Pediatric dentists' participation in advocacy and acceptance of new medicaid children in clinical practice

IntroductionAdvocacy involves promoting a noble cause or voicing on behalf of a program, policy, or population group. Previous literature shows that dentists who provide services to Medicaid-enrolled, underserved, and vulnerable children are more compassionate than those who do not.AimTo explore the...

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Main Authors: Arjun Deo Singh, Jenna Lavin, Caitlin DiStefano, Eun Chon, Stephanie Weinstein, Samantha Slutsky, Vinodh Bhoopathi
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Oral Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/froh.2022.923124/full
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author Arjun Deo Singh
Jenna Lavin
Caitlin DiStefano
Eun Chon
Stephanie Weinstein
Samantha Slutsky
Vinodh Bhoopathi
author_facet Arjun Deo Singh
Jenna Lavin
Caitlin DiStefano
Eun Chon
Stephanie Weinstein
Samantha Slutsky
Vinodh Bhoopathi
author_sort Arjun Deo Singh
collection DOAJ
description IntroductionAdvocacy involves promoting a noble cause or voicing on behalf of a program, policy, or population group. Previous literature shows that dentists who provide services to Medicaid-enrolled, underserved, and vulnerable children are more compassionate than those who do not.AimTo explore the association between pediatric dentists' (PDs) participation in various advocacy-related activities (ARAs) and their monthly acceptance of new Medicaid-enrolled children in their clinical practice to provide dental care services.MethodsA 14-item pilot-tested survey was created on the SurveyMonkey® online platform and emailed to 5591 PDs, active American Academy of Pediatric Dentistry members. Data from 789 PD respondents were analyzed. Frequencies, percentages, means, and standard deviations were used to describe the sample. Independent t-tests and chi-square tests assessed the differences between PDs accepting new Medicaid-enrolled children in their clinical practice every month vs. PDs who did not. A multivariable adjusted logistic regression model determined if there was an association between PDs' participation in ARAs and their acceptance of new Medicaid-enrolled children in their clinical practice, controlling for other independent variables.ResultsThe mean number of different ARAs performed by PDs was 2.2 ± 1.8. Approximately 65% reported that they accepted new Medicaid-enrolled children every month in their dental clinic to provide dental care services. The multivariable logistic regression model showed that the odds of a PD accepting new Medicaid-enrolled children every month increased by 13% for each additional unit increase in ARA completed, with other variables being held constant (Odds ratio: 1.13, 95% CI: 1.03–1.25, p = 0.01).ConclusionPDs who performed more ARAs had greater odds of accepting new Medicaid-enrolled children into their dental practice every month. Education and training in oral health advocacy during dental education for dental students may promote performing ARAs and providing dental care services to Medicaid patients after graduation.
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spelling doaj.art-2d61b40bc0f742a8b6f5878887dbcdea2022-12-22T01:31:18ZengFrontiers Media S.A.Frontiers in Oral Health2673-48422022-08-01310.3389/froh.2022.923124923124Pediatric dentists' participation in advocacy and acceptance of new medicaid children in clinical practiceArjun Deo Singh0Jenna Lavin1Caitlin DiStefano2Eun Chon3Stephanie Weinstein4Samantha Slutsky5Vinodh Bhoopathi6ACE Dental Clinic, Bellmead, TX, United StatesFamily Health Centers of Southwest Florida, Port Charlotte, FL, United StatesSt. Christopher's Hospital for Children, Philadelphia, PA, United StatesMount Vernon Modern Dentistry, Alexandria, VA, United StatesPhiladelphia V.A. Medical Center, Wynnewood, PA, United StatesA1 Dental Clinic, Philadelphia, PA, United StatesSection of Public and Population Health, University of California at Los Angeles School of Dentistry, Los Angeles, CA, United StatesIntroductionAdvocacy involves promoting a noble cause or voicing on behalf of a program, policy, or population group. Previous literature shows that dentists who provide services to Medicaid-enrolled, underserved, and vulnerable children are more compassionate than those who do not.AimTo explore the association between pediatric dentists' (PDs) participation in various advocacy-related activities (ARAs) and their monthly acceptance of new Medicaid-enrolled children in their clinical practice to provide dental care services.MethodsA 14-item pilot-tested survey was created on the SurveyMonkey® online platform and emailed to 5591 PDs, active American Academy of Pediatric Dentistry members. Data from 789 PD respondents were analyzed. Frequencies, percentages, means, and standard deviations were used to describe the sample. Independent t-tests and chi-square tests assessed the differences between PDs accepting new Medicaid-enrolled children in their clinical practice every month vs. PDs who did not. A multivariable adjusted logistic regression model determined if there was an association between PDs' participation in ARAs and their acceptance of new Medicaid-enrolled children in their clinical practice, controlling for other independent variables.ResultsThe mean number of different ARAs performed by PDs was 2.2 ± 1.8. Approximately 65% reported that they accepted new Medicaid-enrolled children every month in their dental clinic to provide dental care services. The multivariable logistic regression model showed that the odds of a PD accepting new Medicaid-enrolled children every month increased by 13% for each additional unit increase in ARA completed, with other variables being held constant (Odds ratio: 1.13, 95% CI: 1.03–1.25, p = 0.01).ConclusionPDs who performed more ARAs had greater odds of accepting new Medicaid-enrolled children into their dental practice every month. Education and training in oral health advocacy during dental education for dental students may promote performing ARAs and providing dental care services to Medicaid patients after graduation.https://www.frontiersin.org/articles/10.3389/froh.2022.923124/fulladvocacyMedicaidpediatric dentistsocial responsibilitymedicaid acceptability
spellingShingle Arjun Deo Singh
Jenna Lavin
Caitlin DiStefano
Eun Chon
Stephanie Weinstein
Samantha Slutsky
Vinodh Bhoopathi
Pediatric dentists' participation in advocacy and acceptance of new medicaid children in clinical practice
Frontiers in Oral Health
advocacy
Medicaid
pediatric dentist
social responsibility
medicaid acceptability
title Pediatric dentists' participation in advocacy and acceptance of new medicaid children in clinical practice
title_full Pediatric dentists' participation in advocacy and acceptance of new medicaid children in clinical practice
title_fullStr Pediatric dentists' participation in advocacy and acceptance of new medicaid children in clinical practice
title_full_unstemmed Pediatric dentists' participation in advocacy and acceptance of new medicaid children in clinical practice
title_short Pediatric dentists' participation in advocacy and acceptance of new medicaid children in clinical practice
title_sort pediatric dentists participation in advocacy and acceptance of new medicaid children in clinical practice
topic advocacy
Medicaid
pediatric dentist
social responsibility
medicaid acceptability
url https://www.frontiersin.org/articles/10.3389/froh.2022.923124/full
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