The Relationship Between Dental Provider Density and Receipt of Dental Care Among Medicaid-enrolled Adults.

IF 1.2 4区医学 Q4 HEALTH POLICY & SERVICES Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Heather L Taylor, Nir Menachemi, Ann Holmes, Bisakha Sen, Titus Schleyer, Justin Blackburn

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Abstract

Objective: We sought to measure the association of dental provider density and receipt of dental care among Medicaid-enrolled adults.

Methods: We used four years of Indiana Medicaid claims and enrollment data (2015 to 2018) and the Area Health Resources File to examine the relationship between any dental visit (ADV) or any preventive dental visit (PDV) and three county-level measures of dental provider density (the total number of Medicaid-participating dentists, a binary indicator of a federally qualified health center (FQHC) with a Medicaid-participating dentist, and the overall county dentist-to-population ratio).

Results: The likelihood of ADV or PDV increased with greater density of Medicaid-participating dentists as well as dentists accepting Medicaid working at an FQHC within the county. The overall dentist-to-population ratio was not associated with dental care use among the adult Medicaid population.

Conclusion: Dentist participation in Medicaid program may be a modifiable barrier to Medicaid-enrolled adults' receipt of dental care.

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参加医疗补助计划的成年人中，牙医提供者密度与接受牙科护理之间的关系》（The Relationship Between Dental Provider Density and Receipt of Dental Care Among Medicaid-enrolled Adults.

目的我们试图测量牙科医疗服务提供者密度与医疗补助计划（Medicaid）参保成年人接受牙科保健的关系：我们使用印第安纳州四年的医疗补助申请和注册数据（2015 年至 2018 年）以及地区卫生资源档案，研究了任何牙科就诊（ADV）或任何预防性牙科就诊（PDV）与三个县级牙科医疗服务提供者密度衡量指标（参与医疗补助的牙医总数、拥有参与医疗补助的牙医的联邦合格医疗中心（FQHC）的二进制指标以及县级牙医与人口的总体比例）之间的关系：ADV或PDV的可能性随着县内参与Medicaid的牙医以及在FQHC工作的接受Medicaid的牙医的密度增加而增加。牙医与人口的总体比例与成人医疗补助人群的牙科保健使用情况无关：结论：牙医参与医疗补助计划可能会成为加入医疗补助计划的成年人接受牙科保健的一个可调节的障碍。

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来源期刊

Journal of Health Care for the Poor and Underserved Multiple-

CiteScore

2.00

自引率

7.10%

发文量

154

期刊介绍： The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.