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Access to Dental Care

Q.HC19, NHANES I, 1971–75
Do you have a dentist you usually go to?

     1     Yes
     2     No

Q.HC22, NHANES I, 1971–75
For this last visit, how long was it from the time you decided you needed or wanted to see a dentist until you actually saw him?

     1     Less than one day
     2     1-6 days
     3     1 week but less than 2 weeks
     4     2-3 weeks
     5     1-2 months
     6     3 months or more
     9     Don't remember

Q.HC23a, b, c, NHANES I, 1971–75
a. At the time of this last visit or talk with a dentist did you have an appointment?

     1     Yes
     2     No

b. How long was it from the time you made the appointment until you saw him?

     1     Less than one day
     2     1-6 days
     3     1 week but less than 2 weeks
     4     2-3 weeks
     5     1-2 months
     6     3 months or more
     9     Don't remember

c. Was this wait longer than you would have liked it?

     1     Yes
     2     No
     9     Don't remember

Q.HC24, NHANES I, 1971–75
How did you get to the dentist office?

     1     Walked
     2     Bus or subway
     3     Car
     4     Cab
     5     Other means - Specify ___________

Q.HC25, NHANES I, 1971–75
How long did it take to get there?

     1     Less than 15 minutes
     2     15-29 minutes
     3     30-59 minutes
     4     1 hour or more
     9     Don't remember

Q.HC26a, b, NHANES I, 1971–75
a. At this last visit with a dentist, about how many minutes did you have to wait before being seen by the dentist?

     _______ minutes

b. Do you think this wait was too long?

     1     Yes
     2     No

Q.HC27, NHANES I, 1971–75
How well satisfied were you with this visit?

     1     Satisfied
     2     Not completely satisfied
     3     Dissatisfied
     4     No opinion

Q.HC28, NHANES I, 1971–75
Does your dentist or dental clinic call you or send you a note to remind you when your next regular checkup is due?

     1     Yes
     2     No
     9     DK

Q.HC29a, b, NHANES I, 1971–75
a. During the past 12 months, have you had a dental problem which you would have liked to see a dentist about but you didn't see the dentist?

     1     Yes
     2     No

b. Why didn't you see him?

     1     Didn't have time
     2     Would cost too much
     3     Couldn't get an appointment
     4     Would have to travel too far
     5     Didn't have a way to get there
     6     Didn't have anyone to care for children or other family members
     7     Some other reason

Q.OHQ.060, NHANES, 1999–2002
Is there a particular dentist or dental clinic that {you/SP} usually {go/goes} to if {you/he/she} need{s} dental care or dental advice?

     1     Yes
     2     No
     7     Refused
     9     DK

Q.OHQ.070, NHANES, 1999–2002
For how long has this been {your/SP's} regular source of dental care?

     ___ Number (of days, weeks, months or years)
     777     Refused
     999     Don't Know
     Enter Unit _____
     1     Days
     2     Weeks
     3     Months
     4     Years
     7     Refused
     9     DK

Q.C2g, SIPP Wave 3, 1992
In the past 12 months, has there been a time when your household had someone who needed to see a dentist but didn't go?

     1     Yes
     2     No
     9     DK

Q.N2d, NHIS, 1983
How long did it take for ___ to get to this dentist this time? _____ minutes
Q.P3, NHIS, 1989
What are the reasons __ has [not visited the dentist in over 12 months/never gone to the dentist]?

     1       Afraid
     2       Nervous
     3       Needles
     4       Cost
     5       DK dentist
     6       Dentist too far
     7       Can't get there
     8       No problems
     9       No teeth
     10     Not important
     11     Didn't think of it
     88     Other (specify) ____________
     99     DK

Q.AC17a, b, c, NHIS, 1993; 1994; 1995; 1996
a. During the past 12 months, was there any time when someone in the family needed dental care but could not get it?

     1     Yes
     2     No
     9     DK

b. Who is this?

c. Anyone else?
     Yes
     No

Q.AAU.111; CAU.135, NHIS, 1997; 1998; 1999; 2000; 2001; 2002; 2003; 2004; 2005; 2006; 2007
During the PAST 12 MONTHS, was there any time when {you, S.C. name} needed any of the following [Dental care (including checkups)] but didn't get it because you couldn't afford it?

     1     Yes
     2     No
     7     Refused
     9     DK

Q.AAU.135.020, NHIS, 1999
What are the reasons that you have never gone to the dentist?
[Else read:] What are the reasons that you have not visited a dentist in over 12 months?
Reason no dental visit...

     1       Afraid
     2       Nervous
     3       Needles
     4       Cost/no insurance
     5       DK dentist
     6       Dentist too far
     7       Can't get there
     8       No problems
     9       No teeth
     10     Not important
     11     Didn't think of it
     12     Other
     97     Refused
     99     DK

Q.AAU.135.021, NHIS, 1999
Specify other reason for no dental visits. This should be a reason that is not on the no dental reason list.

     No dental reason __________

Q.CAU.160.020, NHIS, 1999
What are the reasons {S.C. name} has never gone to the dentist? - OR - What are the reasons that {S.C. name} has not visited a dentist in over 12 months?

     1       Age/too young
     2       Afraid
     3       Nervous
     4       Needles
     5       Cost/no insurance
     6       DK dentist
     7       Dentist too far
     8       Can't get there
     9       No problems
     10     No teeth
     11     Not important
     12     Didn't think of it
     13     Other
     97     Refused
     99     DK

Q.AMC.R4.11, NMCES, 1977
Is there a particular dental office or dental clinic that (person) goes to for dental care?

     1       Yes
     2       No
     94     DK

Q.AMC.R4.12, NMCES, 1977
About how long does it usually take (person) to get there?

     ___ Minutes
     ___ Hours
     94     DK

Q. C4Q05_X031a, b, c, SLAITS/National Survey of Children with Special Health Care Needs 2005–2006

a. Did (S.C.) receive all the preventive dental care that {he/she} need?

      01     Yes
      02     No
      77     Don’t know
      99     Refused

b. Why did (S.C.) not get the preventive dental care that {he/she} needed?

      01     Cost too much
      02     No insurance
      03     Health plan problem
      04     Can’t find provider who accepts child’s insurance
      05     Not available in area/transport problems
      06     Not convenient times/could not get appointment
      07     Provider did not know how to treat or provide care
      08     Dissatisfaction with provider
      09     Did not know where to go for treatment
      10     Child refused to go
      11     Treatment is ongoing
      12     Vaccine shortage
      13     No referral
      14     Lack of resources at school
      15     Did not go to appt/neglected appt/forgot appt
      16     Other
      77     Don’t know
      99     Refused

c. Did (S.C.) get any preventive dental care [during the past 12 months/since (his/her) birth?

      01     Yes
      02     No
      77     Don’t know
      99     Refused

Q. C4Q05_X032 SLAITS/National Survey of Children with Special Health Care Needs 2005–2006

During the past 12 months/since birth, was there any time when (S.C. needed) any other dental care?

      01     Yes
      02     No
      77     Don’t know
      99     Refused

Q. C4Q05_X032a, b, c, SLAITS/National Survey of Children with Special Health Care Needs 2005–2006

a. Did (S.C.) receive all the other dental care that {he/she} needed?

      01     Yes
      02     No
      77     Don’t know
      99     Refused

b. Why did (S.C.) not get the other dental care that {he/she} needed?

      01     Cost too much
      02     No insurance
      03     Health plan problem
      04     Can’t find provider who accepts child’s insurance
      05     Not available in area/transport problems
      06     Not convenient times/could not get appointment
      07     Provider did not know how to treat or provide care
      08     Dissatisfaction with provider
      09     Did not know where to go for treatment
      10     Child refused to go
      11     Treatment is ongoing
      12     Vaccine shortage
      13     No referral
      14     Lack of resources at school
      15     Did not go to appt/neglected appt/forgot appt
      16     Other
      77     Don’t know
      99     Refused

c. Did (S.C.) get any nonpreventive dental care [during the past 12 months/ since (his/her) birth]?

      01     Yes
      02     No
      77     Don’t know
      99     Refused

Q. S4Q13 SLAITS/National Survey of Children’s Health 2003–2004

During the past 12 months/Since [his/her] birth, did [he/she] receive all the routine preventive dental care [he/she] needed?

      0     No
      1     Yes
      6     Don’t know
      7     Refused

Q. S4Q14 SLAITS/National Survey of Children’s Health 2003–2004

Why did [CHILD] not get all the dental care that [he/she] needed?

      Cost too much
      No insurance
      Health plan problem
      Can’t find dentist who accepts child’s insurance
      Not available in area/transport problems
      Not convenient times/could not get appointment
      Dentist did not know how to treat or provide care
      Dissatisfaction with dentist
      Did not know where to go for treatment
      Child refused to go
      Treatment is ongoing
      Other
      No referral
      Lack of resources at school

Q.AMC.R4.13, NMCES, 1977
Does (person) think (minutes/hours from Q. 12) is too long, or not too long to travel for dental care?

     1     Too long
     2     Not too long
     3     DK

Q.DV.R5.13, NMCES, 1977
About how long did the visit take - from the time (person) arrived at the dentist's office until the time (person) left - about how many minutes or hours?

     _____ Minutes
     _____ Hours

Q.RV.R5.4, NMCES, 1977
About how long did the visits usually take - from the time (person) arrived at the dentist's office until the time (person) left - about how many minutes or hours?

     _____ Minutes
     _____ Hours

Q.W39, NMES, 1987
Is there a particular dental office or dental clinic that (person) usually goes to for dental care?

     1     Yes
     2     No

Q.W42, NMES, 1987
About how long does it usually take for (person) to get there?

     _____ Minutes
     _____ Hours

Q.2, BRFSS, Module 9, 1995; Module 8, 1996; Module 5, 1997; Module 6, 1998; Module 6, 2000; Module 6, 2001
What is the main reason you have not visited the dentist in the last year?

     1       Fear, apprehension, nervousness, pain, dislike going
     2       Cost
     3       Do not have/know a dentist
     4       Cannot get to the office/clinic (too far away, no transportation, no appointments available)
     5       No reason to go (no problems, no teeth)
     6       Other priorities
     7       Have not thought of it
     8       Other
     77     DK
     99     Refused

Q.4, BSS, 1999; 2003
During the past 12 months, was there a time when {you/your child} needed dental care but could not get it at that time?

     1     Yes
     2     No
     3     DK/don't remember

Q.5, BSS, 1999; 2003
The last time {you/your child} could not get the dental care (you/he/she) needed, what was the main reason (you/he/she) couldn't get care?

     1       Could not afford it
     2       No insurance
     3       Dentist did not accept Medicaid/insurance
     4       Not serious enough
     5       Wait too long in clinic/office
     6       Difficulty in getting appointment
     7       Don't like/trust/believe in dentists
     8       No dentist available
     9       Didn't know where to go
     10     No way to get there
     11     Hours not convenient
     12     Speak a different language
     13     Health of another family member
     14     Other reason
     15     DK/don't remember

Q.AAU.130, SLAITS/Health, 1997
How about dental care, including check-ups? (read to probe) During the past 12 months, was there any time when {you/either of you/anyone in your family} needed dental care, including check-ups, but didn't get it because {you/they} couldn't afford it?

     1     Yes
     2     No
     6     DK
     7     Refused

a. Who couldn't afford it? Anyone else?

Q.C4Q05_X03, SLAITS/National Survey of Children with Special Health Care Needs, 2000–2002
(During the past 12 months) was there any time when ("s" child) needed) dental care including check-ups?
     1     Yes
     2     No
     6     DK
     7     Refused
Q.C4Q0503a, b, SLAITS/National Survey of Children with Special Health Care Needs, 2000–2002
a. Did ("s" child) receive all the dental care that {he/she} needed?

     1     Yes
     2     No
     6     DK
     7     Refused

b. Why did ("s" child) not get the dental care {he/she} needed?

     1       Cost too much
     2       Health plan problem
     3       Not available in area/transport problems
     4       Not convenient times
     5       Doctor did not know how to treat or provide care
     6       Other________________
     96     DK
     97     Ref

Q. A3Q47 (G17) SLAITS/ National Survey of Early Childhood Health (NSECH) 2000

Doctors sometimes provide referrals to specialists or to educational or developmental programs. (In the last 12 months/ since {his/her} birth) has (CHILD)’s doctors or health providers referred (him/her) to any specialist?

      1    Yes
      2    No
      6    DK
      7    Ref

Q. A3Q47_A (G17A) SLAITS/ National Survey of Early Childhood Health (NSECH) 2000

What kind of specialist was that?

      01    Medical or surgical specialist
      02    Speech/language specialist
      03    Hearing specialist
      04    Occupational or physical therapist
      05    Dentist or dental care provider
      06    Social worker
      07    Other
      96    DK
      97    Refused

Q.45m, NSAHC, 1986
Why haven't you/[hasn't' { :B}] seen a dentist?
     1     Lacked money
     2     Doctor didn't recommend
     3     Don't think it's necessary
     4     Other (Specify)
     d     Skip to q 45p
Q.45n, NSAHC, 1986
Did you/ [{ :B}] know of a dentist or clinic here you/ (he/she) could have obtained these services for free or for an amount you/(he/she) could have afforded?

     1     Yes
     2     No

Q.45o, NSAHC, 1986
Why didn't you /(he/she) go there?
Q.DU5a, MCBS, 1996
What is the most important reason (you/SP) did not see a dental provider associated with [read plan names below] or a dental provider that [read plan names below] would refer (you/SP) to?

     1       HMO does not cover the service SP wanted
     2       SP could not get services quickly enough at the HMO
     3       HMO not conveniently located for the SP
     4       HMO providers not competent/qualified to handle SP's condition/needs
     5       SP didn't want to go through primary care physician to get referral
     6       SP wanted to go to a provider not available through the HMO
     7       SP wanted to use a provider they had prior to their enrollment in the HMO
     8       HMO refused to provide the care the SP thought was necessary
     9       This service was covered by other insurance SP has
     10     HMO administrative obstacles for SP
     11     Not in HMO at time of event
     91     Other (Specify)______________
     -7      Ref
     -8      DK

Q.DU5a, MCBS, 1997; 1998; 1999; 2000; 2001; 2002; 2003; 2004; 2005
What is the most important reason (you/SP) did not see a dental provider associated with [read plan names below] or a dental provider that [read plan names below] would refer (you/SP) to?

     1       HMO does not cover the service SP wanted
     2       SP could not get services quickly enough at the HMO
     3       HMO not conveniently located for the SP
     4       HMO providers not competent/qualified to handle SP's condition/needs
     5       SP didn't want to go through primary care physician to get referral
     6       SP wanted to go to a provider not available through the HMO
     7       SP wanted to use a provider they had prior to their enrollment in the HMO
     8       HMO refused to provide the care the SP thought was necessary
     9       This service was covered by other insurance SP has
     10     HMO administrative obstacles for SP
     11     Not in HMO at time of event
     12     SP had a medical emergency and went or was taken to the closest provider
     13     SP was outside of the service area when urgent care was needed
     91     Other (Specify)______________
     -7      Ref
     -8      DK

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