Clemans-Cope Lisa, Kenney Genevieve, Waidmann Timothy, Huntress Michael, Anderson Nathaniel
Health Policy Center, The Urban Institute, Washington, DC.
Health Policy Center, The Urban Institute, Washington, DC.
Acad Pediatr. 2015 May-Jun;15(3 Suppl):S78-84. doi: 10.1016/j.acap.2015.02.009. Epub 2015 Mar 24.
We examine how access to and use of oral and dental care under the Children's Health Insurance Program (CHIP) compared to private coverage and being uninsured in 10 states.
We report on findings drawn from a 2012 survey of CHIP enrollees in 10 states. We examined a range of parent-reported dental care access and use measures among CHIP enrollees. Comparisons of the experiences of established CHIP enrollees to the experiences of newly enrolling children who had been uninsured or privately insured were used to estimate the impacts of CHIP on children's oral health and dental care.
Most children enrolled in CHIP had a usual source of dental care and had received a dental checkup or cleaning in the past year, and most over age 6 had had sealants placed on their molars. In addition, parents of most CHIP enrollees were aware that CHIP covered dental benefits, and most reported not having trouble finding a dentist to see their child. Even so, 12% of CHIP enrollees had unmet dental care needs. Compared to being uninsured, CHIP enrollees did better across nearly all oral health measures. Compared to being privately insured, CHIP enrollees were more likely to have dental benefits, to have a usual source of dental care, and to have had a dental checkup/cleaning, but they were more likely to have trouble finding a dentist and less likely to say that their child's teeth were in excellent/very good condition.
Enrolling eligible uninsured children in CHIP led to improvements in their access to preventive dental care, as well as reductions in their unmet dental care needs, yet the CHIP program has more work to do to address the oral health problems of children.
我们研究了在10个州，儿童健康保险计划（CHIP）下的口腔和牙科护理的获取与使用情况，并与私人保险和未参保情况进行比较。
我们报告了2012年对10个州的CHIP参保者进行的一项调查结果。我们研究了一系列家长报告的CHIP参保者的牙科护理获取与使用指标。将已参保的CHIP参保者的经历与新参保的未参保或有私人保险的儿童的经历进行比较，以评估CHIP对儿童口腔健康和牙科护理的影响。
大多数参加CHIP的儿童有固定的牙科护理来源，并且在过去一年接受过牙科检查或洗牙，大多数6岁以上的儿童在臼齿上做过窝沟封闭。此外，大多数CHIP参保者的家长知道CHIP涵盖牙科福利，并且大多数报告说在为孩子找牙医方面没有困难。即便如此，12%的CHIP参保者有未满足的牙科护理需求。与未参保相比，CHIP参保者在几乎所有口腔健康指标上表现更好。与有私人保险相比，CHIP参保者更有可能获得牙科福利，有固定的牙科护理来源，并且接受过牙科检查/洗牙，但他们更有可能在找牙医方面遇到困难，并且不太可能说他们孩子的牙齿状况极佳/非常好。
让符合条件的未参保儿童参加CHIP导致他们在获得预防性牙科护理方面有所改善，以及未满足的牙科护理需求有所减少，然而CHIP计划在解决儿童口腔健康问题方面还有更多工作要做。
