Medicaid Meets Its Equal Access Requirement For Dental Care, But Oral Health Disparities Remain

2016 ◽  
Vol 35 (12) ◽  
pp. 2259-2267 ◽  
Author(s):  
Jaffer A. Shariff ◽  
Burton L. Edelstein
Keyword(s):  
Health Disparities ◽  
Oral Health ◽  
Dental Care ◽  
Equal Access ◽  
Oral Health Disparities ◽  
Access Requirement

The Role of Biobehavioral, Environmental, and Social Forces on Oral Health Disparities in Frail and Functionally Dependent Nursing Home Elders

2005 ◽  
Vol 7 (1) ◽  
pp. 75-82 ◽  
Author(s):  
Rita A. Jablonski ◽  
Cindy L. Munro ◽  
Mary Jo Grap ◽  
Ronald K. Elswick
Keyword(s):  
Health Disparities ◽  
Nursing Home ◽  
Oral Health ◽  
Nursing Homes ◽  
Dental Care ◽  
Systemic Disease ◽  
Nursing Home Residents ◽  
Social Forces ◽  
Oral Health Disparities ◽  
Mouth Care

The purpose of this article is to review the literature on and discuss how interactions between bio-behavioral aging, nursing home environments, and social forces shaping current health care policies have contributed to oral health disparities in frail and functionally dependent elders who reside in nursing homes. Emerging empirical evidence suggests links between poor oral health with dental plaque deposition and systemic disease, such as nursing home-acquired pneumonia. The majority of nursing home residents lack either the functional ability or the mental capacity to perform their own mouth care and therefore must rely on others to perform mouth care for them. Certified nursing assistants (CNAs), who provide the majority of care activities, were unsure how to provide care to residents who engaged in care-resistive behaviors. The nurses who supervise the CNAs have limited knowledge regarding the provision of mouth care in general, and they specifically lack knowledge regarding the provision of mouth care to elders exhibiting care-resistant behavior. Elders in nursing homes have limited options when paying for dental care; Medicare does not generally cover routine dental care. Medicaid coverage varies widely between individual states; even when coverage exists, low Medicaid reimbursements discourage dentists from accepting Medicaid patients. The strategies needed to reduce these oral health disparities are complicated but not unrealistic. Investigators willing to embrace this cause will have no shortage of opportunities to test methods to improve the delivery of oral care as well as to monitor and reassess these methods.

Cultural, Religious, Social and Personal Customs “A Boon or Bane” For Oral and General Health

2013 ◽  
Vol 7 (3) ◽  
pp. 153-160
Author(s):  
S Agarwal ◽  
R Gupta ◽  
V Mehrotra ◽  
A Sawhny ◽  
I Gupta ◽  
...  
Keyword(s):  
Health Promotion ◽  
Health Disparities ◽  
Oral Health ◽  
Dental Care ◽  
General Health ◽  
Cultural Beliefs ◽  
Cultural Issues ◽  
Oral Health Promotion ◽  
Oral Health Disparities ◽  
Holistic Approaches

ABSTRACT Professional dental care is increasingly conducted in multicultural environments. This article not only highlights disparities in oral and general health but also highlights the importance of cultural, religious, social, personal habits and practices and their effect on oral and general health and the need to adopt more holistic approaches to oral health promotion. Cultural beliefs, values and practices are often implicated as causes of oral health disparities, yet little is known about the breadth or adequacy of literature about cultural issues that could support these assertions.

Oral Health Disparities and Inequities in Older Adults

2021 ◽  
Vol 65 (2) ◽  
pp. 257-273
Author(s):  
Michelle M. Henshaw ◽  
Steven Karpas
Keyword(s):  
Older Adults ◽  
Health Disparities ◽  
Oral Health ◽  
Oral Health Disparities

Oral Health Disparities and the Future Face of America

2012 ◽  
Vol 91 (11) ◽  
pp. 997-1002 ◽  
Author(s):  
J.L. Ebersole ◽  
R. D’Souza ◽  
S. Gordon ◽  
C.H. Fox
Keyword(s):  
Health Disparities ◽  
Oral Health ◽  
Oral Health Disparities ◽  
The Future
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