通过牙科和产科提供者之间的合作促进母婴口腔健康的试点方案：对怀孕期间牙科就诊的影响。

IF 1.7 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Maternal and Child Health Journal Pub Date : 2025-09-11 DOI:10.1007/s10995-025-04158-8

Sarah J Clark, Divesh Byrappagari, Lindsay Sailor

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引用次数: 0

摘要

目标：密歇根母婴口腔健康倡议（MIMIOH）项目向联邦合格的健康中心（fqhc）提供资金，以雇用和嵌入一名牙科保健师在产科诊所，目标是增加怀孕期间牙科保健的提供。10个站点参与了两个队列。我们的目的是评估MIMIOH计划对怀孕期间牙科就诊的影响。方法：使用医疗补助支付的索赔，我们记录了怀孕期间牙科就诊的季度趋势，描述了每个MIMIOH站点的趋势，并比较了MIMIOH队列1和2与未参加MIMIOH的fqhc的总体结果。结果：怀孕期间进行牙科检查的妇女比例在MIMIOH的各个站点有所不同，在积极参与期间比例更高。对于MIMIOH队列1和2，在积极参与期间牙科就诊的总比例高于非MIMIOH fqhc。相比之下，在MIMIOH参与结束后，队列1的牙科就诊率较低，而在MIMIOH开始前，队列2的牙科就诊率较低。结论：MIMIOH计划成功地增加了孕妇在积极参与期间的牙科就诊。

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A Pilot Program to Promote Maternal and Infant Oral Health Through Collaboration Between Dental and Obstetric Providers: Impact on Dental Visits During Pregnancy.

Objectives: The Michigan Initiative for Maternal and Infant Oral Health (MIMIOH) program provided funding to federally qualified health centers (FQHCs) to hire and embed a dental hygienist in the obstetrics clinic, with the goal of increasing the provision of dental care during pregnancy. Ten sites participated in two cohorts. Our objective was to assess the impact of the MIMIOH program on receipt of dental visits during pregnancy.

Methods: Using Medicaid paid claims, we documented quarterly trends in dental visits during pregnancy, describing trends for each MIMIOH sites and comparing aggregate results for MIMIOH Cohorts 1 and 2 vs. FQHCs that did not participate in MIMIOH.

Results: The proportion of women with a dental visit during pregnancy varied across MIMIOH sites, and was higher during periods of active participation. For both MIMIOH Cohorts 1 and 2, the aggregate proportions of dental visits during periods of active participation was higher than that for non-MIMIOH FQHCs. In contrast, dental visits were lower for Cohort 1 after MIMIOH participation ended, and for Cohort 2 before MIMIOH began.

Conclusions: The MIMIOH program was successful at increasing dental visits among pregnant women during periods of active participation.

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来源期刊

Maternal and Child Health Journal PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.20

自引率

4.30%

发文量

271

期刊介绍： Maternal and Child Health Journal is the first exclusive forum to advance the scientific and professional knowledge base of the maternal and child health (MCH) field. This bimonthly provides peer-reviewed papers addressing the following areas of MCH practice, policy, and research: MCH epidemiology, demography, and health status assessment Innovative MCH service initiatives Implementation of MCH programs MCH policy analysis and advocacy MCH professional development. Exploring the full spectrum of the MCH field, Maternal and Child Health Journal is an important tool for practitioners as well as academics in public health, obstetrics, gynecology, prenatal medicine, pediatrics, and neonatology. Sponsors include the Association of Maternal and Child Health Programs (AMCHP), the Association of Teachers of Maternal and Child Health (ATMCH), and CityMatCH.