Evidence map›Paper›PMID 39078227›Full record

ArticleJournal of public health dentistry2024

Variation in dentist participation between dental medicaid managed care organizations.

Pamela C Nwachukwu, Peter C Damiano, Steven Levy, James C Thomas, Dan Shane, Astha Singhal, Shareef M Dabdoub, Julie C Reynolds

Abstract read
In one paragraph

Article in Journal of public health dentistry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Pamela C NwachukwuCollege of Dentistry, University of Iowa, Iowa City, Iowa, USA.ORCID 0000-0003-1186-4608
Peter C DamianoCollege of Dentistry, University of Iowa, Iowa City, Iowa, USA.
Steven LevyCollege of Dentistry, University of Iowa, Iowa City, Iowa, USA.ORCID 0000-0001-9150-4199
James C ThomasCollege of Public Health, University of Iowa, Iowa City, Iowa, USA.ORCID 0009-0005-2142-9599
Dan ShaneCollege of Public Health, University of Iowa, Iowa City, Iowa, USA.
Astha SinghalCollege of Dentistry, University of Florida, Gainesville, Florida, USA.
Shareef M DabdoubCollege of Dentistry, University of Iowa, Iowa City, Iowa, USA.
Julie C ReynoldsCollege of Dentistry, University of Iowa, Iowa City, Iowa, USA.ORCID 0000-0001-7952-9852

Funding

University of Iowa Institutional Training Program in Oral Health ResearchR90DE024296 · NIDCR · UNIVERSITY OF IOWA · PI STEVEN M. LEVY · 2013 to 2026
$1.8M
National Institutes of Health (NIH) University of Iowa Institutional Training Grant 2R90DE024296-11NIDCR NIH HHS R90 DE024296
6 · The paper itself

Abstract

objectivesDentists' Medicaid participation is a critical factor affecting dental care access for Medicaid beneficiaries. An important gap in existing literature is the variation in participation across Medicaid dental Managed Care Organizations (MCOs) in states with more than one. This study examined the variation in participation overall and in predictors of dentist participation between two MCOs in Iowa's Dental Medicaid program.

methodsData were obtained from a survey of Iowa private practice dentists (n = 1256). Responding general dentists (n = 497) were included in the final analytic sample. Univariate, bivariate, and multivariable logistic regression analyses were conducted to examine demographic and practice characteristics associated with dentist participation (acceptance of new Medicaid patients) between MCOs and by age category.

resultsAmong respondents, the proportions accepting new adults with Medicaid were 26% (MCO 1) and 7% (MCO 2); for children, they were 40% (MCO 1) and 11% (MCO 2). For adults, dentists who were too busy (MCO1) and solo practice dentists (MCO2) were positively significantly associated with the acceptance of new patients. For children, group and rural practice dentists, as well as dentists who worked <32 h/week were positively significantly associated with acceptance of new patients with MCO1.

conclusionsThere was considerable variation in dentist-reported acceptance of new adult and child Medicaid patients, and in the factors affecting acceptance of new patients between MCOs in Iowa dental Medicaid. Future studies of Medicaid participation should consider variations by MCO in states with more than one dental MCO so as not to miss important factors affecting Medicaid participation.

Indexed as

MedicaidAdultDentistsFemaleHumansIowaMaleManaged Care ProgramsMiddle AgedPractice Patterns, Dentists'United Statesaccess to carehealth policyhealth servicesmanaged care programsmedicaid

Identifiers

PMID39078227
PMCPMC11619557

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.