Barriers and Facilitators of Medicaid Participation Among Dentists

作者：Hawazin W. Elani, Niran Prakash, Renuka Tipirneni · 发表于：JAMA Health Forum · 年份：2025 · DOI：10.1001/jamahealthforum.2025.4403 · 被引用次数：8 · 研究领域：Dental Health and Care Utilization、Dental Anxiety and Anesthesia Techniques、Dental Education, Practice, Research

Importance: Dentists' limited participation in Medicaid is a substantial barrier to addressing the persistent unmet need for dental care among adult Medicaid beneficiaries. Objective: To assess dentists' experiences and perceptions regarding Medicaid and to identify barriers and facilitators to participation as well as strategies to improve dentists' participation and service delivery. Design, Setting, and Participants: This qualitative study involved semistructured individual interviews of dentists from 8 states (Maryland, Massachusetts, Michigan, New York, North Carolina, South Dakota, Wisconsin, Wyoming) about their experiences with and perceptions of Medicaid. The study was conducted between August 2022 and July 2023. Data were analyzed from September 2023 to September 2024. Main Outcomes and Measures: Themes related to Medicaid participation were identified through thematic analysis, and descriptive statistics were used to characterize the sample. Results: Of the 67 dentists interviewed, 46 (68.6%) accepted Medicaid, and 21 (31.3%) did not accept Medicaid. The sample consisted of 36 females (53.7%) and 31 males (46.3%), with a mean (SD) age of 45.1 (14.4) years and a mean (SD) of 16.4 (13.8) years of work experience. Three key domains affecting dentists' participation in Medicaid were identified: system-level, dentist-level, and patient-level factors. At the system-level domain, barriers to Medicaid acceptance, including low reimbursement rates, administrative burdens, r...