheve, S., ... Kane, A. A. (2009). A survey of cleft team patient experience in obtaining dental care. Cleft Palate-Craniofacial Journal, 46(4), 444-447. https://doi.org/10.1597/07-187.1

A survey of cleft team patient experience in obtaining dental care. / Becker, Devra B.; Lee, Frances; Hill, Sean; Nissen, Richard; Huebener, Donald; Scheve, Sibyl; Gordon, Shayna; Kane, Alex A.

In: Cleft Palate-Craniofacial Journal, Vol. 46, No. 4, 07.2009, p. 444-447.

Research output: Contribution to journalArticle

Becker, DB, Lee, F, Hill, S, Nissen, R, Huebener, D, Scheve, S, Gordon, S & Kane, AA 2009, 'A survey of cleft team patient experience in obtaining dental care', Cleft Palate-Craniofacial Journal, vol. 46, no. 4, pp. 444-447. https://doi.org/10.1597/07-187.1
Becker DB, Lee F, Hill S, Nissen R, Huebener D, Scheve S et al. A survey of cleft team patient experience in obtaining dental care. Cleft Palate-Craniofacial Journal. 2009 Jul;46(4):444-447. https://doi.org/10.1597/07-187.1
Becker, Devra B. ; Lee, Frances ; Hill, Sean ; Nissen, Richard ; Huebener, Donald ; Scheve, Sibyl ; Gordon, Shayna ; Kane, Alex A. / A survey of cleft team patient experience in obtaining dental care. In: Cleft Palate-Craniofacial Journal. 2009 ; Vol. 46, No. 4. pp. 444-447.
@article{98c9eae45cfa4fe1abb27e34872c3c27,
title = "A survey of cleft team patient experience in obtaining dental care",
abstract = "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.",
keywords = "Cleft, Cleft lip and palate, Cleft palate, Dental care, Medicaid",
author = "Becker, {Devra B.} and Frances Lee and Sean Hill and Richard Nissen and Donald Huebener and Sibyl Scheve and Shayna Gordon and Kane, {Alex A.}",
year = "2009",
month = "7",
doi = "10.1597/07-187.1",
language = "English (US)",
volume = "46",
pages = "444--447",
journal = "Cleft Palate-Craniofacial Journal",
issn = "1055-6656",
publisher = "American Cleft Palate Craniofacial Association",
number = "4",

}

TY - JOUR

T1 - A survey of cleft team patient experience in obtaining dental care

AU - Becker, Devra B.

AU - Lee, Frances

AU - Hill, Sean

AU - Nissen, Richard

AU - Huebener, Donald

AU - Scheve, Sibyl

AU - Gordon, Shayna

AU - Kane, Alex A.

PY - 2009/7

Y1 - 2009/7

N2 - 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.

AB - 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.

KW - Cleft

KW - Cleft lip and palate

KW - Cleft palate

KW - Dental care

KW - Medicaid

UR - http://www.scopus.com/inward/record.url?scp=67650169926&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=67650169926&partnerID=8YFLogxK

U2 - 10.1597/07-187.1

DO - 10.1597/07-187.1

M3 - Article

VL - 46

SP - 444

EP - 447

JO - Cleft Palate-Craniofacial Journal

JF - Cleft Palate-Craniofacial Journal

SN - 1055-6656

IS - 4

ER -