Evaluation of enrollee satisfaction with Iowa's Dental Wellness Plan for the Medicaid expansion population

Evaluation of enrollee satisfaction with Iowa's Dental Wellness Plan for the Medicaid expansion population
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DOI:
10.1111/jphd.12243
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发表时间:
2018-12-01
影响因子:
2.3
通讯作者:
Damiano, Peter C.
Damiano, Peter C.
中科院分区:
医学4区
文献类型:
--
作者:
Reynolds, Julie C.;McKernan, Susan C.;Damiano, Peter C.

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爱荷华州医疗补助扩大人口的牙科覆盖是通过2014年5月实施的牙科健康计划(DWP)提供的。该计划的目标是通过获得的福利结构来激励健康行为,如果参保者每6-12个月进行一次常规牙科检查,就可以获得额外的服务。本研究考察了参保人员对养老计划的满意度。方法我们随机抽样调查DWP项目实施一年后的参保人员的经验。调查项目包括牙科计划满意度,自评健康措施,以及对赚取福利方法的知识和态度。结果416人(38%)对牙科计划满意度低,276人(25%)对牙科计划满意度中,402人(37%)对牙科计划满意度高。大多数受访者(66%)不知道挣得福利结构。回归分析表明,受访者最可能对计划满意度低的是那些觉得很难获得福利的人(OR 3.66, P
BackgroundDental coverage for Iowa's Medicaid expansion population is provided through the Dental Wellness Plan (DWP), implemented in May 2014. The plan targets healthy behavior incentives via an earned benefits structure, whereby additional services are covered if enrollees return every 6-12 months for routine dental visits. This study examines enrollee satisfaction with the DWP.MethodsWe surveyed a random sample of DWP enrollees 1 year after program implementation about their experiences. Survey items covered dental plan satisfaction, self-rated measures of health, and knowledge and attitudes toward the earned benefits approach.ResultsDental plan satisfaction was rated as low by 38 percent of respondents (n=416), moderate by 25 percent (n=276), and high by 37 percent (n=402). A majority of respondents (66 percent) did not know about the earned benefits structure. Regression analysis indicated that respondents most likely to have low plan satisfaction were those who felt it was difficult to earn benefits (OR 3.66, P