How willing are dentists to treat young children?

Garg, Swati; Rubin, Talia; Jasek, John; Weinstein, Joyce; Helburn, Lisa; Kaye, Katherine

doi:10.14219/jada.archive.2013.0135

Cited by 52 publications

(17 citation statements)

References 3 publications

(7 reference statements)

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“…These include items related to characteristics of Medicaid-eligible children and families characterized as “difficult patients,” as often cited as reasons for non-participation by dentists. 40,41 In this study we did not find that association. This lack of difference is encouraging and is further supported by the lack of difference between Medicaid providers and non-providers on whether “they would ever turn any patient away regardless of their background or socioeconomic status.” Although dentists have been criticized for an unwillingness to participate in Medicaid, the lack of difference on this item suggests that non-Medicaid providers may be providing pro bono care for the needy outside the usual practice paradigm.…”

Section: Discussioncontrasting

confidence: 73%

Barriers to Medicaid Participation among Florida Dentists

Logan¹,

Catalanotto²,

Guo³

et al. 2015

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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.

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Section: Discussioncontrasting

confidence: 73%

Barriers to Medicaid Participation among Florida Dentists

Logan¹,

Catalanotto²,

Guo³

et al. 2015

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“…[2] Shortages and uneven distribution of the dental workforce adversely affect access to care [3,4] and young Medicaid-enrollees encounter additional barriers to care because of dentists’ reluctance to accept Medicaid, often due to administrative hassle or low reimbursement, and see young children, which may be due to lack of training and being uncomfortable treating young children. [3,4,5,6] Despite recommendations that children visit a dentist by their first birthday, most states reported that fewer than 10 percent of children younger than age three years had a dental visit in 2007. [7,8]…”

mentioning

confidence: 99%

North Carolina Physician-Based Preventive Oral Health Services Improve Access And Use Among Young Medicaid Enrollees

et al. 2014

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To combat disparities in oral health and access to dental care among infants and toddlers, most state Medicaid programs now reimburse physician-based preventive oral health services, such as fluoride varnish applications. We used geospatial data to examine the distribution of dental and medical Medicaid providers of pediatric oral health services throughout North Carolina to determine if these services have improved access to care for Medicaid enrollees younger than three years old. We then used claims data to examine the association between distance from these practices and use of dental services for a cohort of approximately 1,000 young children. Among 100 counties, four counties had no physician-based preventive oral health services and nine counties had no dental practice. While children who lived further from the nearest dental practice were less likely to make dental visits, distance from physician-based preventive oral health services did not predict use. For young Medicaid enrollees, oral health services provided in medical offices can improve access and increase use.

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“…To encourage GDs to see young children, Garg and colleagues identified training and the presence or access to a pediatric dentist consultant as desired and potential facilitators [21]. Engaging educational interventions for primary care providers, like small group discussions and interactive workshops, may also help promote behavior change [42].…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, dentists and physicians may report different barriers to care coordination. Specific to the oral health care of young children, the unwillingness of some general dentists to accept referrals from physicians may include their own perceived lack of appropriate training, discomfort in providing dental care for young children, and low reimbursement; all of which can lead to a smaller workforce available to young children [21-24]. For young children enrolled in Medicaid, an additional barrier to care is that of dentists choosing not to accept Medicaid [25].…”

Section: Introductionmentioning

confidence: 99%

Care coordination among pediatricians and dentists: a cross-sectional study of opinions of North Carolina dentists

et al. 2014

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BackgroundCare coordination between physicians and dentists remains a challenge. This study of dentists providing pediatric dental care examined their opinions about physicians’ role in oral health and identified factors associated with these opinions.MethodsNorth Carolina general and pediatric dentists were surveyed on their opinions of how physicians should proceed after caries risk assessment and evaluation of an 18-month-old, low risk child. We estimated two multinomial logistic regression models to examine dentists’ responses to the scenario under the circumstances of an adequate and a limited dental workforce.ResultsAmong 376 dentists, 52% of dentists indicated physicians should immediately refer this child to a dental home with an adequate dental workforce. With a limited workforce, 34% recommended immediate referral. Regression analysis indicated that with an adequate workforce guideline awareness was associated with a significantly lower relative risk of dentists’ recommending the child remain in the medical home than immediate referral.ConclusionsDentists’ opinions and professional guidelines on how physicians should promote early childhood oral health differ and warrant strategies to address such inconsistencies. Without consistent guidelines and their application, there is a missed opportunity to influence provider opinions to improve access to dental care.

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How willing are dentists to treat young children?

Cited by 52 publications

References 3 publications

Barriers to Medicaid Participation among Florida Dentists

Barriers to Medicaid Participation among Florida Dentists

North Carolina Physician-Based Preventive Oral Health Services Improve Access And Use Among Young Medicaid Enrollees

Care coordination among pediatricians and dentists: a cross-sectional study of opinions of North Carolina dentists

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