The Resource Evaluating the quality and efficacy of care provided by extended care permit dental hygienists in a school based dental home, Melanie Simmer-Beck

Evaluating the quality and efficacy of care provided by extended care permit dental hygienists in a school based dental home, Melanie Simmer-Beck

Label
Evaluating the quality and efficacy of care provided by extended care permit dental hygienists in a school based dental home
Title
Evaluating the quality and efficacy of care provided by extended care permit dental hygienists in a school based dental home
Statement of responsibility
Melanie Simmer-Beck
Creator
Contributor
Author
Thesis advisor
Subject
Genre
Language
eng
Summary
Lack of access to oral health care is a growing problem for low income children in the United States. One proposed solution to this problem is utilizing dental hygienists to the full extent of their education and training. In 2003, Kansas altered the dental hygiene scope of practice and supervision regulations through the creation of the extended care permit (ECP) dental hygienist. In 2008, a school-based oral health intervention, that utilized ECP dental hygienists to provide preventive oral health care and referrals, was established in a Midwestern city suburb. The purpose of this case study was to assess the quality of oral health care provided by ECP dental hygienists. The central hypothesis of this investigation was ECP dental hygienists provide quality oral health care that improves the oral health of underserved children in a school-based setting. Using a case-study design, electronic medical records of children (n=986) who participated in the intervention were mined for data. Numerators and denominators from the Dental Quality Alliance Concept Set provided the framework for measurement. Patient-oriented outcomes were examined in a multi-encounter cohort (n=295) using MANOVA and Kruskal Wallace. Results revealed 26.3% of the children eligible to participate in the intervention chose to do so. On average 96.6% of the children were provided a minimum of one topical fluoride application and 34.0% had at least one sealant placed. Nearly half (48.7%) of the program participants had two or more topical fluoride applications. On average 52.8% of the children had sealants placed. The number of encounters with ECP dental hygienists had a statistically significant effect on changes in decay (p=0.014), changes in restorations (p=0.002) and changes in treatment urgency (p=0.022). A statistically significant effect of the number of fluoride applications on changes in restorations (p.0.031) was also present. These results suggests ECP dental hygienists can provide access to and the provision of timely and appropriate quality oral health care for low income children in a school-based setting and oral health care provided by ECP dental hygienists can improve the oral health status of low income children who lack access to oral health care
Cataloging source
UMK
http://library.link/vocab/creatorName
Simmer-Beck, Melanie
Degree
Ph. D. (School of Dentistry and Henry W. Bloch School of Management).
Dissertation year
2013.
Granting institution
University of Missouri-Kansas City,
Illustrations
illustrations
Index
no index present
Literary form
non fiction
Nature of contents
  • dictionaries
  • bibliography
  • theses
http://library.link/vocab/relatedWorkOrContributorDate
1953-
http://library.link/vocab/relatedWorkOrContributorName
Branson, Bonnie
http://library.link/vocab/subjectName
  • Poor children
  • Dental hygienists
  • Dental Care for Children
  • Dental Hygienists
Label
Evaluating the quality and efficacy of care provided by extended care permit dental hygienists in a school based dental home, Melanie Simmer-Beck
Instantiates
Publication
Note
  • "A dissertation in Oral and Craniofacial Sciences and Public Affairs and Administration."
  • Advisor: Bonnie Branson
  • Vita
Antecedent source
not applicable
Bibliography note
Includes bibliographical references (pages 63-70)
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
Introduction -- Methods -- Results -- Discussion -- Conclusion -- Literature cited -- Appendix 1. Glossary of terms -- Appendix 2. Dental quality alliance starter set of measures
Control code
864628304
Dimensions
unknown
Extent
1 online resource (159 pages)
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
illustrations (some color).
Quality assurance targets
not applicable
Specific material designation
remote
System control number
(OCoLC)864628304
System details
  • The full text of the dissertation is available as an Adobe Acrobat .pdf file; Adobe Acrobat Reader required to view the file
  • Mode of access: World Wide Web
Label
Evaluating the quality and efficacy of care provided by extended care permit dental hygienists in a school based dental home, Melanie Simmer-Beck
Publication
Note
  • "A dissertation in Oral and Craniofacial Sciences and Public Affairs and Administration."
  • Advisor: Bonnie Branson
  • Vita
Antecedent source
not applicable
Bibliography note
Includes bibliographical references (pages 63-70)
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
Introduction -- Methods -- Results -- Discussion -- Conclusion -- Literature cited -- Appendix 1. Glossary of terms -- Appendix 2. Dental quality alliance starter set of measures
Control code
864628304
Dimensions
unknown
Extent
1 online resource (159 pages)
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
illustrations (some color).
Quality assurance targets
not applicable
Specific material designation
remote
System control number
(OCoLC)864628304
System details
  • The full text of the dissertation is available as an Adobe Acrobat .pdf file; Adobe Acrobat Reader required to view the file
  • Mode of access: World Wide Web

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