Texas dentists' attitudes toward the Dental Medicaid program.
OBJECTIVE
The purpose of this study was to report the attitudes of Texas dentists toward the Dental Medicaid program.


METHODS
A self-administered survey was mailed to all pediatric dentists and a random sample of general dentists.


RESULTS
Surveys from 347 (69%) of 500 dentists (171 of 295 general dentists [58%] and 169 of 205 pediatric dentists [82%]) were returned. 57% of pediatric dentists and 29% of general dentists (P<.0001) treated at least 1 Medicaid patient in the past year. The major areas of dissatisfaction were: (1) broken appointments; (2) low reimbursement levels; and (3) patient noncompliance. This mirrors results from studies in Iowa, Louisiana, Ohio, Washington, and California. Both pediatric and general practitioners identified the following barriers to core for the Medicaid population: (1) low dental IQ; (2) few providers; and (3) no transportation.


CONCLUSIONS
The major areas of dissatisfaction included both programmatic and patient-related factors. Attributes of the system (eg, lower reimbursement levels) are more modifiable than attributes of the patient population (eg, patient noncompliance and low dental IQ). Underfunding of dental Medicaid is endemic to all states studied in the literature. Providers, legislators, and government programs should target the programmatic problems with future efforts and funding.
University of Iowa, Iowa City, USA. aaron-blackwelder@uiowa.edu
Aaron
A
Blackwelder
Jay D
JD
Shulman
D001071:Appointments and Schedules; D001291:Attitude of Health Personnel; D003695:Delivery of Health Care; D003729:Dental Care; D003815:Dentists / Q000523:psychology*; D005792:General Practice, Dental; D006267:Health Education, Dental; D006297:Health Services Accessibility; D006801:Humans; D007588:Job Satisfaction; D008484:Medicaid / Q000191:economics / Q000458:organization & administration; D010377:Pediatric Dentistry; D012051:Reimbursement Mechanisms; D013781:Texas; D014187:Transportation of Patients; D016312:Treatment Refusal; D014481:United States