Date of Degree
MS (Master of Science)
Dental Public Health
Daniel J. Caplan
First Committee Member
Second Committee Member
Third Committee Member
Fourth Committee Member
Fifth Committee Member
OBJECTIVE: To establish baseline data of dental utilization and determine the predictors of receipt of dental procedures by Medicaid-enrolled senior adults who reside in Iowa nursing facilities.
METHODS: This was a longitudinal retrospective analysis of Iowa Medicaid claims data for SFY 2007-2014 of senior adults who were 68 years or older upon entry to a nursing facility and continuously enrolled (eligible 58 out of 60 months) in Medicaid for three years prior to and at least two years after admission.
RESULTS: Controlling for the subject and nursing facility level variables, the strongest predictor of dental utilization after entry was the receipt of a dental procedure before entry (p< 0.001). Subjects residing in a facility located in an urban area (p< 0.002) or in two regions of Iowa (p=0.035, p=0.019, respectively) also had increased odds of receiving a dental procedure.
CONCLUSION: Our results show that approximately 50% of the subjects never received a dental procedure in the 5-year study period. The strongest predictor of receipt of dental procedures in the 2 years after entry was the receipt of dental procedures in the 3 years before entry. It is important for Medicaid-enrolled senior adults to establish a dental home while community-dwelling.
Although there is a consensus among authors that oral health among institutionalized elderly patients are worse when compared to their community-dwelling peers, there are no published data for utilization of dental services by senior adults during their transition from community-dwelling to nursing facilities.
Many oral health programs are focusing on increasing access to oral health care for senior adults, however there is a lack of baseline utilization data for analysis of these programs. An objective of this study is to determine predictors of oral health care and establish baseline data for Medicaid-enrolled senior adults.
The present study shows that over half of Iowa Medicaid-enrolled senior adults never received an oral exam or oral hygiene procedure in 5 years while transitioning from community-dwelling to nursing facility residence.
dental utilization, frail elderly, preventive dental
xii, 87 pages
Includes bibliographical references (pages 80-87).
Copyright © 2016 Mary C. Kelly Grief
Kelly Grief, Mary C.. "Utilization of preventive oral health care by Medicaid-enrolled senior adults during their transition from community-dwelling to nursing facility residence." MS (Master of Science) thesis, University of Iowa, 2016.