Racial/Ethnic Disparities in the Acceptance of Medicaid Patients in Dental Practices

Okunseri, Christopher; Bajorunaite, Ruta; Abena, Albert; Self, Karl; Iacopino, Anthony M.; Flores, Glenn

doi:10.1111/j.1752-7325.2007.00079.x

Cited by 41 publications

(32 citation statements)

References 14 publications

(17 reference statements)

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“…The small number of participating dentists contributes to racial or ethnic disparities in number of visits within Medicaid. 18,19 Racial or ethnic differences between dentists and patients within the California population, as indicated by disproportionately fewer Latino (11 percent) and African American (1 percent) dentists, may be another reason. 20 Difficulties in making or keeping appointments may also limit the ability of some groups to gain access to dental care.…”

Section: Discussionmentioning

confidence: 97%

Racial And Ethnic Disparities In Dental Care For Publicly Insured Children

Pourat

Finocchio

2010

Health Affairs

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Poor oral health has important implications for the healthy development of children. Children in Medicaid, especially Latinos and African Americans, experience high rates of tooth decay, yet they visit dentists less often than privately insured children. Even Latino and African American children with private insurance are less likely than white children to visit dentists and have longer intervals between dental visits. Furthermore, Latino and African American children in Medicaid are more likely than white children in Medicaid to have longer intervals between visits. These findings raise concerns about Medicaid's ability to address disparities in dental care access and, more broadly, in health care.

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Section: Discussionmentioning

confidence: 97%

Racial And Ethnic Disparities In Dental Care For Publicly Insured Children

Pourat

Finocchio

2010

Health Affairs

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“…This finding is consistent with previous reports (e.g., dental specialty and race of the dentist). 7,23 …”

Section: Discussionmentioning

confidence: 99%

“…Okunseri and colleagues found that characteristics of dental providers were predictive of participation in dental Medicaid. 23 In a report on dental practices and Medicaid in the state of Wisconsin, minority dentists were twice as likely as White dentists to accept Medicaid patients. Logan and colleagues found that Blacks and Hispanic dentists were more likely to be Medicaid participants in Florida than other dentists.…”

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confidence: 99%

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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“…8 In addition, there is a severe shortage of minority dentists to serve the growing racial/ethnic minority Medicaid enrollees. As Okunseri and colleagues 9 have reported, minority dentists are more likely to accept new Medicaid patients. Furthermore, studies have documented that children from low-income families have lower odds of receiving comprehensive dental care and higher odds of having acute dental disease than children from middle-income and upper-income families.…”

Section: Introductionmentioning

confidence: 88%

Children’s Oral Health Assessment, Prevention, and Treatment

Okunseri¹,

Gonzalez²,

Hodgson³

2015

Pediatric Clinics of North America

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This article provides a brief introduction to various aspects of oral health care in children, with emphasis on the epidemiology, risk assessment, prevention, and treatment modalities for dental caries. In addition, barriers to dental care and the involvement of pediatricians in advocating for and providing preventive dental care for children are reviewed. Oral health care is one of the most prevalent unmet needs among infants, toddlers, and adolescents in the United States. Routine or preventive dental visits are important for early diagnosis, prevention, and treatment of oral diseases, and for establishing and maintaining good oral health and overall well-being.

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Racial/Ethnic Disparities in the Acceptance of Medicaid Patients in Dental Practices

Abstract: Objectives: Medicaid enrollees disproportionately experience dental disease and difficulties accessing needed dental care. However

Cited by 41 publications

References 14 publications

Racial And Ethnic Disparities In Dental Care For Publicly Insured Children

Racial And Ethnic Disparities In Dental Care For Publicly Insured Children

Barriers to Medicaid Participation among Florida Dentists

Children’s Oral Health Assessment, Prevention, and Treatment

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