Dentist attitudes toward an annual benefit maximum in Iowa's adult Medicaid program

IF 1.8 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Journal of public health dentistry Pub Date : 2022-10-11 DOI:10.1111/jphd.12543
Morgan Scholtes BS, Carissa Comnick MS, Julie C. Reynolds DDS, MS, Aparna Ingleshwar BDS, MPH, Susan C. McKernan DMD, MS, PhD, Peter C. Damiano DDS, MPH
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Abstract

Objectives

The Dental Wellness Plan (DWP) provides dental coverage for adult Medicaid enrollees in Iowa. In September 2018, a $1000 annual benefit maximum (ABM) was implemented in the DWP program. The aim of this study was to explore private dentists' attitudes toward ABMs and factors associated with ABM attitudes.

Methods

The data source was a mailed survey administered in spring 2019 to all private practice dentists in Iowa. The two dependent variables were (1) attitude toward the $1000 ABM and (2) attitude toward any ABM generally. Independent variables included demographic and practice-related factors, and participation in and attitudes toward the DWP. Descriptive, bivariate, and multivariable analyses were conducted.

Results

While over half (56%) of providers reported a positive attitude toward “Any ABM,” less than half (40%) reported a positive attitude toward the “$1000 ABM.” Attitudes toward both “$1000 ABM” and “Any ABM” were significantly and positively associated with attitudes toward DWP overall and toward DWP structure. Independent variables that were significantly associated with both the “$1000 ABM” and “Any ABM” included overall attitude toward the DWP, attitude toward DWP structure, and practice busyness.

Conclusions

Utilizing an ABM, particularly one set at $1000 for a Medicaid program, elicits mixed attitudes among dentists. Future research should evaluate the impact of Medicaid ABMs on long term dentist participation and patient's ability to receive needed care.

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牙医对爱荷华州成人医疗补助计划年度最高福利的态度
目的牙科健康计划(DWP)为爱荷华州的成年医疗补助注册者提供牙科保险。2018年9月,DWP计划实施了1000美元的年度最高福利(ABM)。本研究的目的是探讨私人牙医对ABM的态度以及与ABM态度相关的因素。方法数据来源是2019年春季对爱荷华州所有私人执业牙医进行的邮寄调查。两个因变量是(1)对1000美元ABM的态度和(2)对任何ABM的总体态度。自变量包括人口统计学和实践相关因素,以及对DWP的参与和态度。进行了描述性、双变量和多变量分析。结果超过一半(56%)的提供者表示对“任何ABM”持积极态度,但不到一半(40%)的提供者报告对“1000美元ABM”持有积极态度。对“1000加元ABM”和“任何ABM”的态度与对DWP整体和DWP结构的态度显著正相关。与“1000美元ABM”和“任何ABM”显著相关的自变量包括对DWP的总体态度、对DWP结构的态度和练习繁忙程度。结论使用ABM,尤其是医疗补助计划的ABM,会引起牙医的不同态度。未来的研究应该评估医疗补助ABM对长期牙医参与和患者接受所需护理能力的影响。
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来源期刊
Journal of public health dentistry
Journal of public health dentistry 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.80
自引率
4.30%
发文量
69
审稿时长
6-12 weeks
期刊介绍: The Journal of Public Health Dentistry is devoted to the advancement of public health dentistry through the exploration of related research, practice, and policy developments. Three main types of articles are published: original research articles that provide a significant contribution to knowledge in the breadth of dental public health, including oral epidemiology, dental health services, the behavioral sciences, and the public health practice areas of assessment, policy development, and assurance; methods articles that report the development and testing of new approaches to research design, data collection and analysis, or the delivery of public health services; and review articles that synthesize previous research in the discipline and provide guidance to others conducting research as well as to policy makers, managers, and other dental public health practitioners.
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