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首页> 外文期刊>Journal of public health dentistry >Factors influencing dentists' willingness to treat Medicaid-enrolled adolescents
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Factors influencing dentists' willingness to treat Medicaid-enrolled adolescents

机译：影响牙医对治疗医疗报价的青少年的意愿的因素

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Objectives To identify factors influencing dentists' willingness to treat Medicaid-enrolled adolescents with intellectual and developmental disabilities in Washington state. Data sources Primary data were collected by a survey instrument administered in 2017 to general and pediatric dentists who were Medicaid providers (N= 512). Methods We administered a 40-item survey, which included 20 hypothetical scenarios involving a 12-year-old Medicaid-enrolled adolescent. Based on the characteristics of the potential patient, dentists were asked to rate their willingness to treat (1 = very likely; 5 = very unlikely). We used conjoint analytic techniques to examine the relative importance of six adolescent- and family-level factors (e.g., severity of intellectual and/or developmental disability [IDD], sugar intake, toothbrushing, caregiver beliefs about fluoride, restorative needs, appointment keeping) and state Medicaid reimbursement level (35 percent, 55 percent, 85 percent of usual, customary, and reasonable amount). Analyses focused on data from 178 dentists with complete and varied responses to the scenarios. Results The mean age of participants was 53.8 +/- 10.5 years and 10.7 percent were pediatric dentists. The holdouts correlation statistics indicated excellent fit for the conjoint model (Pearson's R = 0.99,P < 0.0001; Kendall's tau = 0.89,P < 0.0001). Reimbursement level and appointment keeping were the most important factors in dentists' willingness to treat Medicaid-enrolled adolescents (importance scores of 26.7 and 25.7, respectively). Restorative needs, caregiver beliefs about fluoride, and IDD severity were the next most important (importance scores of 15.4, 10.6, and 8.1, respectively). Sugar intake and toothbrushing behaviors were the least important. Conclusions Reimbursement and appointment keeping were the most important determinants of dentists' willingness to treat Medicaid-enrolled adolescents with IDD.
机译：目的确定影响华盛顿州牙医治疗纳入医疗补助计划的智力和发育残疾青少年意愿的因素。数据来源主要数据由2017年对作为医疗补助提供者的普通和儿科牙医（N=512）使用的调查工具收集。方法我们进行了一项40个项目的调查，其中包括20个假设情景，涉及一名12岁参加医疗补助的青少年。根据潜在患者的特征，牙医被要求对他们的治疗意愿进行评分（1=非常可能；5=非常不可能）。我们使用联合分析技术来检查六个青少年和家庭层面因素（例如，智力和/或发育残疾[IDD]的严重程度、糖摄入量、刷牙、照顾者对氟化物的信念、恢复性需求、预约）和州医疗补助报销水平的相对重要性（通常、习惯和合理金额的35%、55%和85%）。分析集中在178名牙医的数据上，他们对这些情景做出了全面而不同的反应。结果参与者的平均年龄为53.8+/-10.5岁，10.7%为儿童牙医。坚持者的相关统计数据表明，该模型非常适合联合模型（Pearson's R=0.99，P<0.0001；Kendall's tau=0.89，P<0.0001）。报销水平和预约是影响牙医治疗Medicaid登记青少年意愿的最重要因素（重要性得分分别为26.7和25.7）。其次是恢复性需求、照顾者对氟化物的信念和碘缺乏病的严重程度（重要性得分分别为15.4、10.6和8.1）。糖摄入量和刷牙行为最不重要。结论报销和预约是决定牙医治疗IDD青少年的意愿的最重要因素。

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