The Resource Medicaid : extent of dental disease in children has not decreased, and millions are estimated to have untreated tooth decay : report to congressional requesters, [GAO contact, James C. Cosgrove]

Medicaid : extent of dental disease in children has not decreased, and millions are estimated to have untreated tooth decay : report to congressional requesters, [GAO contact, James C. Cosgrove]

Label
Medicaid : extent of dental disease in children has not decreased, and millions are estimated to have untreated tooth decay : report to congressional requesters
Title
Medicaid
Title remainder
extent of dental disease in children has not decreased, and millions are estimated to have untreated tooth decay : report to congressional requesters
Statement of responsibility
[GAO contact, James C. Cosgrove]
Title variation
  • Medicaid dental services for children
  • Extent of dental disease in children has not decreased, and millions are estimated to have untreated tooth decay
Creator
Author
Subject
Genre
Language
eng
Summary
  • Compared to children with private health insurance; children in Medicaid were almost twice as likely to have untreated tooth decay. Receipt of dental care also remains a concern for children aged 2 through 18 in Medicaid. Nationally representative data from the 2004 through 2005 MEPS survey--which asks participants about the receipt of dental care for household members--indicate that only one in three children in Medicaid ages 2 through 18 had received dental care in the year prior to the survey. Similarly, about one in eight children reportedly never sees a dentist. More than half of children with private health insurance, by contrast, had received dental care in the prior year. Children in Medicaid also fared poorly when compared to national benchmarks, as the percentage of children in Medicaid who received any dental care--37 percent--was far below the Healthy People 2010 target of having 66 percent of low-income children under age 19 receive a preventive dental service. Survey data on Medicaid children's receipt of dental care showed some improvement; for example, use of sealants went up significantly between the 1988 through 1994 and 1999 through 2004 time periods. Rates of dental disease, however, did not decrease, although the data suggest the trends vary somewhat among different age groups. Younger children in Medicaid--those aged 2 through 5--had statistically significant higher rates of dental disease in the more recent time period as compared to earlier surveys. By contrast, data for Medicaid adolescents aged 16 through 18 show declining rates of tooth decay, although the change was not statistically significant
  • In recent years, concerns have been raised about the adequacy of dental care for low-income children. Attention to this subject became more acute due to the widely publicized case of Deamonte Driver, a 12-year-old boy who died as a result of an untreated infected tooth that led to a fatal brain infection. Deamonte had health coverage through Medicaid, a joint federal and state program that provides health care coverage, including dental care, for millions of low-income children. Deamonte had extensive dental disease and his family was unable to find a dentist to treat him. GAO was asked to examine the extent to which children in Medicaid experience dental disease, the extent to which they receive dental care, and how these conditions have changed over time. To examine these indicators of oral health, GAO analyzed data for children ages 2 through 18, by insurance status, from two nationally representative surveys conducted by the Department of Health and Human Services (HHS): the National Health and Nutrition Examination Survey (NHANES) and the Medical Expenditure Panel Survey (MEPS). GAO also interviewed officials from the Centers for Disease Control and Prevention, and dental associations and researchers. In commenting on a draft of the report, HHS acknowledged the challenge of providing dental services to children in Medicaid, and cited a number of studies and actions taken to address the issue. Dental disease remains a significant problem for children aged 2 through 18 in Medicaid. Nationally representative data from the 1999 through 2004 NHANES surveys--which collected information about oral health through direct examinations--indicate that about one in three children in Medicaid had untreated tooth decay, and one in nine had untreated decay in three or more teeth. Projected to 2005 enrollment levels, GAO estimates that 6.5 million children aged 2 through 18 in Medicaid had untreated tooth decay. Children in Medicaid remain at higher risk of dental disease
Member of
Cataloging source
UMI
http://bibfra.me/vocab/lite/collectionName
ProQuest U.S. Congressional Research Digital Collection
Government publication
federal national government publication
Illustrations
illustrations
Index
no index present
LC call number
KF49
LC item number
.C59 CMP-2008-GAO-0449 ONLINE
Literary form
non fiction
Nature of contents
  • dictionaries
  • bibliography
http://bibfra.me/vocab/lite/organizationName
United States
Series statement
Committee print
http://library.link/vocab/subjectName
  • Children
  • Medicaid
  • Poor children
Label
Medicaid : extent of dental disease in children has not decreased, and millions are estimated to have untreated tooth decay : report to congressional requesters, [GAO contact, James C. Cosgrove]
Instantiates
Publication
Note
  • Committee print
  • Record is based on bibliographic data in ProQuest U.S. Congressional Research Digital Collection. Reuse except for individual research requires license from ProQuest, LLC
Antecedent source
mixed
Bibliography note
Includes bibliographical references
Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Color
black and white
Content category
text
Content type code
txt
Content type MARC source
rdacontent
Contents
CMP-2008-GAO-0449
Control code
cmp200405102
Dimensions
unknown
Extent
1 online resource (iii, 40 pages : illustrations)
File format
one file format
Form of item
online
Level of compression
mixed
Media category
computer
Media MARC source
rdamedia
Media type code
c
Other physical details
digital, PDF file
Quality assurance targets
present
Reformatting quality
preservation
Reproduction note
Electronic reproduction.
Specific material designation
remote
System control number
cmp200405102
System details
System requirements: PDF reader software
Label
Medicaid : extent of dental disease in children has not decreased, and millions are estimated to have untreated tooth decay : report to congressional requesters, [GAO contact, James C. Cosgrove]
Publication
Note
  • Committee print
  • Record is based on bibliographic data in ProQuest U.S. Congressional Research Digital Collection. Reuse except for individual research requires license from ProQuest, LLC
Antecedent source
mixed
Bibliography note
Includes bibliographical references
Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Color
black and white
Content category
text
Content type code
txt
Content type MARC source
rdacontent
Contents
CMP-2008-GAO-0449
Control code
cmp200405102
Dimensions
unknown
Extent
1 online resource (iii, 40 pages : illustrations)
File format
one file format
Form of item
online
Level of compression
mixed
Media category
computer
Media MARC source
rdamedia
Media type code
c
Other physical details
digital, PDF file
Quality assurance targets
present
Reformatting quality
preservation
Reproduction note
Electronic reproduction.
Specific material designation
remote
System control number
cmp200405102
System details
System requirements: PDF reader software

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