Publications by authors named "H W Elani"

Article Synopsis
  • The study explores the spatial accessibility of dental clinics in the U.S., revealing that a significant number of people, including specific racial and ethnic groups, lack access to dental care within a 30-minute drive.
  • The analysis, based on data from over 205,000 active dentists, identifies about 1.7 million individuals without nearby dental services and 24.7 million living in designated dental care shortage areas.
  • Key findings indicate that rural areas face greater accessibility issues compared to urban regions, highlighting disparities tied to socioeconomic factors, racial segregation, and area deprivation.
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Importance: Millions of adults with low incomes lose Medicaid eligibility when transitioning to Medicare at age 65 years. However, it remains unclear how this transition is associated with dental care.

Objective: To examine the consequences of transitions from Medicaid to Medicare on coverage and use of dental services.

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The Affordable Care Act Marketplaces may improve access to dental insurance, but little is known about the availability of such coverage. We used data from state and federal Marketplace sources to describe the availability of adult dental plans, including Stand-alone Dental Plans and those embedded in medical plans. We also examined the characteristics of counties with limited dental insurer participation and those that experienced a net loss of Stand-alone Dental Plan insurers between 2016 and 2023.

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In 2020, the Brazilian federal government launched the "Prevent Brazil" program to incentivize cities to improve their performance across 7 health care indicators, including prenatal dental care. Our study examines the impact of this policy on the use of oral health care among pregnant women in Brazil. We used a series of cross-sectional data from the Brazilian Public Health System from 2018 to 2023.

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