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The Impact of the Affordable Care Act on Dental Care: An Integrative Literature Review

Author

Listed:
  • Jihee Song

    (Department of Family, Youth, and Community Sciences, University of Florida, Gainesville, FL 32611, USA)

  • Jeong Nam Kim

    (Department of Microbiology, College of Natural Science, Pusan National University, Busan 46241, Korea)

  • Scott Tomar

    (Division of Prevention and Public Health Sciences, University of Illinois Chicago, Chicago, IL 60612, USA)

  • Lauren N. Wong

    (School of Special Education, School Psychology, and Early Childhood Studies, University of Florida, Gainesville, FL 32611, USA)

Abstract

The goal of the Patient Protection and Affordable Care Act (ACA) is to increase access to health insurance and decrease health care cost while improving health care quality. With more articles examining the relationship between one of the ACA provisions and dental health outcomes, we systematically reviewed the effect of the ACA on dental care coverage and access to dental services. We searched literature using the National Library of Medicine’s Medline (PubMed) and Thomson Reuters’ Web of Science between January 2010 and November 2020. We identified 33 articles related to dental coverage, and access/utilization of dental care services. This systematic review of studies showed that the ACA resulted in gains in dental coverage for adults and children, whereas results were mixed with dental care access. Overall, we found that the policy led to a decrease in cost barriers, an increase in private dental coverage for young adults, and increased dental care use among low-income childless adults. The implementation of the ACA was not directly associated with dental insurance coverage among people in the U.S. However, results suggest positive spillover effects of the ACA on dental care coverage and utilization by people in the national level dataset.

Suggested Citation

  • Jihee Song & Jeong Nam Kim & Scott Tomar & Lauren N. Wong, 2021. "The Impact of the Affordable Care Act on Dental Care: An Integrative Literature Review," IJERPH, MDPI, vol. 18(15), pages 1-21, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:15:p:7865-:d:600957
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    References listed on IDEAS

    as
    1. Congressional Budget Office, 2018. "Federal Subsidies for Health Insurance Coverage for People Under Age 65: 2018 to 2028," Reports 53826, Congressional Budget Office.
    2. Kosali Simon & Aparna Soni & John Cawley, 2017. "The Impact of Health Insurance on Preventive Care and Health Behaviors: Evidence from the First Two Years of the ACA Medicaid Expansions," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 36(2), pages 390-417, March.
    3. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    4. Xuesong Han & Binh T Nguyen & Jeffrey Drope & Ahmedin Jemal, 2015. "Health-Related Outcomes among the Poor: Medicaid Expansion vs. Non-Expansion States," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-11, December.
    5. Aparna Soni, 2020. "The effects of public health insurance on health behaviors: Evidence from the fifth year of Medicaid expansion," Health Economics, John Wiley & Sons, Ltd., vol. 29(12), pages 1586-1605, December.
    6. Shiho Kino & Ichiro Kawachi, 2018. "The impact of ACA Medicaid expansion on socioeconomic inequality in health care services utilization," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-13, December.
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