Public Dental Safety Net in Iowa: Capacity and Readiness for Health Care Reform

Julie C Reynolds; Susan C McKernan; Raymond A Kuthy; Nancy B Adrianse; Simi Mani; Peter C Damiano

doi:10.1353/hpu.2016.0084

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Public Dental Safety Net in Iowa: Capacity and Readiness for Health Care Reform

Journal article

Peer reviewed

Public Dental Safety Net in Iowa: Capacity and Readiness for Health Care Reform

Julie C Reynolds, Susan C McKernan, Raymond A Kuthy, Nancy B Adrianse, Simi Mani and Peter C Damiano

Journal of Health Care for the Poor and Underserved, Vol.27(2), pp.450-464

05/01/2016

DOI: 10.1353/hpu.2016.0084

PMID: 27180688

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Abstract

Objective: Examine the current capacity of Iowa's public dental safety net and organizational readiness for implementation of the Affordable Care Act (ACA). Methods: We surveyed Iowa Community Health Center (CHC) dental clinics for factors related to clinic capacity and organizational readiness for ACA-related change. Results: With 14 clinics (93%) responding, clinics had means of 13,064 patient visits and 23% broken appointments in 2012. Seventy percent of clinics reported high confidence in their ability to respond to changes associated with health care reform. However, over 60% agreed that current circumstances limited their ability to respond to these challenges. Conclusions: CHC dental clinics in Iowa understand ACA-related changes regarding their patient population, but are limited in their ability make needed changes in response to increased demand. This may affect the clinics' transition into an environment with increased demand for dental services as a result of Medicaid expansion in Iowa.

Health Care

Safety

Transportation Safety

Ability

Dental insurance

Community health centres

Health care policy

Change agents

Insurance coverage

Studies

Health status

Readiness

Appointments

Capacity

Government programs

Community based clinics

Medicaid

Oral Health Policy

Details

Title: Subtitle: Public Dental Safety Net in Iowa: Capacity and Readiness for Health Care Reform
Creators: Julie C Reynolds - University of Iowa, Preventive and Community Dentistry
Susan C McKernan - University of Iowa, Preventive and Community Dentistry
Raymond A Kuthy - University of Iowa, Center for Social Science Innovation
Nancy B Adrianse
Simi Mani
Peter C Damiano - University of Iowa, Preventive and Community Dentistry
Resource Type: Journal article
Publication Details: Journal of Health Care for the Poor and Underserved, Vol.27(2), pp.450-464
Publisher: Johns Hopkins University Press; Baltimore
DOI: 10.1353/hpu.2016.0084
PMID: 27180688
ISSN: 1049-2089
eISSN: 1548-6869
Language: English
Date published: 05/01/2016
Academic Unit: Preventive and Community Dentistry; Public Policy Center (Archive); Oral Health Policy Research
Record Identifier: 9983756996502771

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