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Papers by Joanne Chouinard

Research paper thumbnail of New Assumptions Concerning IP As and Cost of Dental Care

Journal of Public Health Dentistry, Sep 1, 1996

Objectives: Previous studies suggest that fee-for-service (FFS) patients receive more treatment a... more Objectives: Previous studies suggest that fee-for-service (FFS) patients receive more treatment and at a greater cost than capitation patients. In this study treatment plans of dentists who are members of an independent practice association (IPA), a preferred provider organization (PPO), or who are paid their usual fee for service are compared. Methods: A carefully selected and trained professional actor, with actual dental disease and recent radiographs, was sent to the offices ofgeneral practice dentists for an examination and treatmentplan. To one group of dentists (n=21) the patient said he was a member of a PPO plan served by that dentist, to a second group (n= 15) he said he was a member of an /PA plan sewed by that dentist, and to the third group (n=l9) he said he would pay by the traditional FFS method. Results: IPA dentists recommended more restorations (mean=9.60) than those in the PPO program (meark5.95) or those paid by the traditional FFS method (mean=5.

Research paper thumbnail of Nutrition and Physical Activity in Health Promotion and Disease Prevention

Dental Clinics of North America, Oct 1, 2012

Nutrition contributes to at least 6 of the 10 leading causes of death in the United States, yet l... more Nutrition contributes to at least 6 of the 10 leading causes of death in the United States, yet less than one-third of dental students feel competent to discuss the relationship of nutrition and systemic disease with their patients. The American Dental Association policy statements acknowledge a need for health professionals and organizations to provide continuing education to professionals and counseling to patients to combat the growing problems of overweight and obesity. Dentists can play a major role in educating patients to adopt a healthier lifestyle, including nutrition and physical activity recommendations. In addition, an understanding of the complexity of behavior change may enhance the dentist's ability to assist their patients in making desired changes. The interaction of general health and oral health is seen most clearly in the interaction between diabetes and periodontal health, each potentially affecting the other in a downward spiral of worsening general health. Because the current nutrition and activity behaviors of most Americans is far from optimal, much can be gained as dentists develop a better understanding of the difficulties of sustained behavior change and become proficient in counseling approaches that lead to improved oral health for patients.

Research paper thumbnail of New Assumptions Concerning IP As and Cost of Dental Care

Journal of Public Health Dentistry, 1996

Objectives: Previous studies suggest that fee-for-service (FFS) patients receive more treatment a... more Objectives: Previous studies suggest that fee-for-service (FFS) patients receive more treatment and at a greater cost than capitation patients. In this study treatment plans of dentists who are members of an independent practice association (IPA), a preferred provider organization (PPO), or who are paid their usual fee for service are compared. Methods: A carefully selected and trained professional actor, with actual dental disease and recent radiographs, was sent to the offices ofgeneral practice dentists for an examination and treatmentplan. To one group of dentists (n=21) the patient said he was a member of a PPO plan served by that dentist, to a second group (n= 15) he said he was a member of an /PA plan sewed by that dentist, and to the third group (n=l9) he said he would pay by the traditional FFS method. Results: IPA dentists recommended more restorations (mean=9.60) than those in the PPO program (meark5.95) or those paid by the traditional FFS method (mean=5.

Research paper thumbnail of Nutrition and physical activity in health promotion and disease prevention: potential role for the dental profession

Dental clinics of North America, 2012

Nutrition contributes to many of the leading causes of death in the United States, yet less than ... more Nutrition contributes to many of the leading causes of death in the United States, yet less than one-third of dental students feel competent to discuss the relationship of nutrition and systemic disease with their patients. The American Dental Association policy statements acknowledge a need for health professionals and organizations to provide continuing education to professionals and counseling to patients to combat the growing problems of overweight and obesity. Dentists can play a major role in educating patients to adopt a healthier lifestyle, including nutrition and physical activity recommendations. An understanding of the complexity of behavior change may enhance the dentist's ability to assist their patients in making desired changes.

Research paper thumbnail of New Assumptions Concerning IP As and Cost of Dental Care

Journal of Public Health Dentistry, Sep 1, 1996

Objectives: Previous studies suggest that fee-for-service (FFS) patients receive more treatment a... more Objectives: Previous studies suggest that fee-for-service (FFS) patients receive more treatment and at a greater cost than capitation patients. In this study treatment plans of dentists who are members of an independent practice association (IPA), a preferred provider organization (PPO), or who are paid their usual fee for service are compared. Methods: A carefully selected and trained professional actor, with actual dental disease and recent radiographs, was sent to the offices ofgeneral practice dentists for an examination and treatmentplan. To one group of dentists (n=21) the patient said he was a member of a PPO plan served by that dentist, to a second group (n= 15) he said he was a member of an /PA plan sewed by that dentist, and to the third group (n=l9) he said he would pay by the traditional FFS method. Results: IPA dentists recommended more restorations (mean=9.60) than those in the PPO program (meark5.95) or those paid by the traditional FFS method (mean=5.

Research paper thumbnail of Nutrition and Physical Activity in Health Promotion and Disease Prevention

Dental Clinics of North America, Oct 1, 2012

Nutrition contributes to at least 6 of the 10 leading causes of death in the United States, yet l... more Nutrition contributes to at least 6 of the 10 leading causes of death in the United States, yet less than one-third of dental students feel competent to discuss the relationship of nutrition and systemic disease with their patients. The American Dental Association policy statements acknowledge a need for health professionals and organizations to provide continuing education to professionals and counseling to patients to combat the growing problems of overweight and obesity. Dentists can play a major role in educating patients to adopt a healthier lifestyle, including nutrition and physical activity recommendations. In addition, an understanding of the complexity of behavior change may enhance the dentist's ability to assist their patients in making desired changes. The interaction of general health and oral health is seen most clearly in the interaction between diabetes and periodontal health, each potentially affecting the other in a downward spiral of worsening general health. Because the current nutrition and activity behaviors of most Americans is far from optimal, much can be gained as dentists develop a better understanding of the difficulties of sustained behavior change and become proficient in counseling approaches that lead to improved oral health for patients.

Research paper thumbnail of New Assumptions Concerning IP As and Cost of Dental Care

Journal of Public Health Dentistry, 1996

Objectives: Previous studies suggest that fee-for-service (FFS) patients receive more treatment a... more Objectives: Previous studies suggest that fee-for-service (FFS) patients receive more treatment and at a greater cost than capitation patients. In this study treatment plans of dentists who are members of an independent practice association (IPA), a preferred provider organization (PPO), or who are paid their usual fee for service are compared. Methods: A carefully selected and trained professional actor, with actual dental disease and recent radiographs, was sent to the offices ofgeneral practice dentists for an examination and treatmentplan. To one group of dentists (n=21) the patient said he was a member of a PPO plan served by that dentist, to a second group (n= 15) he said he was a member of an /PA plan sewed by that dentist, and to the third group (n=l9) he said he would pay by the traditional FFS method. Results: IPA dentists recommended more restorations (mean=9.60) than those in the PPO program (meark5.95) or those paid by the traditional FFS method (mean=5.

Research paper thumbnail of Nutrition and physical activity in health promotion and disease prevention: potential role for the dental profession

Dental clinics of North America, 2012

Nutrition contributes to many of the leading causes of death in the United States, yet less than ... more Nutrition contributes to many of the leading causes of death in the United States, yet less than one-third of dental students feel competent to discuss the relationship of nutrition and systemic disease with their patients. The American Dental Association policy statements acknowledge a need for health professionals and organizations to provide continuing education to professionals and counseling to patients to combat the growing problems of overweight and obesity. Dentists can play a major role in educating patients to adopt a healthier lifestyle, including nutrition and physical activity recommendations. An understanding of the complexity of behavior change may enhance the dentist's ability to assist their patients in making desired changes.