Pediatric Workforce Issues

Mertz, Elizabeth; Spetz, Joanne; Moore, Jean

doi:10.1016/j.cden.2017.02.004

Cited by 1 publication

(3 citation statements)

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“…The interview data suggest that their success was facilitated by expanded scope of practice for dental assistants and, more recently, the introduction of DTs and ADTs to the oral health workforce of Minnesota. Children's Dental Services informants described ongoing challenges in attracting enough providers, which is common to Medicaid‐funded oral health programs . Review studies of oral health workforce deployment and policy report only modest expansion of workforce strategies that increase access and improve care for pediatric patients .…”

Section: Discussionmentioning

confidence: 99%

“…Children's Dental Services informants described ongoing challenges in attracting enough providers, which is common to Medicaid‐funded oral health programs . Review studies of oral health workforce deployment and policy report only modest expansion of workforce strategies that increase access and improve care for pediatric patients . Children's Dental Services has benefitted from health professions regulations that support new models of care; state‐based scope of practice regulations have been a persistent barrier in many states with intense political opposition to even minor reform …”

Section: Discussionmentioning

confidence: 99%

“…Children's Dental Services's mobile program has achieved a multi‐site statewide presence. Children's Dental Services represents a trend in the dental delivery system toward larger group models and dental service organizations that can optimize team‐based care and implement evidence‐based care practices . However, the financial sustainability of this approach in providing care to remote and high‐need populations is unclear.…”

Section: Discussionmentioning

confidence: 99%

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Expansion of Dental Care for Low‐Income Children Through a Mobile Services Program

Spetz

Pourat

Chen

et al. 2019

Journal of School Health

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BACKGROUND: Although access to dental care has improved over time, many children still face difficulty in obtaining services.One strategy to increase access is through mobile dental services, often in collaboration with schools, Head Start programs, and school-based health centers. This study evaluates a large mobile dental care program based in Minnesota. METHODS:Thematic analysis of interview data collected during a 2-day site visit and multivariate regression analysis of electronic records of patients (adults and children) that received care from 2000 through 2015, representing 84,279 unique patients. RESULTS:The number of patients increased from 5558 in 2000 to 13,863 in 2015. There was a decline in the share of preventive procedures over this period, from 45.7% to 29.4%, and an increase in the share of patients seen at fixed sites. The interview data revealed that program growth relied on relationships with school leaders, expanded scope of practice for dental assistants and dental therapists, and high Medicaid reimbursement. CONCLUSIONS:Mobile dental care programs can increase both preventive and restorative dental care for individuals who otherwise would not easily access oral health care services; mobile dental programs could be an option in many other communities and schools.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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