title: The Impact of Medicaid Expansion on Oral Health Equity for Older Adults: A Systems Perspective.
abstract: This paper uses a collaborative, interdisciplinary systems science inquiry to explore implications of Medicaid expansion on achieving oral health equity for older adults. Through an iterative modeling process oriented toward the experiences of both patients and oral health care providers, complex feedback mechanisms for promoting oral health equity are articulated that acknowledge the potential for stigma as well as disparities in oral health care accessibility. Multiple factors mediate the impact of Medicaid expansion on oral health equity.
authors.forename: Mary E
authors.initials: ME
authors.lastname: Northridge
authors.forename: Sara S
authors.initials: SS
authors.lastname: Metcalf
authors.forename: Shirley S
authors.initials: SS
authors.lastname: Birenz
authors.forename: Carol
authors.initials: C
authors.lastname: Kunzel
authors.forename: Hua
authors.initials: H
authors.lastname: Wang
authors.forename: Eric W
authors.initials: EW
authors.lastname: Schrimshaw
authors.forename: Stephen E
authors.initials: SE
authors.lastname: Marshall
mesh_terms: D000368:Aged; D001294:Attitude to Health; D003729:Dental Care; D005006:Ethnicity; D005246:Feedback; D015438:Health Behavior; D000069576:Health Equity; D006293:Health Promotion; D006297:Health Services Accessibility; D054625:Healthcare Disparities; D006801:Humans; D019458:Insurance Coverage; D008403:Mass Screening; D008484:Medicaid; D008507:Medically Underserved Area; D008875:Middle Aged; D008913:Minority Groups; D008962:Models, Theoretical; D009909:Oral Health; D058991:Patient Protection and Affordable Care Act; D011287:Prejudice; D012051:Reimbursement Mechanisms; D057545:Social Stigma; D014481:United States; D035862:Vulnerable Populations