牙科医疗补助管理护理组织之间牙医参与率的差异
Pamela C Nwachukwu1, Peter C Damiano1, Steven Levy1,2
1College of Dentistry, University of Iowa, Iowa City, Iowa, USA.
Journal of public health dentistry
|July 30, 2024
概括
牙医在医疗补助计划中的参与在爱荷华州的管理护理组织 (MCO) 之间有很大的差异. 影响牙医接受新的医疗补助患者的因素因MCO而异,影响牙科护理的准入.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 牙科公共卫生 牙科公共卫生
- 卫生政策 卫生政策
背景情况:
- 牙医参与医疗补助计划对于受益者获得牙科护理至关重要.
- 医疗补助牙科管理护理组织 (MCOs) 的参与率差异未得到充分研究,特别是在拥有多个MCOs的州.
- 了解这些变化是改善弱势群体获得牙科护理的关键.
研究的目的:
- 为了检查牙医参与爱荷华州的牙科医疗补助计划在两个不同的MCOs之间的变化.
- 确定牙医参与的预测因素,包括人口和实践特征,在每个MCO.
- 分析影响牙医接受新成人和儿童医疗补助计划患者的因素的差异.
主要方法:
- 来自爱荷华州1256名私人牙医的调查数据.
- 497名回答调查的普通牙医的分析样本.
- 单变量,双变量和多变量逻辑回归分析以评估参与预测因素.
主要成果:
- 在牙医接受新成年患者 (26%MCO 1对比7%MCO 2) 和儿童 (40%MCO 1对比11%MCO 2) 的情况下,观察到显著的差异.
- 与接受新成年患者相关的因素各不相同:牙医在MCO1太忙,单独从业者在MCO2.
- 对于儿童,团体和农村实践牙医,以及那些每周工作时间小于32小时的人,更有可能接受MCO 1中的患者.
结论:
- 在牙医接受新的医疗补助患者和影响因素方面,爱荷华州的牙科MCO之间存在相当大的差异.
- 牙医参与的MCO特定变化必须在未来的研究中考虑,以准确评估医疗补助参与.
- 调查结果强调,需要针对MCO量身定制的战略,以加强牙医的参与,并改善医疗补助受益人获得牙科护理的机会.
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