参加医疗补助的牙医:他们是谁,他们在哪里,他们如何执业。

IF 2.4 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Kamyar Nasseh, Chelsea Fosse, Marko Vujicic
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引用次数: 5

摘要

低收入人群和少数族裔对牙科服务的低利用率反映了美国医疗保健中普遍存在的不平等。关于参加医疗补助计划或儿童健康保险计划的牙医的共同特征的研究有限。使用详细的医疗补助索赔数据和提供者数据库,我们估计在拥有100名或更多儿科医疗补助患者的牙医中,48%在高贫困地区执业,10%在农村地区执业,29%在大型诊所(11名或更多牙医)工作。在没有医疗补助的患者中,18%在高贫困地区执业,4%在农村地区执业,11%在大型诊所工作。我们发现,即使在调整社区特征时,牙医的种族/民族对医疗补助的参与也有独立的影响,这意味着非白人牙医更有可能治疗医疗补助患者,无论收入中位数或社区的种族/民族特征如何。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Dentists Who Participate in Medicaid: Who They Are, Where They Locate, How They Practice.

Dentists Who Participate in Medicaid: Who They Are, Where They Locate, How They Practice.

Dentists Who Participate in Medicaid: Who They Are, Where They Locate, How They Practice.

Dentists Who Participate in Medicaid: Who They Are, Where They Locate, How They Practice.

Low utilization of dental services among low-income individuals and racial minorities reflects pervasive inequities in U.S. health care. There is limited research determining common characteristics among dentists who participate in Medicaid or the Children's Health Insurance Program. Using detailed Medicaid claims data and a provider database, we estimate that among dentists with 100 or more pediatric Medicaid patients, 48% practice in high-poverty areas, 10% practice in rural areas, and 29% work in large practices (11 or more dentists). Among those with zero Medicaid patients, 18% practice in high-poverty areas, 4% practice in rural areas, and 11% work in large practices. We found that dentist race/ethnicity has an independent effect on Medicaid participation even when adjusting for community characteristics, meaning non-White dentists are more likely to treat Medicaid patients, regardless of the median income or racial/ethnic profile of the community.

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来源期刊
Medical Care Research and Review
Medical Care Research and Review 医学-卫生保健
CiteScore
6.00
自引率
4.00%
发文量
36
审稿时长
>12 weeks
期刊介绍: Medical Care Research and Review (MCRR) is a peer-reviewed bi-monthly journal containing critical reviews of literature on organizational structure, economics, and the financing of health and medical care systems. MCRR also includes original empirical and theoretical research and trends to enable policy makers to make informed decisions, as well as to identify health care trends. This journal is a member of the Committee on Publication Ethics (COPE). Average time from submission to first decision: 25 days
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