Barriers to Medicaid Participation among Florida Dentists
Barriers to Medicaid Participation among Florida Dentists
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DOI：
10.1353/hpu.2015.0000
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发表时间：
2015-02-01
影响因子：
1.4
通讯作者：
Dharamsi, Shafik
中科院分区：
文献类型：
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作者：
Logan, Henrietta L.;Catalanotto, Frank;Dharamsi, Shafik
背景对许多父母来说，寻找治疗参加医疗补助的儿童的牙医是一件困难的事。本研究的目的是确定非报销因素，影响牙医决定是否参加医疗补助计划在佛罗里达。方法.使用逻辑回归模型对邮寄调查的数据进行分析，以检验医疗补助参与与感知障碍和社会责任变量的关联。结果一般和儿科牙医（n=882）谁确定自己是医疗补助（14%）或非医疗补助（86%）的参与者作出回应。五个项目成为医疗补助参与的重要预测因子，最终一致性指数为0.905。出现了两个以前未报告的参与医疗补助的障碍：1）牙医对参与医疗补助的其他牙医的社会耻辱感，以及2）缺乏医疗补助患者可以转诊的专家。结论.这项研究提供了有关医疗补助参与的非报销障碍的新信息。
Background. Finding dentists who treat Medicaid-enrolled children is a struggle for many parents. The purpose of this study was to identify non-reimbursement factors that influence the decision by dentists about whether or not to participate in the Medicaid program in Florida. Methods. Data from a mailed survey was analyzed using a logistic regression model to test the association of Medicaid participation with the Perceived Barriers and Social Responsibility variables. Results. General and pediatric dentists (n=882) who identified themselves as either Medicaid (14%) or Non-Medicaid (86%) participants responded. Five items emerged as significant predictors of Medicaid participation, with a final concordance index of 0.905. Two previously unreported barriers to participation in Medicaid emerged: 1) dentists' perception of social stigma from other dentists for participating in Medicaid, and 2) the lack of specialists to whom Medicaid patients can be referred. Conclusions. This study provides new information about non-reimbursement barriers to Medicaid participation.