Características económicas del municipio de Yopal

Comments

No New Patients (10)

• Achieve #24 (taken from 24: NS. If the math was done as to number of Medicaid patients versus

number of providers in communities and across the state, to create a "request" for providers to accept that number patients so as to take care of "the need" representing the states dental community as unified for Iowans.) first and then be prepared for easy/prompt/adequate

reimbursement, so, as providers I (we) feel better about providing the service and work on education since we are providing more and hopefully decrease prevalence of oral disease.

• Although I have refused to accept new Title XIX patients, I did so because I was the only remaining

dentist in the area overburdening my practice. Everyone should be responsible for such patients to some extent.

• Dentists don’t need paid more to get them to see Title 19 patients. They just need to feel like they're

helping the people that truly WANT and need help. In the current system, the abusers far out- number the people the system was designed for and as a result dentists will shut their door to all Title 19, regardless of reimbursement levels.

• Every provider has an obligation to help/aid those less fortunate especially children, but we should

tighten qualifications so people can't use the system.

• Hardly anyone in my county accepts XIX. I would be over-run with XIX patients if I accepted more. I usually end up just treating patients for no charge rather than deal with the hassles.

• I saw Title XIX for many years because I feel I took an oath to help people. I lost much $ income

and became overburdened with Title XIX. This is because no one else in dental practice here felt any obligation to treat Title XIX.

• I took them for several years and got bombarded when no one else in my area accepted them. • I will always accept TXIX children, but currently not accepting new adults. I became the "dumping"

ground for other offices.

• I would like to participate in the program but it is a corporate decision by my company not to

participate.

• My philosophy was always to do the Title 19 patients in my immediate area and refuse out of town

patients. If everyone just did their own area, there would be less problems.

Some New Patients (7)

• Also, not many dentists in surrounding areas will accept XIX, puts burden on my office.

• I feel all DDS should have to accept XIX. We would not have the issues if every county would

accept XIX in their area.

• If all DDS took their "fair share" of title 19 patients, there would be no shortage. Too many refuse to

see them because of low fees, late or failed appointments, do not comply with recommendations of better oral hygiene, quit smoking, and of sugary substances, etc.

• If I could limit to my community and not take from the large community I'm close to.

• It's disheartening to think that not all DDS could participate on some level, however the case is that

some practices will in fact try to pawn off Title XIX patients to essentially unload themselves from the Title XIX hassles of low or no pay, poor continuity of care, and force others to say no more.

• Just that dentists who currently treat Title 19 should be rewarded and not let others jump on the

bandwagon if and when reimbursement rates go up.

• Program would work better if providers would strive to see a certain % in their practice and

reimbursement would cover overhead expenses so could offer to see more patients.

All New Patients (6)

• I think patients would be better served if everyone sees a few patients. With the economy being

lousy, I'm happy to have a body in the chair. I've never been concerned about money I "write off", but rather, what is in my checkbook.

• If it was made to be more acceptable by all dentists the offices that see Title 19 patients wouldn't be

so burdened.

21  

• Mandatory compliance from all IA dentists certain percentage of all pts this will be difficult.

• Most dentists do not realize that they are spending too much time selling dentistry. With Title 19 the

patient isn't concerned about the financial aspect and will accept the best treatment title 19 is willing to pay for. It is a challenge to stop dental disease and raise the patients dental IQ. It is also

rewarding to help so many special needs patients. Most of my referrals are from groups like

Mainstream, On with Life, House of Mercy, Link Associates, and many other similar groups. Most of these patients come with care providers. My bigger challenge is the referrals from 4 or 5 different nursing homes. All dentists should share the title 19 patient base.

• We have many new pts call our office and are surprised we take title 19 because they have called 5

other offices. Frustrating.

Table F-7. Comments about specialty care (n=15)