Access to Endodontic Care in North Carolina Public Health and Medicaid Settings Public Deposited

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  • March 22, 2019
  • Richardson, Steven L.
    • Affiliation: School of Dentistry, Department of Endodontics
  • The purpose of this study was to investigate issues related to access to endodontic care in North Carolina for individuals who use dental public health resources such as public health clinics (PHC) or government sponsored reimbursement programs (Medicaid and NC Health Choice) in private dental practices (PPM). 1195 dentists were surveyed regarding frequency and type of endodontic conditions encountered, treatments provided, treatment techniques, referral patterns and perceived barriers to care. 79% report frequently encountering an endodontic condition but only 34% report performing any type of definitive endodontic procedure. Lack of insurance was the greatest barrier to care with 89% considering it a moderate to major barrier, followed by cost of the endodontic treatment (87%) and cost of the restoration following treatment (86%). PPMs were more likely to consider cost and insurance a major barrier (p<.05). Treatment patterns and perceptions of barriers to care are different for PHCs and PPMs.
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  • ... in partial fulfillment of the requirements for the degree of Master of Science in the School of Dentistry (Endodontics).
  • Phillips, Ceib

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