David Mosen1, Dan Pihlstrom2, John Snyder3, Ning Smith4, Elizabeth Shuster5, Kristal Rust6. 1. Senior Program Evaluation Consultant and Affiliate Investigator at The Center for Health Research in Portland, OR. david.m.mosen@kpchr.org. 2. Associate Director for Evidence-Based Care and Oral Health Research for Permanente Dental Associates in Portland, OR. dan.j.pihlstrom@kp.org. 3. CEO and Dental Director for Permanente Dental Associates in Portland, OR. john.j.snyder@kp.org. 4. Biostatistician and Investigator for The Center for Health Research in Portland, OR. ning.smith@kpchr.org. 5. Research Analyst for The Center for Health Research in Portland, OR. elizabeth.shuster@kpchr.org. 6. Statistical Research Analyst for The Center for Health Research in Portland, OR. kristal.rust@kpchr.org.
Abstract
CONTEXT: The dental setting represents an unrealized opportunity to increase adherence to preventive services and improve health outcomes. OBJECTIVE: To compare adherence to a subset of Healthcare Effectiveness Data and Information Set (HEDIS) measures among a population that received dental care with a population that did not receive dental care. DESIGN: Using a retrospective cohort design, we identified 5216 adults who received regular dental care and 5216 persons who did not. The groups were matched on propensity scores, were followed for 3 years, and retained medical and dental benefits. Receipt of dental care was defined as 1 or more dental visits in each 12-month period. MAIN OUTCOME MEASURES: Outcome measures were assessed in a subpopulation that qualified for 1 of 5 HEDIS denominator groups (dental = 4184 patients; nondental = 3871 patients). They included 3 preventive measures (cervical, colorectal, and breast cancer screening), 4 chronic disease management services (hemoglobin A1c and low-density lipoprotein cholesterol testing, and nephropathy and retinopathy screening among the diabetes mellitus [DM] population), and 4 health outcome measures (poor glycemic control, low-density lipoprotein cholesterol control, blood pressure control in the DM population, and blood pressure control in the hypertensive population). RESULTS: Dental care was associated with higher adherence to all three cancer screening measures, one of four disease management services (higher retinopathy screening), and three of four health outcomes (better glycemic control in the DM population and better blood pressure control in the DM and hypertensive populations). CONCLUSIONS: Dental care was associated with improved adherence to 7 of 11 HEDIS measures.
CONTEXT: The dental setting represents an unrealized opportunity to increase adherence to preventive services and improve health outcomes. OBJECTIVE: To compare adherence to a subset of Healthcare Effectiveness Data and Information Set (HEDIS) measures among a population that received dental care with a population that did not receive dental care. DESIGN: Using a retrospective cohort design, we identified 5216 adults who received regular dental care and 5216 persons who did not. The groups were matched on propensity scores, were followed for 3 years, and retained medical and dental benefits. Receipt of dental care was defined as 1 or more dental visits in each 12-month period. MAIN OUTCOME MEASURES: Outcome measures were assessed in a subpopulation that qualified for 1 of 5 HEDIS denominator groups (dental = 4184 patients; nondental = 3871 patients). They included 3 preventive measures (cervical, colorectal, and breast cancer screening), 4 chronic disease management services (hemoglobin A1c and low-density lipoprotein cholesterol testing, and nephropathy and retinopathy screening among the diabetes mellitus [DM] population), and 4 health outcome measures (poor glycemic control, low-density lipoprotein cholesterol control, blood pressure control in the DM population, and blood pressure control in the hypertensive population). RESULTS: Dental care was associated with higher adherence to all three cancer screening measures, one of four disease management services (higher retinopathy screening), and three of four health outcomes (better glycemic control in the DM population and better blood pressure control in the DM and hypertensive populations). CONCLUSIONS: Dental care was associated with improved adherence to 7 of 11 HEDIS measures.
Authors: K J Mattila; M S Nieminen; V V Valtonen; V P Rasi; Y A Kesäniemi; S L Syrjälä; P S Jungell; M Isoluoma; K Hietaniemi; M J Jokinen Journal: BMJ Date: 1989-03-25
Authors: Bruna Galobardes; Mary Shaw; Debbie A Lawlor; John W Lynch; George Davey Smith Journal: J Epidemiol Community Health Date: 2006-01 Impact factor: 3.710
Authors: David M Mosen; Matthew P Banegas; John F Dickerson; Jeffrey L Fellows; Neon B Brooks; Daniel J Pihlstrom; Hala M Kershah; Jason L Scott; Erin M Keast Journal: J Am Dent Assoc Date: 2021-04 Impact factor: 3.454